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Mohakhali, Dhaka-1212

Preface

The Civil Surgeon Office of Patuakhali was established in 1969. The same year when Patuakhali District was also established.Dr.Abdul Mannan was the first Civil Surgeon of Patuakhali.The Civil Surgeon Office started functioning at Deputy Commissioner,s building,Patuakhali in 1969.Then it was shifted from there to the present location at old Hospital Road,Patuakhali in 1982.Dr.Md. Salim Mia have taken over the charge of Civil Surgeon of Patuakhali on 10/01 /2016. I am the 44rd Civil Surgeon of this districts.Patuakhali is one of the 19 (Nineteen) districts of Bangladesh. Our district Patuakhali is also called "SAGOR KONNYA" because of the famous coastal tourism area named "KUAKATA" is situated in this district along the bank of the bay of bengal. Patuakhali district comprises 08 (eight) Upazilas and 73 (Seventy ttree) Unions. The Population of this district is 16,17,018. There are 07 (Seven) Upazila Health Complex in the districts . Of these 05 (five) UHCs are 50 bedded. Emoc Services are available at 250 bedded General hospital, Kalapara UHC and Bauphal UHC. we have achieved the best performance award in Emoc for consequtive 09 times in Bangladesh. By this bulletin we are able to inform the of Banladesh about the pattern of the disease of this locality and about the service given to the patients. I hope all the information included in this bulletin will help for planning and bridgeing the gaps in this district. thanks to all who were relatd to this publication . Dr.Md.salim Mia ,Civil Surgeon,Patuakhali.

Dr,Md. Salim Mia
Civil Surgeon
Patuakhali Civil Surgeon Office
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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EDITORIAL BOARD

Chief Editor

Dr.Md.Salim Mia, Civil Surgeon


Special Acknowledgement

1. Md.Nazrul Islam, Head Assistant

Editors

1. Juely akter, Office Assistant

Contributors

1. Md.Rezaur Rahaman, M.O, C.S


Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Basic Information
Name of District Patuakhali
Organization Code 10002052
Name of Civil SurgeonDr,Md. Salim Mia
Land Phone No. 1 62620
Land Phone No. 2 N/A
FAX No. 0441 - 65084
Mobile No. 01716950311
Email patuakhali@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.3620 And Long: 90.3419
No. of Upazila in the District8
No. of Households in the District 316362
Population in the District 1617018
Area of District in sq km 3205
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 0
District Hospital 0 0
General Hospital 1 250
Upazila Health Complexes 6 281
Union Sub Centers 12 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 56 0
Rural Dispensaries 0 0
Community Clinics 219 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 3 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 23 145
NGO Clinics/Facilities 3 40
10 Bed Hospitals 0 0
20 Bed Hospitals 2 40
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 37,393



Neonatal Mortality Rate: 2.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 173,644
Fully Vaccinated Children (<= 12 months): 98 %
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of Maternal Health Services Provided in the District (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli(No.) : Normal Delivery; C.deli(No.) : Cesarean Section; O.deli(No.) : Other Assisted Delivery; PNC(No.) : PNC Within 2 days;

Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of Maternal Health Services Provided in the District (Jan-Dec, 2015)

Indicator DH's Total UHC Total Govt. Facilities NGO Facilities Private Facilities MCWCs (belongs to DGFP) Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Reg. Pregnent Women 0 4684 5060 75 1232 0 27375 38426
At least 1 ANC 0 4684 5060 75 1232 0 27375 38426
ANCs (4+) 0 1225 2748 342 743 0 12229 17287
Normal Delivery 0 945 2751 380 1701 0 27401 33178
Cesarean Section 0 140 293 265 1680 0 0 2378
Other Assisted Delivery 0 18 5 0 0 0 23 46
PNC Within 2 days 0 1333 3493 249 1874 0 14230 21179
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of Maternal Health Services Provided in the District (Jan-Dec, 2015)

Indicator DH's Total UHC Total Govt. Facilities NGO Facilities Private Facilities MCWCs (belongs to DGFP) Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Maternal Death 0 1 0 0 2 0 19 22
Total Deliveries 0 1103 3049 645 3381 0 27424 35602
Valid TT5 Coverage (%) 8.25
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 0 0 0 0 0 0 0 0 0
Upazila Health Complex 015258 15631 30,889 67652 90967 158,619 82910 106598 189508
Union Sub-Centers 8144 7318 15,462 40812 46821 87,633 48956 54139 103095
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 21283 24080 45,363 25666 113039 138,705 46949 137119 184068
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 47884 58669 106,553 200253 414623 614,876 248137 473292 721429
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
MCWCs (belong to DGFP) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 4640 5708 10,348 8518 17810 26,328 13158 23518 36676
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 1532 1445 2,977 8011 9627 17,638 9543 11072 20615
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 1345 1654 2,999 2345 2765 5,110 3690 4419 8109
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 0 0 0 0 0 0 0 0 0
Upazila Health Complex 1317 885 2,202 6656 5555 12,211 7973 6440 14413
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 75 94 169 58 399 457 133 493 626
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 0 0 0 0 0 0 0 0 0
Upazila Health Complex 3955 2635 6,590 10954 13686 24,640 14909 16321 31230
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 166 184 350 38 885 923 204 1069 1273
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)		 Female
(Age
<= 5)		 Total Male
(Age
> 5)		 Female
(Age
> 5)		 Total Grand-Total
Male Female Both
District Hospital 0 0 0 0 0 0 0 0 0
Upazila Health Complex 9 5 14 61 72 133 70 77 147
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 5672
No. ICD-10 Code Disease name No. of Cases %
1 A009 A009 Cholera, unspecified 1652 29.1
2 J189 J189 Pneumonia, unspecified 1335 23.5
3 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 338 6.0
4 J18 J18 Pneumonia, organism unspecified 255 4.5
5 R50 R50 Fever of unknown origin 161 2.8

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 14425
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1931 13.4
2 J45 J45 Asthma 1526 10.6
3 T14 T14 Injury of unspecified body region 1172 8.1
4 A01 A01 Typhoid and paratyphoid fevers 826 5.7
5 R15 R15 Faecal incontinence 604 4.2
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years 14
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 6 42.9
2 J18 J18 Pneumonia, organism unspecified 4 28.6
3 R568 R568 Other and unspecified convulsions 1 7.1
4 G01 G01 Meningitis in bacterial diseases classified elsewhere 1 7.1
5 R50 R50 Fever of unknown origin 1 7.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 1
No. ICD-10 Code Disease name No. of Cases %
1 O821 O821 Delivery by emergency caesarean section 1 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 69
No. ICD-10 Code Disease name No. of Cases %
1 J45 J45 Asthma 14 20.3
2 I64 I64 Stroke, not specified as haemorrhage or infarction 9 13.0
3 I50 I50 Heart failure 6 8.7
4 I46 I46 Cardiac arrest 5 7.2
5 I11 I11 Hypertensive heart disease 5 7.2
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 93.0
Coverage of households having access to sanitary latrines (%) 90.0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Surgeries done under the CS Office
Type No.
Major Surgeries 371
Minor Surgeries 3073
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 12 3 0 3 9 75.0
Grade 7 15 1 0 1 14 93.3
Grade 8 18 9 2 11 7 38.9
Grade 9 7 2 2 4 3 42.9
Grade 10 40 0 32 32 8 20.0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 37 15 6 21 16 43.2
Grade 12 0 0 0 0 0 0.0
Grade 13 2 2 0 2 0 0.0
Grade 14 23 20 1 21 2 8.7
Grade 15 29 21 7 28 1 3.4
Grade 16 136 46 66 112 24 17.6
Grade 17 3 2 0 2 1 33.3
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 77 47 19 66 11 14.3
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Civil Surgeon Office
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 6 6 0 6 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 1 0 1 4 80.0
Grade 10 8 5 1 6 2 25.0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 1 0 0 0 1 100.0
Grade 12 1 0 0 0 1 100.0
Grade 13 1 1 0 1 0 0.0
Grade 14 9 6 0 6 3 33.3
Grade 15 0 0 0 0 0 0.0
Grade 16 8 2 4 6 2 25.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 2 0 2 1 33.3
Grade 20 12 8 0 8 4 33.3
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Status of Human Resources under DGHS updated during this report preparation

Information Not Available

Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 1 0 1 0 2
Microbus 0 0 0 0 0
Pickup 0 1 1 0 2
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 5 1 0 0 6
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Generator
Generator (diesel/petrol) 0 1 0 0 1
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 0 0 1
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 7 1 4 0 12
Laptop 2 0 0 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 1 0 0 1
Printer (laser) 5 1 0 0 6
Scanner 1 1 0 0 2
UPS 5 0 3 0 8
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 1 0 0 0 1
Multimedia 1 1 0 0 2
OHP 1 0 0 0 1
PA system 1 0 0 0 1
Land phone 2 0 0 0 2
Mobile phone 0 0 0 0 0
Photocopier machine 0 1 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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Important information and necessary issues you want to raise
1. 20 bedded hospital,Kuakata,Kalapara,Patuakhali.2. 20 beeded hospital kathaltali,Mirzagonj,Patuakhali.3.New Building for Patuakhali Civil Surgeon Office.
Local Health Bulletin 2016 for Patuakhali Civil Surgeon Office, Patuakhali Sadar, Patuakhali

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