CBHI form No. 05
Annually State / UT
NUMBER OF STATE/UT GOVT. EMPLOYED* NURSING AND PARAMEDICAL PROFESSIONAL FUNCTIONING IN STATE GOVERNMENT
ESTABLISHMENTS AS ON 31 DECEMBER OF REPORTING YEAR
NAME OF THE STATE/U.T:   REPORTING YEAR** : December  
                           
Sl.No. Category of the Paramedical Professionals STATE GOVT LOCAL GOVT BODIES TOTAL
Purely State Autonomous Purely local Bodies Autonomous NO. OF PERSONS
    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 Nurses/Public Health Nurses                              
2 Auxiliary Nurse  Midwives (ANMs)                              
3 Multipurpose Health Workers (Male)                              
4 Lady Health Visitors (LHV)                              
5 Health Supervisor (Male)                              
6 Laboratory Assistant / Technicians                              
7 Opthalmic paramedical personnel                              
8 Orthopedic / Prostatic Technicians                              
9 X-Ray Technicians                              
10 Operaation Theatre Assistants                              
11 Pharmacists                              
12 Physio Therapists                              
13 Occupational Therapists  (including speech & Hearing therapists)                              
14 Dieticians                              
15 Dental Mechanics/Dental Hygienist                              
16 Others(Specify)                              
  TOTAL                              
NOTE: M - Male;  F - Female;  T - Total
All Paramedical personnel employed in Clinical / Non-Clinical Govt. establishments including those involved in  administrative duties.
* State/UT, Public Sector Undertakings, Municipalities, Municipal Corporation, Zilla Parishads, Village Panchayat, Autonomous Govt. bodies of State
   & Local Govts.etc. in various establishments like teaching institutions,hospitals, dispensaries, clinics, polyclinics, sanatoria,CHCs, PHCs etc
** - 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 Signature  
Central Bureau of Health Intelligence (CBHI) Name & Designation  
401-A, Nirman Bhavan, New Delhi - 110011 Address with Tel/ Fax  
Tel/ Fax: 91-011-23063175 / 23062695 & E-Mail