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Preface

Madaripur District Hospital was established in 1993 as 100 bedded Hospital. It is situated on the eastern side of the attractive and famous Shakuni Lake of Madaripur. This Hospital is Under Working 100 to 250 bedded Hospital. The Honorable Prime Minister of the People Republic of Bangladesh Sheikh Hasina laid down the foundation stone of 250 bedded Hospital on 2 March 2013. Most of the post of doctors, specially of consultants and 4th class employees are vacant. In spite of this problem we are trying our best to deliver the services to the people of this District. Recently this hospital is visited by the Honorable Minister of shipping Shajahan Khan MP several times. Honorable Health Secretary, Honorable DG Health and higher officials. All of them are satisfied and appreciated our Hospital management. We congratulate and appreciate all concern personnel who have initiated for publication of health bulletin throughout the country. Thanks.

Dr. Dilip Kumad Das
Superitendent
Madaripur District Hospital
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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EDITORIAL BOARD

Chief Editor

Dr.Dilip Kumar Das, Seperintendent


Special Acknowledgement

1. Hossain Shahid, Ward Master

2. Beauti Rani, Nursing Supervisor

3. Golam Kawser Mia, Head Assistant

Editors

1. Dr. Sosanko Candra Gosh, RMO

Contributors

1. Basonti Rani Odhikari, Nursing Supervisor


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 Madaripur District Hospital, Madaripur Sadar, Madaripur

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Basic Information
Name of the District Madaripur
Organization Code 10000263
Name of Superitendent Dr. Dilip Kumad Das
Land Phone No. 1 66161614
Land Phone No. 2 066161226
FAX No. 066161614
Mobile No. 01730324781
Email madaripur@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.2393 And Long: 90.1870
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 01 100
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,092



Neonatal Mortality Rate: 15.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 5,658
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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No. of Maternal Health Services Provided (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 Madaripur District Hospital, Madaripur Sadar, Madaripur

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

Indicator Hospital Total
Reg. Pregnent Women 5950
At least 1 ANC 5825
ANCs (4+) 1456
Normal Delivery 696
Cesarean Section 410
Other Assisted Delivery 15
PNC Within 2 days 1306
Maternal Death 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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 9188 11690 20,878 37792 59396 97,188 46980 71086 118066
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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 2108 1980 4,088 12040 9939 21,979 14148 11919 26067
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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 1832 1677 3,509 8036 9725 17,761 9868 11402 21270
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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 13 14 27 71 51 122 84 65 149
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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 2682
No. ICD-10 Code Disease name No. of Cases %
1 J159 J159 Bacterial pneumonia, unspecified 919 34.3
2 P219 P219 Birth asphyxia, unspecified 348 13.0
3 P070 P070 Extremely low birth weight 158 5.9
4 P582 P582 Neonatal jaundice due to infection 57 2.1
5 P362 P362 Sepsis of newborn due to Staphylococcus aureus 53 2.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 12545
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1222 9.7
2 T008 T008 Superficial injuries involving other combinations of body regions 1166 9.3
3 K277 K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation 867 6.9
4 I10 I10 Essential (primary) hypertension 418 3.3
5 B349 B349 Viral infection, unspecified 234 1.9
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 27
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 9 33.3
2 P070 P070 Extremely low birth weight 6 22.2
3 J159 J159 Bacterial pneumonia, unspecified 4 14.8
4 Q209 Q209 Congenital malformation of cardiac chambers and connections, unspecified 2 7.4
5 N000 N000 Acute nephritic syndrome, minor glomerular abnormality 1 3.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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) 97
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 22 22.7
2 I679 I679 Cerebrovascular disease, unspecified 20 20.6
3 J459 J459 Asthma, unspecified 19 19.6
4 I469 I469 Cardiac arrest, unspecified 9 9.3
5 I119 I119 Hypertensive heart disease without (congestive) heart failure 6 6.2
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 52965
Bed Occupancy Rates (%) 145.1
Average Length of Hospital Stay (No. of days per patient) 2.5
Hospital Death Rate (%) 0.7
Surgeries done in the Hospital
Type No.
Major Surgeries 410
Minor Surgeries 384
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
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 3 2 0 2 1 33.3
Grade 5 7 5 0 5 2 28.6
Grade 6 0 3 1 4 -4 0.0
Grade 7 5 5 0 5 0 0.0
Grade 8 12 5 2 7 5 41.7
Grade 9 3 0 0 0 3 100.0
Grade 10 23 5 27 32 -9 -39.1
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
DH/GH
Grade 11 7 0 0 0 7 100.0
Grade 12 6 0 0 0 6 100.0
Grade 13 10 9 1 10 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 3 0 1 1 2 66.7
Grade 17 19 15 4 19 0 0.0
Grade 18 3 3 0 3 0 0.0
Grade 19 2 1 1 2 0 0.0
Grade 20 45 4 5 9 36 80.0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 2 0 2
Grade 5 5 0 5
Grade 6 3 1 4
Grade 7 5 0 5
Grade 8 5 2 7
Grade 9 0 0 0
Grade 10 5 27 32
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
DH/GH
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 9 0 9
Grade 14 0 0 0
Grade 15 1 0 1
Grade 16 0 1 1
Grade 17 15 4 19
Grade 18 3 0 3
Grade 19 1 0 1
Grade 20 4 5 9
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Hospital
Total		 IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 22 17 1 1
Nurse 34 31 2 2
Medical Assistant 0 0 0 0
Medical Technologist 6 5 0 0
Total 62 53 3 3
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Radiology equipment
X-ray machine (100 mA) 0 0 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 1 0 0 2
Dental X-ray unit 1 0 0 0 1
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Radiology equipment
MRI machine 0 0 0 0 0
Ultrasonogram machine 1 2 0 0 3
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 4 0 0 6
Anesthesia machine without ventilator 2 4 0 0 6
Autoclave 1 3 0 0 4
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 9 0 0 11
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 0 0 0 4
Portable OT Light 10 0 0 0 10
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 0 0 0 4
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Anesthesiology/surgical equipment
Sterilizer 1 0 0 0 1
Sucker machine (electric) 4 0 0 0 4
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 2 1 0 0 3
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 1 0 0 1
Holter monitor 0 0 0 0 0
Nebulizer machine 5 5 0 0 10
Pulse oximeter 1 0 0 0 1
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Dental equipment
Dental unit 1 0 0 0 1
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Lab equipment
Biochemical auto-analyzer 1 0 0 0 1
Centrifuge machine (electric) 5 1 0 0 6
Colorimeter 2 0 0 0 2
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 1 0 0 4 5
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Obstetric equipment
Fetal monitor 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Pediatric equipment
Baby incubator 3 0 0 0 3
Phototherapy unit 2 0 0 0 2
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Blood bank equipment
Blood bag centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 2 1 0 0 3
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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.)
Urology equipment
Cystoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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 1 1 0 0 2
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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) 3 7 0 0 10
Air conditioner (window) 0 5 0 0 5
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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) 1 1 0 0 2
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 5 0 0 0 5
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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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) 9 0 0 0 9
Laptop 4 0 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 0 0 5
Scanner 1 0 0 0 1
UPS 9 0 0 0 9
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 Madaripur District Hospital, Madaripur Sadar, Madaripur

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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) 0 0 0 0 0
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 2 0 0 0 2
Mobile phone 1 0 0 0 1
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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Important information and necessary issues you want to raise
1) No store house for unserviceable goods. 2) 20 (twenty) post of Cleaner is Necessary. 3) 03 (three) post of consultant remaining vacant. 4) 01(One) post of Emergency Medical Officer remaining vacant. 5) Quick response of H E D not available for repair work. Suggestions to improve service 1) Fund for small repair works should be allotted. 2) Regular transfer of all categories staffs should be done. 3) Post of Indoor Medical Officer should be created. 4) Post of Statistical Officer should be created. 5) Extension of hospital building is necessary. 6) Police force is to be deployed for control of visitor & violenc
Local Health Bulletin 2016 for Madaripur District Hospital, Madaripur Sadar, Madaripur

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