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

Preface

I am extremely happy to be able to publish 4th edition online Local Health Bulletin of Sylhet MAG Osmani Medical College Hospital. Established in 1936 as an Institutional Hospital for British Indian troops in the holy land of Hajrat Shahjalal (Rh:) and Hazrat Shahparan (Rh:), it has passed through different stages of development. In 1948 it was upgraded from Institutional Hospital to a 200 bed Medical School Hospital, in 1962 from Medical School Hospital to Medical College Hospital. In 1978 the bed capacity was increased to 500 bed and in 1998 to 900 bed. Now with its limited space and manpower, this hospital is handling 1700 to 1800 indoor patients and 3000 to 3500 outdoor patients daily. With the progress of time, Sylhet MAG Osmani Medical College Hospital has also advanced. Now it has 26 departments with separate 'Outdoor Complex' and separate 'ICU & Casualty Wing', from where specialized services are being provided. It is worth mentioning that, apart from providing under-graduate training to medical and nursing students, this hospital is providing post-graduate training to doctors in 20 disciplines. I hope this bulletin will help interested people to acquaint themselves with this hospital without practically visiting it. I believe this is a great era, the 'Digital Era' of Bangladesh Health Services, which will continue to advance and enrich in the days to come. I sincerely acknowledge and appreciate the support and guidance we received from Directorate General of Health Services (MIS) in the publication of this bulletin. Brig. Gen. Md. Abdus Sabur Miah Director Sylhet MAG Osmani Medical College Hospital

Brig Gen Md Abdus Sabur Miah
Director
Sylhet MAG Osmani Medical College Hospital
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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EDITORIAL BOARD

Chief Editor

Brig Gen Md Abdus Sabur Miah, Director


Special Acknowledgement

1. Professor Dewan Ali Hassan Chowdhury, Head of the Department (Surgery)

Editors

1. Dr Md Abdus Salam, Deputy Director

2. Dr Mukhlesur Rahman, Assistant Director (Admin)

3. Dr Arun Kumar Baishnab, R/S (General)

4. Dr Abu Noyim Mohammad, R/P (Medicine)

5. Dr Sanchita Rani Sinha, Registrar Gynae

6. Dr Md Ferdous Rayhan, IMO (Surgery)

7. Saiful Malak Khan, Photographer (MIS Incharge)

Contributors

1. Md Abul Kasem, Head Assistant

2. Md Jumer Ali, Office Assistant


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 Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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Basic Information
Name of the Facility Sylhet MAG Osmani Medical College Hospital
Organization Code 10002195
Name of DirectorBrig Gen Md Abdus Sabur Miah
Land Phone No. 1 0821714613
Land Phone No. 2 N/A
FAX No. 0821715961
Mobile No.
Email magomch@hospi.dghs.gov.bd
GPS location of Facility Lati: 24.0000 And Long: 92.0000
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Tertiary Hospital 1 900
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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No. of Live Births & Child Deaths (Jan-Dec, 2015)
Total No. of live births in the Hospital: 11,743



Neonatal Mortality Rate: 30.5 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 16,704
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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

Indicator Hospital Total
Reg. Pregnent Women 9120
At least 1 ANC 9120
ANCs (4+) 256
Normal Delivery 4906
Cesarean Section 6748
Other Assisted Delivery 668
PNC Within 2 days 12322
Maternal Death 80
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 47706 42580 90,286 343673 427875 771,548 391379 470455 861834
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 14466 11077 25,543 69682 57329 127,011 84148 68406 152554
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 13520 10302 23,822 59182 52239 111,421 72702 62541 135243
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 462 367 829 2941 1782 4,723 3403 2149 5552
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 23822
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 7003 29.4
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 6628 27.8
3 A41 A41 Other septicaemia 1142 4.8
4 D649 D649 Anaemia, unspecified 1011 4.2
5 G04 G04 Encephalitis, myelitis and encephalomyelitis 946 4.0

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 84085
No. ICD-10 Code Disease name No. of Cases %
1 Y09 Y09 Assault by unspecified means 5078 6.0
2 V89 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 4726 5.6
3 I67 I67 Other cerebrovascular diseases 3818 4.5
4 T029 T029 Multiple fractures, unspecified 3113 3.7
5 I132 I132 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure 2237 2.7
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 829
No. ICD-10 Code Disease name No. of Cases %
1 A419 A419 Septicaemia, unspecified 186 22.4
2 P36 P36 Bacterial sepsis of newborn 167 20.1
3 P21 P21 Birth asphyxia 160 19.3
4 P071 P071 Other low birth weight 95 11.5
5 G04 G04 Encephalitis, myelitis and encephalomyelitis 72 8.7

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 80
No. ICD-10 Code Disease name No. of Cases %
1 O15 O15 Eclampsia 23 28.8
2 A41 A41 Other septicaemia 20 25.0
3 O72 O72 Postpartum haemorrhage 13 16.3
4 O711 O711 Rupture of uterus during labour 10 12.5
5 O65 O65 Obstructed labour due to maternal pelvic abnormality 7 8.8
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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) 2851
No. ICD-10 Code Disease name No. of Cases %
1 I64 I64 Stroke, not specified as haemorrhage or infarction 435 15.3
2 A41 A41 Other septicaemia 353 12.4
3 I21 I21 Acute myocardial infarction 191 6.7
4 I67 I67 Other cerebrovascular diseases 129 4.5
5 S09 S09 Other and unspecified injuries of head 114 4.0
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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Utilization of services in this Hospital
Indicators Unit
Total Patient days in 365 days (No.) 624951
Bed Occupancy Rates (%) 190.2
Average Length of Hospital Stay (No. of days per patient) 4.6
Hospital Death Rate (%) 4.1
Surgeries done in the Hospital
Type No.
Major Surgeries 17026
Minor Surgeries 22454
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 3 2 0 2 1 33.3
Grade 5 1 1 0 1 0 0.0
Grade 6 9 1 0 1 8 88.9
Grade 7 118 59 8 67 51 43.2
Grade 8 181 60 77 137 44 24.3
Grade 9 113 22 34 56 57 50.4
Grade 10 295 31 174 205 90 30.5
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 20 8 1 9 11 55.0
Grade 12 10 7 0 7 3 30.0
Grade 13 18 13 1 14 4 22.2
Grade 14 10 5 1 6 4 40.0
Grade 15 30 6 2 8 22 73.3
Grade 16 37 17 3 20 17 45.9
Grade 17 260 171 38 209 51 19.6
Grade 18 3 2 0 2 1 33.3
Grade 19 75 37 12 49 26 34.7
Grade 20 84 60 12 72 12 14.3
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 0 2
Grade 5 1 0 1
Grade 6 1 0 1
Grade 7 59 8 67
Grade 8 60 77 137
Grade 9 22 34 56
Grade 10 31 174 205
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 8 1 9
Grade 12 7 0 7
Grade 13 13 1 14
Grade 14 5 1 6
Grade 15 6 2 8
Grade 16 17 3 20
Grade 17 171 38 209
Grade 18 2 0 2
Grade 19 37 12 49
Grade 20 60 12 72
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 241 154 4 4
Nurse 493 289 0 0
Medical Assistant 0 0 0 0
Medical Technologist 43 34 0 0
Total 777 477 4 4
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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) 2 0 0 0 2
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 2 0 0 0 2
X-ray machine (digital) 1 0 0 0 1
X-ray machine (portable) 2 0 0 0 2
Dental X-ray unit 1 0 0 0 1
Spiral CT Scan 1 0 0 0 1
C-arm 3 0 0 0 3
Mamogram machine 1 0 0 0 1
Dehumidifier 12 7 0 0 19
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 1 0 0 0 1
Ultrasonogram machine 4 6 0 0 10
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 6 10 0 0 16
Anesthesia machine without ventilator 8 4 0 0 12
Autoclave 8 1 0 0 9
Electric cautery machine 1 0 0 0 1
Diathermy machine 14 8 0 0 22
Operating microscope 4 2 0 0 6
Ceiling mounting OT Light 19 6 0 0 25
Portable OT Light 9 4 0 0 13
Fracture table 1 0 0 0 1
Hydrolic OT Table 23 4 0 0 27
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 9 2 0 0 11
Sucker machine (electric) 24 4 0 0 28
Ventilator 4 2 0 0 6
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 1 0 0 0 1
Debrililator 14 0 0 0 14
ECG machine 10 0 0 0 10
Echocardiogram machine 2 0 0 0 2
Cardiac monitor 4 0 0 0 4
Holter monitor 2 0 0 0 2
Nebulizer machine 16 0 0 0 16
Pulse oximeter 15 9 0 0 24
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 5 0 0 0 5
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 2 0 0 0 2
Laparoscopic machine 4 0 0 0 4
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 2 0 0 2
Centrifuge machine (electric) 2 0 0 0 2
Colorimeter 1 0 0 0 1
Electrolyte analyzer 1 0 0 0 1
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 2 0 0 5
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 0 0 1
Retinoscope 1 0 0 0 1
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 0 0 0
Phototherapy unit 14 0 0 0 14
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 1 1 0 3
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 0 1 0 5
Blood plasma separating machine 0 0 0 0 0
Platelet separating machine 0 0 0 0 0
Deep freeze (plasma) 1 1 1 0 3
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 1 0 0 0 1
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 1 0 1 0 2
EEG machine 0 0 0 0 0
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 3 0 1 0 4
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 7 0 0 0 7
Bus 0 0 0 0 0
Jeep 1 0 0 0 1
Microbus 1 0 0 0 1
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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) 279 15 7 0 301
Air conditioner (window) 45 10 9 0 64
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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 0 1 0 2
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 Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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) 135 5 10 0 150
Laptop 6 0 0 0 6
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 54 0 2 0 56
Scanner 1 1 0 0 2
UPS 136 0 8 0 144
Fax 1 0 0 0 1
Intercom 533 0 5 0 538
Internet fixed line 56 0 0 0 56
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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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) 0 0 0 0 0
Multimedia 3 0 0 0 3
OHP 0 0 0 0 0
PA system 1 0 0 0 1
Land phone 18 0 0 0 18
Mobile phone 0 0 0 0 0
Photocopier machine 3 0 0 0 3
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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Important information and necessary issues you want to raise
Inspite of manpower constrain we are striving our best to provide best possible services to 3000-3500 out door patients and 1700-1800 indoor patients everyday in this hospital. Good behavior and well maintained discipline amongst the doctors, nurses and staff, cleanliness of the hospital and hospital premises and well equipped diagnostic facilities are our main focus in rendering/ providing good services. We are publishing year book each year which contains total activities of the hospital. We express our heartfelt thanks and gratitude to the Ministry of Health and family welfare and Directorate General of Health Services for providing best possible support to this hospital for better management of patients. We are analyzing the situation to identify the problem and gaps regularly to develop the best possible means for providing health services. To improve the quality of service we are using lest evidences. We are also conducting awareness and motivational program to improve the behavior and communication skill among the health workers. To ensure sustainable improvement and development we are conducting try for capacity building. We are publishing year book regularly which contains total activities of the hospital round this year. Hospital automation is a glorious step taken by the Government in the field of health services. In uplifting the health facilities. We will be able to start functioning the New ICU and Casualty unit very shortly. Our utmost effort will remain to ensure best possible services to the people.
Local Health Bulletin 2016 for Sylhet MAG Osmani Medical College Hospital, Sylhet Sadar, Sylhet

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