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

Preface

I take the pleasure to publish online Local Health Bulletin of Sir Salimullah Medical College Mitford Hospital (SSMCMH) Mitford road, Dhaka. Sir Salimullah Medical College Mitford Hospital is the oldest hospital in the country which was established in 1st May 1858 and started its function at Mitford Medical School, Dhaka with only 32 patients. In course of time it has been upgraded to six hundred bedded tertiary level hospital. Initially there were only two disciplines e.g. Medicine & Surgery. At present it has got 31 departments including CCU, ICU and NICU facilities. Presently Sir Salimullah Medical College Mitford Hospital is providing health care services to a large number of patients who are coming from various part of the country specially from old Dhaka & southern districts of Bangladesh. I am grateful to MOH&FW and DGHS for their continuous support and co-operation in providing health care services to the distressed people of the country. I would like to give thanks to all concerned who has made their contribution to publish this health bulletin-2016. I believe this is the beginning of a new era, the "Digital Era" of Bangladesh health services, which will continue to advance and enrich in the days to come.

Brig Gen Brayan Bankim Halder
Director
Sir Salimullah Medical College Hospital
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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EDITORIAL BOARD

Chief Editor

Dr. Md. Abdus Salam, Deputy Director


Editors

1. Dr. Mrinal Kanti Roy, Assistant Director (Admin)

2. Dr. Ashim Chakraborty , Resident Physician (Medicine)

3. Dr. Mohammad Mashiur Rahman, Resident Surgeon (General)

4. Dr. Rume Nasrin, Resident Surgeon (Gynae & Obs)

Contributors

1. Md. Abul Khair Khandaker, Medical Record Keeper


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 Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Basic Information
Name of the Facility Sir Salimullah Medical College Hospital
Organization Code 10000056
Name of DirectorBrig Gen Brayan Bankim Halder
Land Phone No. 1 57317466
Land Phone No. 2 N/A
FAX No. 57319006
Mobile No.
Email mitford@hospi.dghs.gov.bd
GPS location of Facility Lati: N/A And Long: N/A
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 600
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 7,631



Neonatal Mortality Rate: 12.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 64,601
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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

Indicator Hospital Total
Reg. Pregnent Women 14807
At least 1 ANC 14807
ANCs (4+) 4330
Normal Delivery 3735
Cesarean Section 4113
Other Assisted Delivery 287
PNC Within 2 days 7881
Maternal Death 30
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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
Tertiary Hospital 43612 44821 88,433 240788 312827 553,615 284400 357648 642048
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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
Tertiary Hospital 2624 2495 5,119 35376 76376 111,752 38000 78871 116871
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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
Tertiary Hospital 2131 1794 3,925 26850 27512 54,362 28981 29306 58287
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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
Tertiary Hospital 108 67 175 919 709 1,628 1027 776 1803
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 3925
No. ICD-10 Code Disease name No. of Cases %
1 J21 J21 Acute bronchiolitis 774 19.7
2 R560 R560 Febrile convulsions 643 16.4
3 J180 J180 Bronchopneumonia, unspecified 361 9.2
4 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 253 6.4
5 E43 E43 Unspecified severe protein-energy malnutrition 213 5.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 36183
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 3215 8.9
2 I130 I130 Hypertensive heart and renal disease with (congestive) heart failure 2820 7.8
3 A150 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture 2250 6.2
4 I619 I619 Intracerebral haemorrhage, unspecified 1253 3.5
5 K769 K769 Liver disease, unspecified 1230 3.4
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 175
No. ICD-10 Code Disease name No. of Cases %
1 J180 J180 Bronchopneumonia, unspecified 15 8.6
2 A419 A419 Septicaemia, unspecified 13 7.4
3 E43 E43 Unspecified severe protein-energy malnutrition 11 6.3
4 J21 J21 Acute bronchiolitis 5 2.9
5 C95 C95 Leukaemia of unspecified cell type 3 1.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 30
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 10 33.3
2 O15 O15 Eclampsia 7 23.3
3 O85 O85 Puerperal sepsis 5 16.7
4 O20 O20 Haemorrhage in early pregnancy 4 13.3
5 O061 O061 Unspecified abortion, incomplete, complicated by delayed or excessive haemorrhage 4 13.3
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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) 1482
No. ICD-10 Code Disease name No. of Cases %
1 I469 I469 Cardiac arrest, unspecified 135 9.1
2 I610 I610 Intracerebral haemorrhage in hemisphere, subcortical 120 8.1
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 102 6.9
4 I130 I130 Hypertensive heart and renal disease with (congestive) heart failure 92 6.2
5 X68 X68 Intentional self-poisoning by and exposure to pesticides 90 6.1
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 288309
Bed Occupancy Rates (%) 131.6
Average Length of Hospital Stay (No. of days per patient) 4.9
Hospital Death Rate (%) 3.1
Surgeries done in the Hospital
Type No.
Major Surgeries 12952
Minor Surgeries 9185
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0 0 0 0.0
Grade 2 1 1 0 1 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 1 1 0 1 0 0.0
Grade 5 4 2 1 3 1 25.0
Grade 6 9 5 2 7 2 22.2
Grade 7 1 0 0 0 1 100.0
Grade 8 239 133 83 216 23 9.6
Grade 9 6 1 1 2 4 66.7
Grade 10 381 15 325 340 41 10.8
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Tertiary Hospital
Grade 11 47 39 7 46 1 2.1
Grade 12 1 0 0 0 1 100.0
Grade 13 1 1 0 1 0 0.0
Grade 14 10 8 0 8 2 20.0
Grade 15 33 20 2 22 11 33.3
Grade 16 49 30 8 38 11 22.4
Grade 17 3 1 1 2 1 33.3
Grade 18 12 5 0 5 7 58.3
Grade 19 23 20 1 21 2 8.7
Grade 20 466 243 116 359 107 23.0
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 1 0 0 0
Grade 2 1 0 1
Grade 3 0 0 0
Grade 4 2 1 3
Grade 5 2 0 2
Grade 6 7 5 12
Grade 7 176 78 254
Grade 8 68 50 118
Grade 9 30 21 51
Grade 10 10 186 196
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Tertiary Hospital
Grade 11 7 1 8
Grade 12 15 10 25
Grade 13 7 2 9
Grade 14 6 3 9
Grade 15 5 4 9
Grade 16 3 3 6
Grade 17 100 114 214
Grade 18 1 1 2
Grade 19 25 20 45
Grade 20 60 48 108
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Status of Human Resources under DGHS updated during this report preparation
Man
power		 Tertiary Hospital IM-
CI
Trai-
ned		 Basic
EOC
Trai-
ned
San-
cti-
on-
ed		 Fill-
ed-
up
Physician 255 223 0 8
Nurse 377 357 0 0
Medical Assistant 0 0 0 0
Medical Technologist 46 45 0 0
Total 678 625 0 8
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 1 0 1
X-ray machine (300 mA) 0 1 0 0 1
X-ray machine (500 mA) 2 0 0 0 2
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 0 1 0 0 1
Dental X-ray unit 1 0 0 0 1
Spiral CT Scan 1 0 0 0 1
C-arm 2 0 0 0 2
Mamogram machine 1 0 0 0 1
Dehumidifier 5 0 0 0 5
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 1 0 0 1
Ultrasonogram machine 3 2 0 0 5
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 5 0 0 0 5
Anesthesia machine without ventilator 8 3 0 0 11
Autoclave 2 3 0 0 5
Electric cautery machine 0 0 0 0 0
Diathermy machine 9 4 0 0 13
Operating microscope 4 0 1 0 5
Ceiling mounting OT Light 10 2 0 0 12
Portable OT Light 6 1 0 0 7
Fracture table 2 0 0 0 2
Hydrolic OT Table 14 3 0 0 17
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 6 1 0 0 7
Sucker machine (electric) 16 7 0 0 23
Ventilator 4 5 0 0 9
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 1 0 1
Debrililator 4 1 0 0 5
ECG machine 4 1 0 0 5
Echocardiogram machine 2 0 0 0 2
Cardiac monitor 25 7 0 0 32
Holter monitor 2 1 0 0 3
Nebulizer machine 17 3 0 0 20
Pulse oximeter 8 6 0 0 14
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 3 1 0 0 4
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 4 2 0 0 6
Laparoscopic machine 2 1 0 0 3
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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) 2 1 0 0 3
Colorimeter 1 0 0 0 1
Electrolyte analyzer 0 2 0 0 2
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 0 0 0 1
Microscope (binocular) 3 3 0 0 6
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 1 1 0 0 2
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 2 0 0 2
Retinoscope 1 2 0 0 3
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 4 2 0 0 6
Phototherapy unit 6 2 0 0 8
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 2 1 0 4
Blood plasma separating machine 1 0 0 0 1
Platelet separating machine 1 0 0 0 1
Deep freeze (plasma) 1 0 0 0 1
Deep freeze (RBC) 1 0 0 0 1
Refrigerator 2 1 0 0 3
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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.)
Psychiatry equipment
ECT machine 0 0 1 0 1
EEG machine 0 1 0 0 1
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 3 1 0 0 4
Bus 0 0 0 0 0
Jeep 2 0 0 0 2
Microbus 1 0 0 0 1
Pickup 1 1 0 0 2
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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) 64 0 14 0 78
Air conditioner (window) 19 0 16 0 35
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 3 0 0 6
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 Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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) 95 2 0 42 139
Laptop 6 0 0 0 6
Printer (dot matrix) 0 0 1 0 1
Printer (inkjet) 1 0 1 3 5
Printer (laser) 21 0 0 3 24
Scanner 1 0 1 0 2
UPS 75 0 0 0 75
Fax 1 0 0 0 1
Intercom 280 0 0 120 400
Internet fixed line 3 0 0 0 3
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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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 1 0 0 0 1
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 8 0 0 1 9
Mobile phone 1 0 0 0 1
Photocopier machine 4 1 0 0 5
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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Important information and necessary issues you want to raise
Sir Salimullah Medical College Mitford Hospital was established in 1st May 1858. It was the 2nd hospital in the then Indo-Pak subcontinent which provides modern medical treatment facilities in that time. It started its function with only 32 patients with two departments eg medicine and surgery. In course of time it has been upgraded to 900 bedded tertiary level hospital. Now it has got 31 departments with CCU, ICU, PICU and NICU facilities. Opening of cardiac surgery department is also under process. Specialists of different departments are treating patients regularly. Securities of patients and different departments of the hospital are well covered by 64 CC cameras. Our average daily outdoor patients is 2200 & bed occupancy rate 131%. We have got acute crisis of accommodation in the hospital. To solve the accommodation problem an extension and up-gradation programme of the hospital is under active consideration of the present government. Another 16 storied building in place of our old medicine building which has been condemned in 2009 is also under process. All these achievements are of recent past with the active support of the DG Health and ministry of health and family welfare.
Local Health Bulletin 2016 for Sir Salimullah Medical College Hospital, Kotwali, Dhaka

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