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Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

It is my pleasure to know that 100 Bedded District Hospital,Narsingdi going to publish the Health Bulletin 2016 is a very useful publication as it enables to get statistical data of Health activities of the District Hospital.through this publication we understand where we made little progress ,where we need more attention and where we could do better.I appreciate this wonderful work.I also urge upon MIS Health .DGHS to continue its efforts to further enriched publication .I believe that amount of data and data quality will be much better in the subsequent Health Bulletins.At the end ,I specially thank all Doctors of this Hospital for great job.

Dr Putul Roy
Superitendent
Narsingdi 100 Bed Zilla Hospital
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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EDITORIAL BOARD

Chief Editor

Dr Putul Roy, Civil Surgeon-Cum-Superintendent


Special Acknowledgement

1. Muhammad Nazrul Islam, Bir Protik, Hon'ble State Minister, Ministry of Water Resources, Govt. of the People's Republic of Bangladesh

Editors

1. Dr.A.N.M.Mizanur Rahman, Residential Medical Officer

2. Biplob Kumer Dey, Record Keeper

Contributors

1. Dr.Md.Faruque Hossain, Sinior Consultant Surgery

2. Dr.Md.Razzaq Miah, Sinior Consultant Medicine

3. Dr.Md.Mostafizur Rahman, Junior Consultant Pediatrics

4. Dr.Kazi Nazma Begum, Junior Consultant Obs & Gynae

5. Shahera Begum, Nursing Supervisor

6. Jahangir Alam, Office Assistance -Cum-Computer typist


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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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Basic Information
Name of the District Narsingdi
Organization Code 10000453
Name of Superitendent Dr Putul Roy
Land Phone No. 1 29463517
Land Phone No. 2 N/A
FAX No. 29463644
Mobile No. 01712501068
Email n100b@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.9992 And Long: 90.7913
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 100
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 560



Neonatal Mortality Rate: 125.0 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 42,570
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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

Indicator Hospital Total
Reg. Pregnent Women 2581
At least 1 ANC 2581
ANCs (4+) 1148
Normal Delivery 385
Cesarean Section 233
Other Assisted Delivery 0
PNC Within 2 days 654
Maternal Death 0
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 10136 11096 21,232 55093 66893 121,986 65229 77989 143218
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 1993 2227 4,220 17658 16995 34,653 19651 19222 38873
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 2051 1714 3,765 3429 3669 7,098 5480 5383 10863
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 54 52 106 89 60 149 143 112 255
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 3765
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 1012 26.9
2 J21 J21 Acute bronchiolitis 670 17.8
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 578 15.4
4 J180 J180 Bronchopneumonia, unspecified 512 13.6
5 J45 J45 Asthma 319 8.5

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 5883
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 612 10.4
2 J449 J449 Chronic obstructive pulmonary disease, unspecified 580 9.9
3 J45 J45 Asthma 426 7.2
4 I64 I64 Stroke, not specified as haemorrhage or infarction 310 5.3
5 T149 T149 Injury, unspecified 249 4.2
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 106
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 32 30.2
2 P072 P072 Extreme immaturity 8 7.5
3 P369 P369 Bacterial sepsis of newborn, unspecified 7 6.6
4 J180 J180 Bronchopneumonia, unspecified 3 2.8
5 P90 P90 Convulsions of newborn 2 1.9

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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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) 138
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 19 13.8
2 I219 I219 Acute myocardial infarction, unspecified 8 5.8
3 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 6 4.3
4 X68 X68 Intentional self-poisoning by and exposure to pesticides 5 3.6
5 V019 V019 Pedestrian injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident 4 2.9
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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) 4.9
Hospital Death Rate (%) 2.3
Surgeries done in the Hospital
Type No.
Major Surgeries 565
Minor Surgeries 810
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 1 1 0 1 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 12 9 3 12 0 0.0
Grade 10 7 1 5 6 1 14.3
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 2 2 0 2 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 2 1 0 1 1 50.0
Grade 15 6 1 5 6 0 0.0
Grade 16 6 5 0 5 1 16.7
Grade 17 2 2 0 2 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 32 25 7 32 0 0.0
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 0 0 0
Grade 5 0 0 0
Grade 6 1 0 1
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 9 3 12
Grade 10 1 5 6
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 2 0 2
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 1 0 1
Grade 15 1 5 6
Grade 16 5 0 5
Grade 17 2 0 2
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 25 7 32
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 11 11 4 3
Nurse 13 12 10 3
Medical Assistant 0 0 0 0
Medical Technologist 2 2 0 0
Total 26 25 14 6
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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) 1 0 0 0 1
X-ray machine (500 mA) 0 1 0 0 1
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 2 1 0 0 3
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 0 1 0 0 1
Anesthesia machine without ventilator 2 2 0 0 4
Autoclave 7 4 0 0 11
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 3 0 0 5
Operating microscope 1 2 0 4 7
Ceiling mounting OT Light 3 0 0 0 3
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 0 0 0 4
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 20 27 0 4 51
Sucker machine (electric) 9 4 0 9 22
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 1 4 0 2 7
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 10 54 0 17 81
Pulse oximeter 3 0 0 0 3
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 1 0 0 0 1
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 0 0 0 0 0
Centrifuge machine (electric) 2 0 0 3 5
Colorimeter 3 1 0 0 4
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) 0 0 0 0 0
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 1 0 0 1
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 8 1 0 0 9
Phototherapy unit 2 1 0 0 3
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 0 1 0 0 1
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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 2 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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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) 8 0 0 0 8
Air conditioner (window) 3 0 0 0 3
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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) 3 0 0 0 3
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 1 0 0 4
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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) 14 2 0 0 16
Laptop 3 0 0 1 4
Printer (dot matrix) 0 1 0 0 1
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 3 0 0 8
Scanner 0 0 0 0 0
UPS 11 1 0 11 23
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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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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 1 0 0 2
Multimedia 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 0 2 0 0 2
Mobile phone 0 1 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 Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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Important information and necessary issues you want to raise
If we want to meximum effort improve the health status immediatly take necessary action below the subjects. 1. The Vacant post of Doctors,Nurses and other staff should be filled up immediatly 2. All referable equipment should be repaired as soon as posible.3.Should be increas the number of bed.4. Repair Ambulance/ supply new Ambulance. We are very glad to write this health bulletin of2016.Because this health bulletin will help us the compare our progress in coming year.It also be helpful for the public.
Local Health Bulletin 2016 for Narsingdi 100 Bed Zilla Hospital, Narsingdi Sadar, Narsingdi

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