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

Preface

This is the third attempt and great opportunity of us to publish Local Health Bulletin for the year 2016 of Khulna Medical College Hospital. In the last year there were so many obstacles and mistakes which hampered our journey in the publication of LHB 2015. We think some of that we can overcome this year. As I mentioned last year Khulna Medical College Hospital.is running with 19 Faculties with Indoor, Outdoor & Emergency facilities and 500 Beds but still have 250 bedded Manpower. Due to less Manpower we can't provide proper services of some Departments separately such as ICU, CCU, NEURO MEDICINE, RESPIRATORY MEDICINE, BURN& PLASTIC SURGERY, PEDIATRIC SURGERY, PSYCHIATRY, ONCOLOGY, CASUALTY etc.We are very much glad that this year HB enters in the era of ICD 10 Coding world.We are trying our best to input correct ICD 10 Code in top 10 diseases among admitted Pt's & Deaths. The Bulletin contains the different status of MDG4 & MDG5 which will help us to achieve the goal of MDGs timely.We are hardly trying our best to provide better services to the surrounding people of Khulna including a large area of Dhaka & Barisal Division. I convey my gratitude to the different Teachers, Doctors and other staffs who helped us with their sincere & devoted mental support to publish this Bulletin. It is our another strong step in the way to achieve Digital Bangladesh. Lastly I myself and in favor of our institute & people convey congratulations to MIS, DGHS and MOHFW for their cordial co-operation in the way to develop "Digital Bangladesh."

Dr. Anandamohan Saha
Director
Khulna Medical College Hospital
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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EDITORIAL BOARD

Chief Editor

Dr. Anandamohan Saha, Superintendent


Editors

1. Dr. Sheikh Sufian Rustom, RMO

2. Dr.Shailendra Nath Biswas, Asstt. Registrar(Medicine)

3. Dr Kanak Jyoti Mondal , Registar Medicine

4. Sarder Mahabubor Rahman, Head Assistant

5. Mallick Atur Rahman, Head Assistant

6. Md Mosaraf Hossain, Office Assistant(Acting Statistics)

Contributors

1. S.M. Faruque, MLSS

2. Md Abu Toyab, MLSS


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 Khulna Medical College Hospital, Sonadanga, Khulna

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Basic Information
Name of the Facility Khulna Medical College Hospital
Organization Code 10001807
Name of DirectorDr. Anandamohan Saha
Land Phone No. 1 041762601
Land Phone No. 2 N/A
FAX No. 041761532
Mobile No.
Email kmch@hospi.dghs.gov.bd
GPS location of Facility Lati: 22.8296 And Long: 89.5371
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 500
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 2,825



Neonatal Mortality Rate: 98.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 3,828
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 Khulna Medical College Hospital, Sonadanga, Khulna

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

Indicator Hospital Total
Reg. Pregnent Women 5973
At least 1 ANC 5973
ANCs (4+) 165
Normal Delivery 1775
Cesarean Section 1280
Other Assisted Delivery 56
PNC Within 2 days 1410
Maternal Death 84
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 6350 9717 16,067 85541 141078 226,619 91891 150795 242686
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 510 628 1,138 3914 2416 6,330 4424 3044 7468
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 1702 2492 4,194 23718 25540 49,258 25420 28032 53452
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 180 132 312 1312 1210 2,522 1492 1342 2834
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 4194
No. ICD-10 Code Disease name No. of Cases %
1 J180 J180 Bronchopneumonia, unspecified 890 21.2
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 606 14.4
3 J219 J219 Acute bronchiolitis, unspecified 518 12.4
4 N040 N040 Nephrotic syndrome, minor glomerular abnormality 435 10.4
5 J069 J069 Acute upper respiratory infection, unspecified 347 8.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 27091
No. ICD-10 Code Disease name No. of Cases %
1 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 4199 15.5
2 I213 I213 Acute transmural myocardial infarction of unspecified site 3386 12.5
3 I635 I635 Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries 2763 10.2
4 A150 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture 2411 8.9
5 N189 N189 Chronic renal failure, unspecified 2140 7.9
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 240
No. ICD-10 Code Disease name No. of Cases %
1 J180 J180 Bronchopneumonia, unspecified 51 21.3
2 G049 G049 Encephalitis, myelitis and encephalomyelitis, unspecified 37 15.4
3 G409 G409 Epilepsy, unspecified 29 12.1
4 A419 A419 Septicaemia, unspecified 24 10.0
5 C910 C910 Acute lymphoblastic leukaemia 19 7.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 84
No. ICD-10 Code Disease name No. of Cases %
1 O159 O159 Eclampsia, unspecified as to time period 19 22.6
2 O669 O669 Obstructed labour, unspecified 14 16.7
3 A419 A419 Septicaemia, unspecified 10 11.9
4 O720 O720 Third-stage haemorrhage 7 8.3
5 O009 O009 Ectopic pregnancy, unspecified 6 7.1
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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) 1681
No. ICD-10 Code Disease name No. of Cases %
1 I635 I635 Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries 352 20.9
2 I213 I213 Acute transmural myocardial infarction of unspecified site 261 15.5
3 N189 N189 Chronic renal failure, unspecified 198 11.8
4 C349 C349 Bronchus or lung, unspecified 123 7.3
5 C220 C220 Liver cell carcinoma 86 5.1
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 236040
Bed Occupancy Rates (%) 129.3
Average Length of Hospital Stay (No. of days per patient) 4.4
Hospital Death Rate (%) 5.3
Surgeries done in the Hospital
Type No.
Major Surgeries 3522
Minor Surgeries 4520
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 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 5 1 6 2 25.0
Grade 6 12 7 3 10 2 16.7
Grade 7 2 2 0 2 0 0.0
Grade 8 2 1 0 1 1 50.0
Grade 9 77 0 0 0 77 100.0
Grade 10 327 0 0 0 327 100.0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 13 0 0 0 13 100.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 0 0 0 1 100.0
Grade 14 8 0 0 0 8 100.0
Grade 15 3 0 0 0 3 100.0
Grade 16 10 0 0 0 10 100.0
Grade 17 2 0 0 0 2 100.0
Grade 18 1 0 0 0 1 100.0
Grade 19 0 0 0 0 0 0.0
Grade 20 105 0 0 0 105 100.0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 100 80 0 0
Nurse 319 246 73 0
Medical Assistant 0 0 0 0
Medical Technologist 8 8 0 0
Total 427 334 73 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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) 3 1 0 0 4
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 1 0 2
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 1 0 0 0 1
C-arm 0 0 0 0 0
Mamogram machine 1 0 0 0 1
Dehumidifier 8 0 0 0 8
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 4 4 0 0 8
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 2 0 0 4
Anesthesia machine without ventilator 2 0 0 0 2
Autoclave 7 4 0 0 11
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 2 0 0 6
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 5 0 0 0 5
Portable OT Light 2 2 0 0 4
Fracture table 1 0 0 0 1
Hydrolic OT Table 5 2 0 0 7
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 0 0 2
Sucker machine (electric) 5 4 0 0 9
Ventilator 2 2 0 0 4
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 1 3 0 0 4
ECG machine 2 0 0 0 2
Echocardiogram machine 2 0 0 0 2
Cardiac monitor 8 1 0 0 9
Holter monitor 1 0 0 0 1
Nebulizer machine 0 0 1 0 1
Pulse oximeter 0 0 0 0 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 Khulna Medical College Hospital, Sonadanga, Khulna

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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 1 0 0 0 1
Laparoscopic machine 0 0 0 0 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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) 3 0 0 0 3
Colorimeter 2 0 0 0 2
Electrolyte analyzer 1 0 0 0 1
ELISA machine 1 0 0 0 1
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 Khulna Medical College Hospital, Sonadanga, Khulna

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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 Khulna Medical College Hospital, Sonadanga, Khulna

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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 1 0 1 0 2
Retinoscope 1 0 1 0 2
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 14 2 12 0 28
Phototherapy unit 5 5 0 0 10
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 1 0 2
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 4 1 0 0 5
Blood plasma separating machine 1 0 1 0 2
Platelet separating machine 1 0 1 0 2
Deep freeze (plasma) 2 0 0 0 2
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 1 0 0 1
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 0 0 0
EEG machine 0 0 0 0 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 1 0 0 0 1
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 0 4 0 7
Bus 1 0 0 0 1
Jeep 0 1 0 0 1
Microbus 1 0 0 0 1
Pickup 1 0 0 0 1
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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) 15 15 0 0 30
Air conditioner (window) 5 3 0 0 8
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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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 3 0 0 4
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 Khulna Medical College Hospital, Sonadanga, Khulna

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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) 90 8 0 0 98
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 13 3 0 0 16
Scanner 0 0 0 0 0
UPS 46 12 0 0 58
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 Khulna Medical College Hospital, Sonadanga, Khulna

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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 1 0 0 0 1
Land phone 13 0 0 0 13
Mobile phone 0 0 0 0 0
Photocopier machine 3 0 0 0 3
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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Important information and necessary issues you want to raise
A Linear Accelerator machine for Radiotherapy dept. for the treatment of CANCER is going to be installed within a short time. The construction work of casualty & ICU unit will be completed within a short period but could not be functioning due to lack of concerned manpower . Last year we added some necessary electro- medical equipments such as 4D Color Doppler, Mammography machine, Biochemical Auto Analyzer, Blood Gas Analyzer, Cardiac monitor for CCU, Ventilator for ICU, NCV machine, Central Oxygen and other Gas supply system, Air Cooler , Refrigerator etc. for the better Diagnostic & Treatment purposes of the patients,But it is very much painful that Manpower for the 500 bed is still under prosessing. It is also noted that no manpower is still sanctioned for newer Departments which is the main & important constraint to deliver proper services. But we are very glad to inform that with too short manpower ( Doctors, Nurses& other staffs) Khulna Medical College Hospital is serving a huge number of people with great Care, which would be about 3( three) crores. people. There is no IT communication system among WARDs, OTs, Administrative areas , outdoor& Emergency, which is the necessity of time for easy, early & proper services to the patients. We are in urgent need of one MRI machine for Radiology & Imaging Dept. I would like to draw proper and sincere attention to higher authorities to provide necessary manpower( Doctors, Nurses & other staffs), electro- medical,& electronic equipments and vehicles to smooth run the Hospital with immediate effect. Finally i would like to convey my sincere gratitude and acknowledge to the continuous support & positive attitude of MOHFW & DGHS(MIS) to encourage us to publish the Local Health Bulletin 2016 and also provide better services to the people..
Local Health Bulletin 2016 for Khulna Medical College Hospital, Sonadanga, Khulna

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