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CBHI form No. |
04
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Annually |
State / UT |
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| NUMBER OF STATE/UT GOVT. EMPLOYED *DOCTORS
AND DENTAL SURGEONS |
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| AS ON 31
DECEMBER OF THE REPORTING YEAR |
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| NAME OF THE
STATE/UT: |
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Reporting year ** |
December |
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| Sl.No. |
Doctors / Dental
Surgeons |
STATE GOVT |
LOCAL GOVT BODIES |
TOTAL |
| Purely
State |
Autonomous |
Purely local Bodies |
Autonomous |
NO.
OF DOCTORS |
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M |
F |
T |
M |
F |
T |
M |
F |
T |
M |
F |
T |
M |
F |
T |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
| 1 |
Allopathic Doctors |
| 1.1 |
General duty |
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| 1.2 |
Specialists |
| 1.2.1 |
General Surgeons |
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| 1.2.2 |
Obst. &
Gyane. |
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| 1.2.3 |
Physicians |
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| 1.2.4 |
Pediatricians |
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| 1.2.5 |
Anaesthetists |
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| 1.2.6 |
Psychiatrists |
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| 1.2.7 |
Orthopedic Surgeons |
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| 1.2.8 |
Radio diagnostics |
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| 1.2.9 |
Onchologists |
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| 1.2.10 |
Others Specialist Doctors(Attach Statement) |
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| 2 |
AYUSH Doctors |
| 2.1 |
Ayurveda |
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| 2.2 |
Unani
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| 2.3 |
Siddha
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| 2.4 |
Homoeopathy |
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| 2.5 |
Others Pathy Doctors(Attach Statement) |
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| 3 |
DENTAL SURGEON |
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GRAND TOTAL(Allopathic Doctors+AYUSH Doctors+DENTAL SURGEON) |
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| NOTE: |
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M -
Male, F - Female, T-Total |
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| All Doctors / Dental
Surgeons employed in Clinical / Non-Clinical Govt.establishments including
those involved in administrative duties. |
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| * State/UT,
Public Sector Undertakings, Municipalities, Municipal Corporation, Zilla
Parishads, Village Panchayat, Autonomous Govt. bodies of State & Local
Govts. |
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| etc. in various establishments like
teaching institutions,hospitals, dispensaries, clinics, polyclinics,
sanatoria,CHCs, PHCs etc |
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| **
- Duly completed proforma as on December should be sent to reach CBHI New
Delhi by 25th January of the succeeding year through E-mail:
dircbhi@nb.nic.in to enable CBHI for national compilation by February. |
| To |
The
Director |
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Signature |
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Central Bureau of Health Intelligence (CBHI) |
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Name &
Designation |
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401-A, Nirman
Bhavan, New Delhi - 110011 |
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Address
with Tel/ Fax |
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Tel/ Fax:
91-011-23063175 / 23062695 |
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&
E-Mail |
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