Items - Special Investigation form,Clinical Pathology Fluids and Excretions,Bio Chemistry form,Haematology form,Out patient prescription form,Consent form,Medical case sheet,CT Scan clinical notes,USG clinical notes KUB,PAC form,Anaesthesia Notes,unwillingness certificate,Daily BP Record Chart,Clinical Intake Output Chart,Clinical Chart,Daily Diet Sheet,HIV test form,MRI form,Injury report,Pre OP Check List,High Risk Consent,Self Declaration,OT Notes,Pre-Operation Instructions,Sick in QTR Form,CDFI clinical notes lower limb,USG Clinical notes Scrotum,CDFI clinical notes lower limb DVT,Form F 03 Pages,Consent form Appx A,Surgical Safety Checklist Patient Safety,High Altitude Illnesses Data Collection Form,Pre Anaesthesia check up register,Minor surgery register,Histopathology Specimen Examination Register,OT notes for Ophthalmology,Request for HIV Laboratory investigation form Special test,File Cover think White,File Cover White AMC Logo FS Size,File coloured with AMC Logo or Crust,Daily Parade State Register,Feedback
| Item Number | Item Title | Item Description | Item Quantity | Unit of Measure | Consignee ID | Delivery Period (In number of days) |
|---|---|---|---|---|---|---|
| 1 | Special Investigation form | Special Investigation form | 200 | Pad | mkg.3413@gov.in | 15 |
| 2 | Clinical Pathology Fluids and Excretions | Clinical Pathology Fluids and Excretions | 150 | Pad | mkg.3413@gov.in | 15 |
| 3 | Bio Chemistry form | Bio Chemistry form | 150 | Pad | mkg.3413@gov.in | 15 |
| 4 | Haematology form | Haematology form | 150 | Pad | mkg.3413@gov.in | 15 |
| 5 | Out patient prescription form | Out patient prescription form | 50 | Pad | mkg.3413@gov.in | 15 |
| 6 | Consent form | Consent form | 30 | Pad | mkg.3413@gov.in | 15 |
| 7 | Medical case sheet | Medical case sheet | 50 | Pad | mkg.3413@gov.in | 15 |
| 8 | CT Scan clinical notes | CT Scan clinical notes | 20 | Pad | mkg.3413@gov.in | 15 |
| 9 | USG clinical notes KUB | Department of Radiodiagnosis and Imaging USG Centre | 20 | Pad | mkg.3413@gov.in | 15 |
| 10 | PAC form | PAC form | 20 | Pad | mkg.3413@gov.in | 15 |
| 11 | Anaesthesia Notes | Anaesthesia Notes | 20 | Pad | mkg.3413@gov.in | 15 |
| 12 | unwillingness certificate | unwillingness certificate | 10 | Pad | mkg.3413@gov.in | 15 |
| 13 | Daily BP Record Chart | Daily BP Record Chart | 10 | Pad | mkg.3413@gov.in | 15 |
| 14 | Clinical Intake Output Chart | Clinical Intake Output Chart | 10 | Pad | mkg.3413@gov.in | 15 |
| 15 | Clinical Chart | Clinical Chart | 10 | Pad | mkg.3413@gov.in | 15 |
| 16 | Daily Diet Sheet | Daily Diet Sheet | 150 | Pad | mkg.3413@gov.in | 15 |
| 17 | HIV test form | Laboratory Investigation Form Special Request for HIV Test | 50 | Pad | mkg.3413@gov.in | 15 |
| 18 | MRI form | MRI Form | 50 | Pad | mkg.3413@gov.in | 15 |
| 19 | Injury report | Accidental and self inflicted injuries report | 30 | Pad | mkg.3413@gov.in | 15 |
| 20 | Pre OP Check List | Pre OP Check List | 30 | Pad | mkg.3413@gov.in | 15 |
| 21 | High Risk Consent | High Risk Consent | 10 | Pad | mkg.3413@gov.in | 15 |
| 22 | Self Declaration | Self Declaration | 20 | Pad | mkg.3413@gov.in | 15 |
| 23 | OT Notes | Operation Note | 10 | Pad | mkg.3413@gov.in | 15 |
| 24 | Pre-Operation Instructions | Pre-Operation Instructions | 10 | Pad | mkg.3413@gov.in | 15 |
| 25 | Sick in QTR Form | Sick in QTR Form | 5 | Pad | mkg.3413@gov.in | 15 |
| 26 | CDFI clinical notes lower limb | CDFI clinical notes lower limb | 10 | Pad | mkg.3413@gov.in | 15 |
| 27 | USG Clinical notes Scrotum | USG Clinical notes Scrotum | 10 | Pad | mkg.3413@gov.in | 15 |
| 28 | CDFI clinical notes lower limb DVT | CDFI clinical notes lower limb DVT | 10 | Pad | mkg.3413@gov.in | 15 |
| 29 | Form F 03 Pages | Form F 03 Pages | 500 | Pad | mkg.3413@gov.in | 15 |
| 30 | Consent form Appx A | Consent form Appx A | 30 | Pad | mkg.3413@gov.in | 15 |
| 31 | Surgical Safety Checklist Patient Safety | Surgical Safety Checklist Patient Safety | 20 | Pad | mkg.3413@gov.in | 15 |
| 32 | High Altitude Illnesses Data Collection Form | High Altitude Illnesses Data Collection Form | 20 | Pad | mkg.3413@gov.in | 15 |
| 33 | Pre Anaesthesia check up register | Pre Anaesthesia checkup register | 2 | No | mkg.3413@gov.in | 15 |
| 34 | Minor surgery register | Minor surgery register | 2 | No | mkg.3413@gov.in | 15 |
| 35 | Histopathology Specimen Examination Register | Histopathology Specimen Examination Register | 2 | No | mkg.3413@gov.in | 15 |
| 36 | OT notes for Ophthalmology | OT notes for Ophthalmology | 10 | pad | mkg.3413@gov.in | 15 |
| 37 | Request for HIV Laboratory investigation form Special test | Request for HIV Laboratory investigation form Special test | 10 | pad | mkg.3413@gov.in | 15 |
| 38 | File Cover think White | File Cover think White | 50 | Nos | mkg.3413@gov.in | 15 |
| 39 | File Cover White AMC Logo FS Size | File Cover White AMC Logo FS Size | 200 | Nos | mkg.3413@gov.in | 15 |
| 40 | File coloured with AMC Logo or Crust | File coloured with AMC Logo or Crust | 800 | Nos | mkg.3413@gov.in | 15 |
| 41 | Daily Parade State Register | Daily Parade State Register | 4 | Nos | mkg.3413@gov.in | 15 |
| 42 | Feedback Form | Feedback Form | 200 | Nos | mkg.3413@gov.in | 15 |
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