Health Center Info

Country
City
Center Name
Address
Postal Code
Web Site

Contact Info

Contact Name
Designation
Phone No
Mobile No
E-mail ID
Fax

General Location

Seperate Building
Part Of Building
Waiting Room
Space
Chairs
Registration System
Medical Examin Room
No Of Medical Examin Rooms
 
Remarks /Add Note

Laboratory

Location
Equipments
Specialists
Technicians
Administrators
No Of Specialists
 
No Of Technicians
 
No Of Administrators
 
Remarks /Add Note

X-Ray

Location
Apparatus
Specialists
Technicians
Type Of X-Ray
Place
No Of Specialists
 
No Of Technicians
 
Remarks /Add Note

Physician

No of G.P
 
No Of Specialists
 
Specialists Availability 1
 
Specialists Availability 2
 
Specialists Availability 3
 
Remarks /Add Note

General Requirements

Daily Capacity
Others
Quality Assurance Certificate
Quality Assurance Source

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