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Healthcare SOPs - HR

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SOP-HR-01 : Functions and Services offered by HR Department
SOP-HR-02 : Policies and Procedures to be adopted by HR Department
SOP-HR-03 : Employee hiring process
SOP-HR-04 : New Employee Orientation
SOP-HR-05 : Employee Personal File
SOP-HR-06 : Employee Suggestion Scheme
SOP-HR-07 : Salary Processing and Disbursement
SOP-HR-08 : Provident Fund
SOP-HR-10 : Employee Benefits
SOP-HR-11 : Attendance Tracking
SOP-HR-12 : Leave Management
SOP-HR-13 : Organisation Code of Conduct
SOP-HR-14 : Performance Appraisal, Increment & Promotion
SOP-HR-15 : Grooming Standards
SOP-HR-16 : Healthy & Safety
SOP-HR-17 : List of employees
SOP-HR-18 : Procedure for lay-offs
SOP-HR-19 : Interaction with patients, doctors and management
SOP-HR-20 : List of employees
SOP-HR-21 : Asset Register
SOP-HR-22: Disciplinary Proceedings
SOP-HR-23 : IT, E-mail & Social Media Policy
SOP-HR-24 : Transfer Policy
SOP-HR-25 : Grooming Standards

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Healthcare SOPs - Imaging Department

SOP-ID-01 : Functions and Services of Imaging Department
SOP-ID-02 : Procedures to be adopted by Imaging Department
SOP-ID-03 : Roles and responsibilities of Radiographer
SOP-ID-04 : Stock Register
SOP-ID-05 : Equipment Log Book
SOP-ID-06 : X-Ray Envelope
SOP-ID-07 : X-Ray Requisition Slip
SOP-ID-08 : X-Ray Record Register
SOP-ID-09 : CT Record Register

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Healthcare SOPs - Security Services

SOP-SS-01 : Functions and Services of Security Department
SOP-SS-02 : Procedures to be adopted by Security Department
SOP-SS-03 : Roles and responsibilities of Guards
SOP-SS-04 : Roles and responsibilities of Security Officer
SOP-SS-05 : Roles and responsibilities of Hospital Fire Officer
SOP-SS-06 : Fire Orders and Precautions against outbreak of Fire
SOP-SS-07 : Attendant Pass
SOP-SS-08 : Format for Security Agreement


Healthcare SOPs - Stores and Materials Management

SOP-MS-01 : Functions and Services
SOP-MS-02 : Procedures to be adopted by Stores
SOP-MS-03 : Roles and responsibilities of In-charge Storekeeper
SOP-MS-04 : Demands Book
SOP-MS-05 : Requisition Slip
SOP-MS-06 : Requisition-cum-Issue Slip
SOP-MS-07 : Bin Card
SOP-MS-08 : Log Card
SOP-MS-09 : Gate Pass
SOP-MS-10 : Daily/ Weekly / Monthly Material Receipt Summary
SOP-MS-11 : Material Inward Report
SOP-MS-12 : Material Receipt Report
SOP-MS-13 : Rate Comparison Sheet
SOP-MS-14 : Purchase Order
SOP-MS-15 : Stock Register
SOP-MS-16 : Room Inventory
SOP-MS-17 : Daily Material Outward Report
SOP-MS-18 : Material Return Slip
SOP-MS-19 : Stationery Inquiry Guidelines
SOP-MS-20 : Vehicle Gate Pass

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Healthcare SOPs - Physiotherapy and Rehabilitation Services

SOP-PR-01 : Functions and Services
SOP-PR-02 : Procedures to be adopted by Physiotherapy & Rehabilitation Services
SOP-PR-03 : Roles and responsibilities of Physiotherapist
SOP-PR-04 : Record of treatment
SOP-PR-05 : Stock Register, Consumables and Non-Consumables
SOP-PR-06 : Format Agreement


Healthcare SOPs - Immunisation Services

SOP-IM-01 : Functions and Services
SOP-IM-02 : Policies
SOP-IM-03 : Immunisation Schedules
SOP-IM-04 : Procedures to be adopted by Immunisation Department
SOP-IM-05 : Immunisation Record Register
SOP-IM-06 : Immunisation Card / Booklet
SOP-IM-07 : Birth Record

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Healthcare SOPs - Laboratory Services

SOP-LS-01 : Services and Functions of Lab services
SOP-LS-02 : Procedures to be adopted in Lab
SOP-LS-03 : Roles and responsibilities of Laboratory Technician
SOP-LS-04 : Report and Lab Record
SOP-LS-05 : Stock Register of non-consumables and consumables
SOP-LS-06 : Investigations Requisition Slip


Healthcare SOPs - Operation Theater Services

SOP-OT-01 : Services offered by Operation Theater
SOP-OT-02 : Policies to be adhered the Operation Theater
SOP-OT-03 : Operation Theater Procedure
SOP-OT-04 : Roles and responsibilities of In-Charge Operation Theater (O.T.)
SOP-OT-05 : Roles and responsibilities of O.T. Technician
SOP-OT-06 : OT Register
SOP-OT-07 : Non-consumable Stock Register
SOP-OT-08 : Consumable Stock Register
SOP-OT-09 : PAC & Operation Notes
SOP-OT-10 : Anesthesia Record
SOP-OT-11 : OT Charge Slip
SOP-OT-12 : OT Drug Charge Slip
SOP-OT-13 : Operation List Proforma
SOP-OT-14 : Blood Requisition Form

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Healthcare SOPs - Central Sterile and Supply Department Services

SOP-CD-01 : Services and Functions of CSSD
SOP-CD-02 : CSSD Procedure
SOP-CD-03 : Roles and responsibilities of Technician
SOP-CD-04 : Roles and responsibilities of CSSD Technician
SOP-CD-05 : Register for material received and delivered
SOP-CD-06 : Stock register of equipments and furnishings
SOP-CD-07 : Stock register of consumables
SOP-CD-08 : Log Book / Card of each machine
SOP-CD-09 : Record register for each cycle of autoclaving
SOP-CD-10 : Working Register

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Healthcare SOPs - Medical Records Department (MRD)

SOP-MR-01 : Services and Functions of MRD
SOP-MR-02 : MR Operating Procedure
SOP-MR-03 : Roles and responsibilities of Medical Records Officer
SOP-MR-04 : MRD Records Register
SOP-MR-05 : Birth Record Register
SOP-MR-06 : Death Record Register
SOP-MR-07 : Report to Municipal Authorities

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Healthcare SOPs - Generator Services

SOP-GS-01 : Services and Functions of Generator upkeep group
SOP-GS-02 : Generator Services Operating Procedure
SOP-GS-03 : Roles and responsibilities of Electrician
SOP-GS-04 : Generator Log Book
SOP-GS-05 : Diesel /Oil Stock Register


Healthcare SOPs - Blood Bank Services

SOP-BB-01 : Facilities and Functions of Blood Bank
SOP-BB-02 : Services offered by Blood bank
SOP-BB-03 : Procedures to be followed in Blood bank
SOP-BB-04 : Donor Card
SOP-BB-05 : Donor Register
SOP-BB-06 : Record Register- Blood Component
SOP-BB-07 : Record Register- Outside Blood
SOP-BB-08 : Laboratory tests on Donor's Blood
SOP-BB-09 : Blood Requisition Form
SOP-BB-10 : Laboratory Tests on Recipient Blood
SOP-BB-11 : Compatibility Record
SOP-BB-12 : Issue Register
SOP-BB-13 : Adverse Reaction Report Register
SOP-BB-14 : Quality Assurance Records
SOP-BB-15 : Daily Assessment Register
SOP-BB-16 : Blood Bank Register
SOP-BB-17 : Blood Cross- matching Report
SOP-BB-18 : Blood Requisition Form
SOP-BB-19 : Blood Return Form
SOP-BB-20 : Blood Component Register
SOP-BB-21 : Records of Blood and Components received from Outside Source
SOP-BB-22 : Record of Recipient
SOP-BB-23 : Issue Register
SOP-BB-24 : Report on adverse reactions and record of their investigation
SOP-BB-25 : Quality Assurance Records
SOP-BB-26 : Compliance – Local Govt. grant of licence application
SOP-BB-27 : Compliance – Renewal of license to operate a blood bank for preparation for sale or distribution of its components
SOP-BB-28 : Compliance – Certificate of renewal of license for manufacture of blood products
SOP-BB-29 : Certificate of approval to storage center for storage of whole human blood or its components

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Healthcare SOPs - Anesthesia Services

SOP-AN-01 : Services offered by department of Anesthesiology
SOP-AN-02 : Procedures performed by Anesthetist
SOP-AN-03 : Anesthesia Record
SOP-AN-04 : PAC and Operation Notes
SOP-AN-05 : Consent Form for Operative / Special Procedure

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Healthcare SOPs - Ambulance Services

SOP-AS-01 : Services offered by Ambulance
SOP-AS-02 : Ambulance Informing Procedures
SOP-AS-03 : Roles and Responsibilities of Driver
SOP-AS-04 : Roles and Responsibilities of Ambulance Paramedic
SOP-AS-05 : Roles and Responsibilities of Transport Section
SOP-AS-05 : Ambulance Inventory – Basic Medical Items
SOP-AS-06 : Ambulance Inventory – Special Stretcher Trolley
SOP-AS-07 : Ambulance Log Book Format

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Healthcare SOPs - Laundry and Linen Services

SOP-LL-01 : Functions of laundry & linen services
SOP-LL-02 : Services offered by the laundry & linen services
SOP-LL-03 : Procedures involved in laundry & linen services
SOP-LL-04 : Assessing Missing and Torn Linen
SOP-LL-05 : Roles and Responsibilities of Linen Keeper
SOP-LL-06 : Agreement : Format for Outsourced Laundry Agency
SOP-LL-07 : Dhobi's Book
SOP-LL-08 : Log Card for Laundry Machines
SOP-LL-09 : Stock Register


Healthcare SOPs - House Keeping Services

SOP-HK-01 : Functions of Housekeeping Department
SOP-HK-02 : Procedures involved in Housekeeping
SOP-HK-03 : Roles and Responsibilities of Sanitary Technician
SOP-HK-04 : Roles and Responsibilities of Housekeeper
SOP-HK-05 : Roles and Responsibilities of Sweeper
SOP-HK-06 : Agreement – Format for Outsourced Housekeeping Services
SOP-HK-07 : Roster Format for Housekeeping Staff


Healthcare SOPs - Dietetic Services

SOP-DS-01 : Functions of Dietetic Services
SOP-DS-02 : General Procedures & Policies
SOP-DS-03 : Procedure for Canteen Operations
SOP-DS-04 : Diet Chart: Anti-Obesity Diet Chart
SOP-DS-05 : Calories Chart
SOP-DS-06 : Diabetic Diet Chart
SOP-DS-07 : Hepatic Diet Chart
SOP-DS-08 : Lactose Free Diet Chart
SOP-DS-09 : Low Cholesterol, Low Fat, High Fiber Diet Chart
SOP-DS-10 : Low Protein
SOP-DS-11 : General Diet Recommendations for Diabetic and Hypertensive Patients
SOP-DS-12 : Roles and Responsibilities of Dietitian
SOP-DS-13 : Patient's Inquiry Proforma
SOP-DS-14 : Diet Requisition Form
SOP-DS-15 : Format for Agreement, if Outsourced

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Healthcare SOPs - Nursing Services

SOP-NS-01 : Grooming Standards
SOP-NS-02 : Functions of Nursing Services
SOP-NS-03 : Admission of Patient
SOP-NS-04 : Discharge of Patient
SOP-NS-05 : Room preparation after Death / Discharge
SOP-NS-06 : Nursing Care of the Patient
SOP-NS-07 : Intra- department Transfer
SOP-NS-08 : Medicine / Drugs Procedure
SOP-NS-09 : Arranging of Blood
SOP-NS-10 : Investigations
SOP-NS-11 : Pre-operative Care of patient
SOP-NS-12 : Post-operative Care of patient
SOP-NS-13 : Roles & Responsibilities of Nursing
SOP-NS-14 : Roles & Responsibilities of Nursing Supervisor
SOP-NS-15 : Roles & Responsibilities of Ward In-charge / Sister
SOP-NS-16 : Roles & Responsibilities of Staff Nurse: General
SOP-NS-17 : Roles & Responsibilities of Staff Nurse: Technical
SOP-NS-18 : Roles & Responsibilities of Staff Nurse: ICU Patients
SOP-NS-19 : Roles & Responsibilities of Sister Tutor
SOP-NS-20 : Hostel Rules for Nurses
SOP-NS-21 : Policies: Routine Medication Times
SOP-NS-22 : Policies: Parental Therapy
SOP-NS-23 : Nurses – Contractual Agreement
SOP-NS-24 : Nurses – Bond
SOP-NS-25 : Nurses Night Register
SOP-NS-26 : Stock Register
SOP-NS-27 : Medicines and Consumables Stock Register
SOP-NS-28 : Patient Case Sheet Papers
SOP-NS-29 : Nursing Roster Format

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Healthcare SOPs - Hospital Issuing Certificates

SOP-HC-01 : Procedure to issue Medical Certificate for Leave and Fitness
SOP-HC-02 : Procedure to issue Medical Insurance for Patients
SOP-HC-03 : Procedure for issue of experience certificate
SOP-HC-04 : Procedure for issue of Death Certificates
SOP-HC-05 : Procedure for issue of Birth Certificate

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Healthcare SOPs - Accounts

SOP-AC-01 : General Billing Guidelines
SOP-AC-02 : Computing Gratuity
SOP-AC-03 : Billing for patients
SOP-AC-04 : Cash Management
SOP-AC-05 : Concession policy for the underprivileged
SOP-AC-06 : Roles and Responsibilities of Cashier
SOP-AC-07 : Roles and Responsibilities of Accounts Officer
SOP-AC-08 : Cash Voucher formats
SOP-AC-09 : Receipt Book
SOP-AC-10 : Clearance Form
SOP-AC-11 : Full and Final Settlement
SOP-AC-12 : I Owe You
SOP-AC-13 : Indent for Cash
SOP-AC-14 : Local Conveyance Bill
SOP-AC-15 : Over Time Sheet
SOP-AC-16 : TA Bills format
SOP-AC-17 : Salary Slip formats
SOP-AC-18 : Sundry Debtors Report
SOP-AC-19 : Daily Wages Payment Format
SOP-AC-20 : Indoor Bill
SOP-AC-21 : Subsidy Application
SOP-AC-22 : P & L Statement
SOP-AC-23 : Bank Accounts Book
SOP-AC-24 : Cheque Records Register
SOP-AC-25 : Doctor's Professional Income Calculation Sheet

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Healthcare SOPs - Finance Department

SOP-FN-01 : Billing Procedures Policies
SOP-FN-02 : Collection Policies
SOP-FN-03 : Invoice Review & Processing
SOP-FN-04 : Cash Flow : Late Payment Policy
SOP-FN-05 : Invoice Review & Processing
SOP-FN-06 : Running Regular Financial Reports
SOP-FN-07 : Vendor Management & Co-ordination
SOP-FN-08 : Vendor / Distributor Record Keeping
SOP-FN-09 : Inventory Management
SOP-FN-10 : Annual Budgeting
SOP-FN-11 : Tracking Credit Card Auto-Payments

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Healthcare SOPs - Prevention and Control of Infection

SOP-PR-01 : Occupational Health Risk
SOP-PR-02 : Barrier Precautions for Students
SOP-PR-03 : Healthy Behaviors Adaptation for Prevention and
SOP-PR-04 : Control of Hepatitis
SOP-PR-05 : SOP's for Injection Safety, Device Control and Hospital Waste Management
SOP-PR-06 : Waste Disposal Policy

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Healthcare SOPs - In-Patient Department (IPD) Services

SOP-IP-01 : Grooming Standards
SOP-IP-02 : General Procedures
SOP-IP-03 : Admission Procedure
SOP-IP-04 : Discharge Procedure
SOP-IP-05 : Ward Transfer Procedure
SOP-IP-06 : List of Important Instrument Sets
SOP-IP-07 : Infectious and Isolation Policies
SOP-IP-08 : Infection Control Policies
SOP-IP-09 : Roles and responsibilities of Nursing Staff
SOP-IP-10 : Roles and Responsibilities of Resident Medical Officer
SOP-IP-11 : Duties and responsibilities of Ward Assistants
SOP-IP-12 : Maintaining Patient File with Case papers
SOP-IP-13 : Nurses Report Book
SOP-IP-14 : Ward Inventory Book / Sheet
SOP-IP-15 : Emergency Medicines Stock Register
SOP-IP-16 : Patient Case Sheet Papers
SOP-IP-17 : Patient File Folder
SOP-IP-18 : Face Sheet / Admission Discharge Summary
SOP-IP-19 : Patient Consent Form
SOP-IP-20 : Patient Treatment Sheet
SOP-IP-21 : Doctor's Oder Sheet
SOP-IP-22 : Patient Temperature Chart Maintenance
SOP-IP-23 : Input – Output Chart
SOP-IP-24 : Certificate for Admission
SOP-IP-25 : Referral Sheet
SOP-IP-26 : Charge- Slip- Indoor Patient
SOP-IP-27 : Operation Theater Charge Sheet for Procedure
SOP-IP-28 : Operation Theater Charge Sheet for Medicines / Drugs
SOP-IP-29 : Patient Visit Record –Doctor
SOP-IP-30 : Post Acute Care & Operation Notes
SOP-IP-31 : Nurses Notes / Vital Sign
SOP-IP-32 : Blood Requisition Form
SOP-IP-33 : Discharge Booklet
SOP-IP-34 : Investigation Record Sheet
SOP-IP-35 : Subsidy Application- For the underprivileged


Healthcare SOPs - Administrative Services

SOP-AD-01 : Grooming Standards
SOP-AD-02 : Procedure to release Medical Information
SOP-AD-03 : Hospital Indemnity Policy
SOP-AD-04 : Records of Doctors with Departments
SOP-AD-05 : Records of Technicians with Departments
SOP-AD-06 : Records of Facilities
SOP-AD-07 : Brochure Information related to hospital
SOP-AD-08 : Roles and Responsibilities of officers
SOP-AD-09 : Roles and Responsibilities of Medical Superintendent / Medical Director
SOP-AD-10 : Roles and Responsibilities of Hospital Administrator
SOP-AD-11: Roles and Responsibilities of Head Clerks
SOP-AD-12: Marketing Circular formats
SOP-AD-13: Templates for Experience Certificate for Staffs
SOP-AD-14: Templates for Certificate required by patients for Medi-Claim
SOP-AD-15: List of Specialty Departments available in hospital
SOP-AD-16: Press Release Notes

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Healthcare SOPs - Reception Services

SOP-RS-01 : Receptionist Grooming standards
SOP-RS-02 : Answering Visitor Queries
SOP-RS-03 : Registering Out Patient Department Patients
SOP-RS-04 : Handling EPBAX
SOP-RS-05 : Fees collection pertaining to registration, fees for various Out Patient Department investigation / Procedures
SOP-RS-06 : Advance collection from patients getting admitted.
SOP-RS-07 : Attendant Pass
SOP-RS-08 : Appointment Card
SOP-RS-09 : Admission – Discharge Register
SOP-RS-10 : Doctor's Attendance Register
SOP-RS-11 : Maintenance Log Book
SOP-RS-12 : Dispatch Register
SOP-RS-13 : Medical Certificate Book
SOP-RS-14 : Death Certificate Book
SOP-RS-15 : Daily Report
SOP-RS-16 : Patient Suggestion/ Feedback Letter

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Healthcare SOPs - Human Resources Department

SOP-HR-01 : Hiring Process
SOP-HR-02 : Outsourcing Process
SOP-HR-03 : Employee On-board Orientation
SOP-HR-04 : Roles of responsibilities of Front Office Executive
SOP-HR-05 : Roles of responsibilities of Service Manager
SOP-HR-06 : Roles of responsibilities of Technician
SOP-HR-07 : Honesty, Integrity and Teamwork Anthem
SOP-HR-08 : Annual Performance Review
SOP-HR-09 : Procedure for Lay-offs and Downsizing
SOP-HR-10 : Time Sheet Submission and Approval Process
SOP-HR-11 : Employee Benefits
SOP-HR-12: Travel Policies

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Healthcare SOPs - Emergency / Casualty

SOP-EC-01 : Grooming Standards of Emergency Staff
SOP-EC-02 : Emergency Handling Procedure
SOP-EC-03 : Handling a dead body
SOP-EC-04: Miscellaneous activity handling
SOP-EC-05 : Handling blood and body secretions of patients Spills
SOP-EC-06 : Checklist of minimum basic medicines required in Emergency Department
SOP-EC-07 : Instrument sets requirement in Emergency Department
SOP-EC-08 : Roles and Responsibilities of Nursing Staff
SOP-EC-09 : Roles and Responsibilities of Medical Officer, Emergency
SOP-EC-10 : Emergency Record Register
SOP-EC-11 : Police Information Book
SOP-EC-12 : Injury Register
SOP-EC-13 : Death Certificate Book
SOP-EC-14 : Medical Certificate Book
SOP-EC-15 : Pt. Treatment File
SOP-EC-16 : Patient Reference Forms
SOP-EC-17 : Investigation Requisition Form


Healthcare SOPs - Patient Care

SOP-PC-01 : Emergency Department
SOP-PC-02 : Reception and Treatment of Patient in ER
SOP-PC-03 : Process Flow for Medical Patients in E.R.
SOP-PC-04 : Process Flow for Surgical Patients in E.R.
SOP-PC-05 : Intensive Care Unit
SOP-PC-06 : In-Door Patient Care
SOP-PC-07 : Out Patient Department
SOP-PC-08 : Procedure Room
SOP-PC-09 : Endoscopy Room / Electrocardiography
SOP-PC-10 : Pathology Reception
SOP-PC-11 : Radiology Department
SOP-PC-12 : Ultrasound and Doppler Examination
SOP-PC-13 : Cleaning and Washing

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Healthcare SOPs - Out Patient Department (OPD) Services

SOP-OP-01 : Special Duties performed by OPD Staff
SOP-OP-02 : Grooming Standards
SOP-OP-03 : Facility requirements at OPD
SOP-OP-04 : OPD Registers
SOP-OP-05 : Treatment Register
SOP-OP-06 : OPD Slip
SOP-OP-07 : Prescription Slip
SOP-OP-08: Investigation Requisitions
SOP-OP-09 : Referral Slips
SOP-OP-10 : Receipt Book
SOP-OP-11 : Appointment Card
SOP-OP-12 : Immunization Card
SOP-OP-13 : Cardiac Clinic Record
SOP-OP-14 : Eye Examination Form

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Healthcare SOPs - Medico – Legal Services

SOP-ML-01 : Scope of Legal services team
SOP-ML-02 : Procedures to be followed
SOP-ML-03 : Minimum requirements for Case Sheet /Record
SOP-ML-04 : Roles and Responsibilities of Paramedical Staff
SOP-ML-05 : Medical records

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