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

Preface

This is my great pleasure to publish this HEALTH BULLETIN 2016 of District Narail. This bulletin contains all the health related information of 2015. It is published to disseminate the information of district to other department and development partners of health. For health bulletin we gather data from wide range of sources across the district .The health managers, officers and respective health personnel all over the district were engaged to prepare this report. I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district. This is an important publication and we use it as our reference of health data. We use health bulletin to understand how much progress we made in the last year in the health sector. We also understand through this bulletin where we made little progress, where we need to pay more attention and where we could do better. The health bulletin 2016 will contribute to improv transparency about health issues of the country. The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets. In Narail District Many Post of Doctors and Employees are lying vacant. So we have to face a lot of problems in delivering health services to the people. The sanctioned and vacant posts are published in this health bulletin. I like to take attention of the higher authority to look after this burning issues. I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (planning & development) and Line director of MIS, Health for providing his moral support and positive attitude towards development of this health bulletin. This is my responsibility to thank all the team members of MIS, Health for their continuous effort and creation.

Dr. Fakir Md. Moniruzzaman
Superitendent
Narail District Hospital
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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EDITORIAL BOARD

Chief Editor

Dr. Fakir Md. Moniruzzaman, Superintendent


Special Acknowledgement

1. Dr. Mina Humayun Kabir, Sr. Consultant (Gynae)

2. Dr. Joyonto Kumar Podder, Sr. Consultant (Cardiology)

3. Dr. Md. Akram Hossain, Sr. Consultant (Surgery)

4. Dr. Anita Saha , Jr. Consultant (Paediatrics)

5. Dr. Md. Abdul Kader , Jr. Consultant (Ortho)

6. Dr. Md. Tajul Islam, Jr. Consultant (Anesthesia)

Editors

1. Dr. Md. Asad-Uz-Zaman Munshi, Residential Medical Officer

2. Md. Raisul Alam Khan , Office Assistant cum Computer Operator

Contributors

1. Noni Bala Biswas, Nursing Supervisore

2. Bithi Khatun, Office Assistant cum Computer Operatore


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 Narail District Hospital, Narail Sadar, Narail

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Basic Information
Name of the District Narail
Organization Code 10001913
Name of Superitendent Dr. Fakir Md. Moniruzzaman
Land Phone No. 1 048163345
Land Phone No. 2 048162214
FAX No. N/A
Mobile No. 01710031398
Email narail@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 23.1436 And Long: 89.5875
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 Narail District Hospital, Narail Sadar, Narail

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,392



Neonatal Mortality Rate: 31.6 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 4,424
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 Narail District Hospital, Narail Sadar, Narail

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

Indicator Hospital Total
Reg. Pregnent Women 2787
At least 1 ANC 2787
ANCs (4+) 1432
Normal Delivery 779
Cesarean Section 647
Other Assisted Delivery 0
PNC Within 2 days 1433
Maternal Death 3
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 6872 7992 14,864 35480 60049 95,529 42352 68041 110393
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 1563 1219 2,782 7257 4898 12,155 8820 6117 14937
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 2472 1570 4,042 6438 8954 15,392 8910 10524 19434
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 23 30 53 101 59 160 124 89 213
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 4012
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1064 26.5
2 J18 J18 Pneumonia, organism unspecified 712 17.7
3 P21 P21 Birth asphyxia 239 6.0
4 P07 P07 Disorders related to short gestation and low birth weight, NEC 68 1.7
5 A01 A01 Typhoid and paratyphoid fevers 26 0.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 14112
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 923 6.5
2 I10 I10 Essential (primary) hypertension 891 6.3
3 Y09 Y09 Assault by unspecified means 679 4.8
4 V99 V99 Unspecified transport accident 377 2.7
5 A01 A01 Typhoid and paratyphoid fevers 370 2.6
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 49
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 16 32.7
2 P23 P23 Congenital pneumonia 12 24.5
3 P07 P07 Disorders related to short gestation and low birth weight, NEC 11 22.4
4 P36 P36 Bacterial sepsis of newborn 6 12.2
5 G00 G00 Bacterial meningitis, NEC 1 2.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 3
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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) 106
No. ICD-10 Code Disease name No. of Cases %
1 I67 I67 Other cerebrovascular diseases 39 36.8
2 I21 I21 Acute myocardial infarction 21 19.8
3 N18 N18 Chronic renal failure 10 9.4
4 J44 J44 Other chronic obstructive pulmonary disease 8 7.5
5 T60 T60 Toxic effect of pesticides 5 4.7
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 56555
Bed Occupancy Rates (%) 154.9
Average Length of Hospital Stay (No. of days per patient) 2.9
Hospital Death Rate (%) 1.1
Surgeries done in the Hospital
Type No.
Major Surgeries 1111
Minor Surgeries 9265
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 1 1 0 1 0 0.0
Grade 5 8 3 0 3 5 62.5
Grade 6 12 4 1 5 7 58.3
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 19 5 0 5 14 73.7
Grade 10 45 1 44 45 0 0.0
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 0 2 2 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 3 3 0 3 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 11 3 1 4 7 63.6
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 1 0 0 0 1 100.0
Grade 20 24 12 8 20 4 16.7
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 4 1 5
Grade 6 1 0 1
Grade 7 5 2 7
Grade 8 1 18 19
Grade 9 2 11 13
Grade 10 0 15 15
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 2 4
Grade 12 5 0 5
Grade 13 2 0 2
Grade 14 1 0 1
Grade 15 1 1 2
Grade 16 1 0 1
Grade 17 7 6 13
Grade 18 0 0 0
Grade 19 2 1 3
Grade 20 1 1 2
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 39 14 2 3
Nurse 44 44 3 15
Medical Assistant 0 0 0 0
Medical Technologist 9 4 0 0
Total 92 62 5 18
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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

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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 0 2 0 0 2
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 6 0 0 0 6
Autoclave 6 2 0 0 8
Electric cautery machine 0 5 0 0 5
Diathermy machine 0 3 0 0 3
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 0 0 3
Portable OT Light 3 0 0 0 3
Fracture table 1 0 0 0 1
Hydrolic OT Table 10 0 0 0 10
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 8 0 0 0 8
Sucker machine (electric) 8 0 0 0 8
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 0 0 0 2
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 1 0 0 0 1
Holter monitor 0 0 0 0 0
Nebulizer machine 7 0 0 0 7
Pulse oximeter 4 0 0 0 4
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 1 0 2
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 Narail District Hospital, Narail Sadar, Narail

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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 2 0 0 4
Colorimeter 1 1 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 2 0 0 3
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 Narail District Hospital, Narail Sadar, Narail

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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 1 0 0 0 1
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 Narail District Hospital, Narail Sadar, Narail

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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 3 2 0 0 5
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 Narail District Hospital, Narail Sadar, Narail

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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 Narail District Hospital, Narail Sadar, Narail

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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 2 0 0 3
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 Narail District Hospital, Narail Sadar, Narail

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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) 10 1 0 0 11
Air conditioner (window) 5 1 0 0 6
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 2 0 0 3
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 7 0 0 8
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 2 0 13
Laptop 4 0 0 0 4
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 1 0 2
UPS 2 0 4 0 6
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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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 1 0 0 0 1
Mobile phone 0 0 1 0 1
Photocopier machine 0 1 0 0 1
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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Important information and necessary issues you want to raise
In our hospital out of 39 sanctioned post of doctors only 12 doctors are posted here, So it is very tough to serve the people smoothly. I earnestly request the higher authority to fill up the sanctioned post immediately. Another request is to make sure to repair the diathermy machine or to buy another one
Local Health Bulletin 2016 for Narail District Hospital, Narail Sadar, Narail

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