DHQH ___________________SP FORM VISIT DATE ______________ SHIFT_____
OPD ROSTER & PRESENCE
ROSTER (n) PRESENCE (n) UN/A STAFF (NAME)
S# OPD Name Sp Dr MOs N/M W/S/D Sp Dr MOs N/M W/S/D
1 Medical
2 Surgical
3 Peads
4 Gynea
5 ENT
6 Eye
7 Chest
8 Cardic
9 Neuro
10 Ortho
11 Skin
12 Dental
13 Gastro
14 Psychiatry
15 Tibb/Homeo
16 Physio
TOTAL
IPD ROSTER & PRESENCE
ROSTER (n) PRESENCE (n)
S# Ward Name Sp Dr MOs Nurse MT W/S/D Sp Dr MOs Nurse MT W/S/D UN/A STAFF (NAME)
1 Surgical A
2 Surgical B
3 Ortho M+F
4 Medical A
5 Medical B
6 Peads ward
7 P/Isolation
8 Nursery
9 Chest
10 CCU/HDU
11 Gynea A
12 Gynea B
TOTAL
INDEPENDANT MONITORING UNIT (IMU) HEALTH DEPARTMENT KP BY:Dr. AAK
OT & ER ROSTER & PRESENCE
OT M+G No ER No UN/A STAFF (NAME)
Sp Dr Sp Dr
MO MO
ROSTER Nurse Nurse
MT MT
Wo/At/S/D Wo/At/S/D
TOTAL TOTAL
Sp Dr Sp Dr
MO MO
PRESENCE Nurse Nurse
MT MT
Wo/At/S/D Wo/At/S/D
TOTAL TOTAL
OTHER UNITS / SECTIONS
S# D/PLACE ROSTER PRESENCE UN/A STAFF (NAME)
Sp/MOs M/N Wo/At S/D Sp/MOs M/N Wo/At S/D
Lab Main
1
Lab ER
Xray Main
2
Xray opd
U/S Main
3
U/S Gynea
Store Main
4
Store ER
OT Main
5 OT Gynea
OT Minor
6 BB
7 P/Rooms
8 EPI
9 L/Room
10 ECG
11 ER Wards
TOTAL
CLASS 4 SUMMERY
Dai W/O Sweeper Attendants Others Total
ROSTER
PRESENCE
INDEPENDANT MONITORING UNIT (IMU) HEALTH DEPARTMENT KP BY:Dr. AAK