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CBHI Data Reporting Forms
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Weekly Epidemiological Report on Cholera (A00) / Plague (A20) in State/UT(Form-01)
Monthly Report on Institutional Cases and Deaths in the State / UT due to COMMUNICABLE Diseases not covered under any National Health Programme(New 2012 Form-2A)
Monthly Report on Cases and Deaths Due to NON-COMMUNICABLE Diseases in the State / UT(New 2012 Form-3A)
Monthly Report on Institutional Cases and Deaths in the State / UT due to COMMUNICABLE Diseases not covered under any National Health Programme(2013 Form-2A)
Monthly Report on Cases and Deaths Due to NON-COMMUNICABLE Diseases in the State / UT(2013 Form-3A)
Number of State/UT Govt. Employed Doctors and Dental Surgeons as on 31 December of the Reporting Year Name of the State/UT(Form-4)
Number of State/UT govt. Employed* nursing and paramedical professional functioning in state government establishments as on 31 December of reporting year(Form-5)
Number of Nursing and Paramedical Professional Functioning in Private Institutions as on 31 December of reporting year(Form-5A)
Government* Allopathic Secondary / Tertiary Level Medical & Health Care Institutions and Beds in Rural & Urban areas in the State/UT as on 31st December of reporting year(Form-6A)
Private sector* Allopathic Medical and Health Care Institution and Beds in Rural and Urban areas in the State/UT as on 31st December of reporting year(Form-6B)
State / UT wise number of Doctors and Dental Surgeons employed in the Country as on 31 December of reporting year(Form-7)
State/UT wise number of Doctors & Dental Surgeons employed in Private Institutions in the Country as on 31 December of reporting year(Form-7A)
Number of Nursing and Paramedical Professional Functioning in Central Government Establishments as on 31 December of reporting year(Form-8)
Proforma for Collection of Information from Specialised Cancer Institution(Form-9)
Proforma for Collection of Information from Specialised Mental Institution(Form-10)
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