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SIMSRH MEDICAL CAMP
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Step
1
of 2
Unique Camp ID Number
*
Shridevi Health Card ID
*
Name of the person entering data
*
Contact No of the person entering data
*
Category of the Camp
*
Select
General Free Camp
NPCB
Superspeciality Camp
OBG Camp
Name of the Camp PR
*
Select
Rajesh
Mahesh
Praveen
Phanendra
Adharsha
Mamatha
Pavan
Name of the Individual
*
Age
*
Sex
*
Aadhaar ID
*
ABHA ID
Address
*
Village
*
Taluk
*
District
*
Contact Number
*
Name of the scheme Eligible
*
Select
ESI
ABARK
SKDRDP
YESHASWINI
FCI
BSNL
NPCB
PRIVATE INSURANCES
NONE
Department
*
Select
General Medicine
General Surgery
OBG
Pediatrics
Orthopedics
Ophthalmology
ENT
DVL
Phschiatry
Respiratory medicine
Dental
Cardiology
CTVS
Urology
Nephrology
Medical GE
Surgical GE
Neurology
Neurosurgery
Oncology
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Investigations:-
Blood Sugar
*
BP
*
Height
*
Weight
*
ECG
*
Select
Performed
Not Performed
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