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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

This 250 Bed Hospital at Patuakhali is the second largest hospital in Barisal division.Initially it was established as 50 bed sadar hospital and gradually upgraded to 100 bed modernised sadar hospital in 1979. Then 150 beded general hospital in 2003 and finally 250 beded hospital in 2005.Huge number of patients from patuakhali district and neighboring areas have been receiving health services from this institution every year since its starting.Inaddition a new medical college has already been established in the existing campus of this hospital and it will gradually be converted to 500 bedded medical college hospital. Notably in the year (2015) -1,27,335 patients were treated in the out patient department.In spite of acute crisis of doctors,we have been trying our level best to provide the best possible health services to the people of Patuakhali and for that since 2001,we achieved the best performance award in EMOC for 11 times from the honurable prime minister / Health minister of peoples republic of Bangladesh.This historical step taken to publish the local health bulletin is undoubtedly praiseworthy.

DR NAZRUL ISLAM
Superitendent
Patuakhali 250 Bed Sadar Hospital
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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EDITORIAL BOARD

Chief Editor

DR MD ABDUR RAHIM, SUPRRENTENDENT


Special Acknowledgement

1. Dr.A.K.M Mazharul Islam, Senior consultant(Medicine)

2. Dr.Md Monirul Ahsan, Senior consultant(Surgery)

3. Dr.Md.Mostafizur Rahman, Junior consultant(Pediatrics)

4. Dr.Most Zakia Sultana, Junior consultant(Gynae & Obs))

Editors

1. Abual Md.Yosuf Ashari, Office assistant-cum-Computer oparator

2. Shohrob Hossain, Pharmacist

Contributors

1. Md Ruhul Amin, Nursing Superviser

2. Md.Abul Kalam,Sn, Emergency Incharge

3. Md.Ziaul Haq, Head Assistant-cum-Accountant

4. Md Harun-or-rasid, Storkipper


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 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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Basic Information
Name of the District Patuakhali
Organization Code 10002051
Name of Superitendent DR NAZRUL ISLAM
Land Phone No. 1 044162530
Land Phone No. 2 044162842
FAX No. N/A
Mobile No. 01730324763
Email patuakhali@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 22.3543 And Long: 90.3348
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
District Hospital 1 250
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 1,570



Neonatal Mortality Rate: 76.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 24,314
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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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 Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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

Indicator Hospital Total
Reg. Pregnent Women 4880
At least 1 ANC 4854
ANCs (4+) 1710
Normal Delivery 856
Cesarean Section 734
Other Assisted Delivery 48
PNC Within 2 days 1840
Maternal Death 8
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 10974 13340 24,314 52739 79171 131,910 63713 92511 156224
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 3277 5190 8,467 16222 14387 30,609 19499 19577 39076
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 3630 3778 7,408 10361 16156 26,517 13991 19934 33925
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 94 63 157 185 135 320 279 198 477
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 7408
No. ICD-10 Code Disease name No. of Cases %
1 A010 A010 Typhoid fever 950 12.8
2 J18 J18 Pneumonia, organism unspecified 515 7.0
3 J219 J219 Acute bronchiolitis, unspecified 375 5.1
4 D569 D569 Thalassaemia, unspecified 207 2.8
5 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 103 1.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 26517
No. ICD-10 Code Disease name No. of Cases %
1 Y00 Y00 Assault by blunt object 2531 9.5
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2480 9.4
3 V863 V863 Unspecified occupant of all-terrain or other off-road motor vehicle injured in traffic accident 1802 6.8
4 A010 A010 Typhoid fever 1083 4.1
5 I10 I10 Essential (primary) hypertension 1015 3.8
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 157
No. ICD-10 Code Disease name No. of Cases %
1 P219 P219 Birth asphyxia, unspecified 64 40.8
2 P071 P071 Other low birth weight 29 18.5
3 A409 A409 Streptococcal septicaemia, unspecified 17 10.8
4 E43 E43 Unspecified severe protein-energy malnutrition 8 5.1
5 J18 J18 Pneumonia, organism unspecified 8 5.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 8
No. ICD-10 Code Disease name No. of Cases %
1 O159 O159 Eclampsia, unspecified as to time period 6 75.0
2 O720 O720 Third-stage haemorrhage 1 12.5
3 N812 N812 Incomplete uterovaginal prolapse 1 12.5
4 0.0
5 0.0
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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) 320
No. ICD-10 Code Disease name No. of Cases %
1 G463 G463 Brain stem stroke syndrome 73 22.8
2 J459 J459 Asthma, unspecified 40 12.5
3 I210 I210 Acute transmural myocardial infarction of anterior wall 35 10.9
4 I509 I509 Heart failure, unspecified 19 5.9
5 I501 I501 Left ventricular failure 16 5.0
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 127335
Bed Occupancy Rates (%) 139.5
Average Length of Hospital Stay (No. of days per patient) 3.8
Hospital Death Rate (%) 1.4
Surgeries done in the Hospital
Type No.
Major Surgeries 2380
Minor Surgeries 8980
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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)
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 11 6 0 6 5 45.5
Grade 6 13 6 1 7 6 46.2
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 35 5 2 7 28 80.0
Grade 10 88 9 71 80 8 9.1
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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)
DH/GH
Grade 11 13 10 1 11 2 15.4
Grade 12 1 0 0 0 1 100.0
Grade 13 0 0 0 0 0 0.0
Grade 14 7 6 1 7 0 0.0
Grade 15 6 3 1 4 2 33.3
Grade 16 10 4 0 4 6 60.0
Grade 17 2 0 0 0 2 100.0
Grade 18 1 1 0 1 0 0.0
Grade 19 1 1 0 1 0 0.0
Grade 20 45 25 6 31 14 31.1
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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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 1 0 1
Grade 5 6 0 6
Grade 6 6 1 7
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 5 2 7
Grade 10 9 71 80
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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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 10 1 11
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 6 1 7
Grade 15 3 1 4
Grade 16 4 0 4
Grade 17 0 0 0
Grade 18 1 0 1
Grade 19 1 0 1
Grade 20 25 6 31
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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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 58 21 0 0
Nurse 95 83 6 8
Medical Assistant 0 0 0 0
Medical Technologist 12 11 0 0
Total 165 115 6 8
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Radiology equipment
X-ray machine (100 mA) 0 1 0 0 1
X-ray machine (300 mA) 0 1 0 0 1
X-ray machine (500 mA) 1 1 0 0 2
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 2 0 0 0 2
Dental X-ray unit 0 0 0 0 0
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 Patuakhali 250 Bed Sadar Hospital, 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.)
Radiology equipment
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 2 0 0 2
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 0 1 0 3
Anesthesia machine without ventilator 1 0 0 0 1
Autoclave 8 0 2 0 10
Electric cautery machine 0 0 0 0 0
Diathermy machine 5 1 1 0 7
Operating microscope 2 2 6 0 10
Ceiling mounting OT Light 2 0 3 0 5
Portable OT Light 3 0 0 0 3
Fracture table 0 0 0 0 0
Hydrolic OT Table 6 4 0 0 10
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Anesthesiology/surgical equipment
Sterilizer 7 7 0 0 14
Sucker machine (electric) 8 3 8 0 19
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 3 4 1 1 9
Echocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 58 2 0 0 60
Pulse oximeter 3 3 0 0 6
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Dental equipment
Dental unit 0 0 1 0 1
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 9 5 0 0 14
Colorimeter 1 0 3 0 4
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 1 0 0 1
Gas analyzer 0 1 0 0 1
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 0 1 0 0 1
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Obstetric equipment
Fetal monitor 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 1 0 0 0 1
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
Pediatric equipment
Baby incubator 5 0 15 0 20
Phototherapy unit 3 0 1 0 4
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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.)
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 1 2 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 Patuakhali 250 Bed Sadar Hospital, 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.)
Urology equipment
Cystoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 2 0 1 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 Patuakhali 250 Bed Sadar Hospital, 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) 5 2 0 0 7
Air conditioner (window) 11 0 4 0 15
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, 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 0 0 1 1
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 Patuakhali 250 Bed Sadar Hospital, 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) 9 0 0 21 30
Laptop 2 0 0 1 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 0 2 7
Scanner 0 0 0 0 0
UPS 10 0 0 0 10
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 Patuakhali 250 Bed Sadar Hospital, 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 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 1 0 0 2
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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Important information and necessary issues you want to raise
(1) All Vacant Posts Specially Doctors & Cliner should be Fill up. (2) For Superintendent vehicle Should be provided. (3) To ensure the quality service proper logistic should be supplied.(4) Doctors,nurse and other staff should be Trained.(5) To place emergency fund for emergency management.
Local Health Bulletin 2016 for Patuakhali 250 Bed Sadar Hospital, Patuakhali Sadar, Patuakhali

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