Daily Performance Report
Bankura Lions Eye & Dental Hospital
Date
-
Day
-
Month
Year
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Eye Services
Numbers
1. O.P.D.
2. Cataract Selected
3. Refraction
4. Blood Sugar done
5. Free O.T.
6. Phaco (4800)
7. SICS (3200)
8. Phaco (6000)
9. Tropical Phaco (6500)
10. Phaco (8000)
11. Phaco (11000)
12. Phaco (18000)
13. Phaco (20000)
14. PTG (1000)
15. PTG (2000)
16. DCT(2500)
17. Free Phaco
18. Follow-Up
19. Chalazion (500)
Free O.T.
Total Paid SICS/Phaco
Total Minor O.T.
Total O.T.
Laser
USG B Scan
Performed By:
Please Select
Dr.S.Dandapath
Dr.R.Dutta
Dr.S.Sarkar
Dr. S. Roy
Dr. S.Mukherjee
Dr. R.Mitra
Dr. Daiyyan
Block given By:
Biswanath Dolui
Ankan Pramanik
Free Patients coming from
Referred By/From:
Please Select
Shital Malla
Gourishankar Das
Gouranga Rakhit
Mathur Shit
Ashim Hazra
Simlapal VC
Dharamshala VC
Screening Camp
Others
Free Phaco Sponsored By
Free Phaco Patient's Photo
Dental Services
Numbers
Amount
1. O.P.D.
Performed By:
Please Select
Dr.A.Hossain
Dr.S.Biswas
Dr. A. Agarwal
Dr.B.Chakraborty
Physiotherapy
Numbers
Amount
1. O.P.D.
Out Reach Camp Details
Numbers
1. Patients Screened
2. Cataract Selected
3. Refraction
4. Free Spectacles given
5. Paid Spectacles sold
Camp Coordinator
ORC Location
ORC Optometrist:
Please Select
Biswanath Dolui
Ankan Pramanik
Shampa Mandal
Susmita Dey
Pradip Nag
Data Approved By:
Please Select
Somnath Chakraborty
U.S.Pal
Others
Data Submitted By:
Please Select
Sandip Chakraborty
Somnath Chakraborty
Subhrakanti Mishra
Others
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