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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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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.
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| 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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