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Preface

I am very glad to publish this health bulletin of General Hospital, Comilla. This bulletin contains all the health related information of 2015.This bulletin is published to disseminate the information of General Hospital, Comilla to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this hospital Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2015. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the Hospital. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.

Dr. Md. Muzib Rahman
Superitendent
Comilla General Hospital
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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EDITORIAL BOARD

Chief Editor

Dr. Md. Muzib Rahman, Superintendent


Special Acknowledgement

1. Md Jakarea, Office Assistant

Editors

1. Dr Salahuddin Mahmud, RMO

Contributors

1. Dr. A. S. M. Mostaque Ahamed, Sr. Consultant (Paediatrics)

2. Dr. Mohammad Abul Kalam Azad, Sr. Consultant (Medicine)

3. Dr. Raihana Sultana Begum, Jr. Consultant(Gyn & Obs)


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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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Basic Information
Name of the District Comilla
Organization Code 10000864
Name of Superitendent Dr. Md. Muzib Rahman
Land Phone No. 1 8176762
Land Phone No. 2 N/A
FAX No. 081-54054
Mobile No. 01712078619
Email comilla@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.4823 And Long: 91.1170
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 663



Neonatal Mortality Rate: 4.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 6,470
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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

Indicator Hospital Total
Reg. Pregnent Women 4821
At least 1 ANC 4821
ANCs (4+) 2483
Normal Delivery 256
Cesarean Section 416
Other Assisted Delivery 2
PNC Within 2 days 674
Maternal Death 0
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 14621 13229 27,850 26912 41668 68,580 41533 54897 96430
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 1720 1162 2,882 8166 4148 12,314 9886 5310 15196
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 1248 897 2,145 3139 2713 5,852 4387 3610 7997
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 2 3 5 17 14 31 19 17 36
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 2145
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 635 29.6
2 J189 J189 Pneumonia, unspecified 409 19.1
3 P369 P369 Bacterial sepsis of newborn, unspecified 157 7.3
4 A35 A35 Other tetanus 87 4.1
5 A01 A01 Typhoid and paratyphoid fevers 86 4.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 5952
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 890 15.0
2 Y09 Y09 Assault by unspecified means 861 14.5
3 K27 K27 Peptic ulcer, site unspecified 242 4.1
4 J46 J46 Status asthmaticus 209 3.5
5 K35 K35 Acute appendicitis 198 3.3
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 5
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 3 60.0
2 P36 P36 Bacterial sepsis of newborn 1 20.0
3 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 20.0
4 0.0
5 0.0

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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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) 32
No. ICD-10 Code Disease name No. of Cases %
1 J441 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 6 18.8
2 I64 I64 Stroke, not specified as haemorrhage or infarction 5 15.6
3 I509 I509 Heart failure, unspecified 5 15.6
4 T600 T600 Organophosphate and carbamate insecticides 3 9.4
5 I21 I21 Acute myocardial infarction 2 6.3
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 29401
Bed Occupancy Rates (%) 80.6
Average Length of Hospital Stay (No. of days per patient) 3.7
Hospital Death Rate (%) 0.5
Surgeries done in the Hospital
Type No.
Major Surgeries 1093
Minor Surgeries 315
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 5 5 0 5 0 0.0
Grade 6 6 3 3 6 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 22 15 3 18 4 18.2
Grade 9 0 0 0 0 0 0.0
Grade 10 78 4 65 69 9 11.5
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 4 3 7 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 1 2 0 0.0
Grade 15 6 6 0 6 0 0.0
Grade 16 7 5 0 5 2 28.6
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 44 26 11 37 7 15.9
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 3 1 4
Grade 5 4 0 4
Grade 6 4 2 6
Grade 7 7 4 11
Grade 8 10 21 31
Grade 9 2 5 7
Grade 10 2 38 40
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 2 2
Grade 12 6 0 6
Grade 13 1 0 1
Grade 14 0 1 1
Grade 15 2 0 2
Grade 16 4 0 4
Grade 17 11 8 19
Grade 18 0 0 0
Grade 19 6 2 8
Grade 20 4 4 8
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 33 27 0 0
Nurse 78 70 0 0
Medical Assistant 0 0 0 0
Medical Technologist 7 7 0 0
Total 118 104 0 0
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 1 0 1
X-ray machine (500 mA) 0 0 1 0 1
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 0 0 0 0
Anesthesia machine without ventilator 4 1 1 0 6
Autoclave 4 4 0 0 8
Electric cautery machine 0 0 0 0 0
Diathermy machine 5 4 0 0 9
Operating microscope 0 1 0 0 1
Ceiling mounting OT Light 2 2 0 0 4
Portable OT Light 5 0 0 0 5
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 0 0 0 4
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 2 0 4 0 6
Sucker machine (electric) 7 1 1 0 9
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 2 2 0 5
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 12 0 0 0 12
Pulse oximeter 6 1 0 0 7
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 0 2
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) 2 0 0 0 2
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 0 0 2 0 2
Phototherapy unit 3 0 0 0 3
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 1 0 0 0 1
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 1 0 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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 3 0 5
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 Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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) 4 0 1 0 5
Air conditioner (window) 5 0 0 0 5
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 0 0 0 0 0
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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) 11 0 0 10 21
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 0 2 0 6
Scanner 1 0 0 0 1
UPS 11 0 0 0 11
Fax 0 0 1 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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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 0 0 0 0 0
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 4 0 0 0 4
Mobile phone 1 0 0 0 1
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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Important information and necessary issues you want to raise
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in the future. 1. All the vacant post should be filled up immediately, Specially class 3rth and class 4th . 2. Our doctor and nurse need more training on IMCI. 3. The bed capacity should be increased in the general hospital, comilla from 100 to 250. 4. All the repairable medical equipment's should be repaired as soon as possible , if repair is not possible than the equipment should be replaced as soon as possible (X-ray machine)by the DGHS and related authorities 5. Training of non-trained personnel should be done step by step. Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in the future.
Local Health Bulletin 2016 for Comilla General Hospital, Comilla Adarsha Sadar, Comilla

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