PARAMEDICAL BOARD

DIRECTORATE OF MEDICAL EDUCATION

ESIC
PARAM

KALABURAGI
DEPARTMENT OF MEDICAL RECORD TECHNOLOGY
A REPORT ON STUDY
TOUR PROJECT
SUBMITTED IN PERTIBAL FULFILMENT OF THE REQUIREMENT OF

THE AWARD OF CERTIFICATE COURSE IN

“MEDICAL RECORD TECHNOLOGY”
FOR THE ACADEMIC YEAR
2021-2023
SUBMITTED BY:
AARTI
 PARAMEDICAL BOARD
DIRECTORATE OF MEDICAL EDUCATION

ESIC
PARAM

KALABURAGI
This is to certify that, Miss.AARTI has completed
Satisfactorily the project work, in partial fulfilment of
award of ‘Diploma in Medical Record Technology’
prescribed by the Para-Medical Board, Bangalore for
the session 2021-2023.

Medical Record officer Principal

Medical Record Department Medical College Hospital
ESIC Hospital, Kalaburagi ESIC Hospital, Kalaburagi

ACKNOWLEDGMENT
I am Great thankful to all staff and faculty members of Medical
Record Department of ESIC MEDICAL COLLEGE and HOSPITAL for
their Co-operation and co-ordination for entire Course training
period.

My especially Greatful thank you goes to,

Triveni Mam “Medical Record Technician” of ESIC MEDICAL
COLLEGE AND HOSPITAL.

I collected information from different MEDICAL COLLEGE AND

HOSPITAL.
And I also thankful to Administrators , HODs , MRO and all
staff of Medical Record Department of these Hospitals.

 Basaveshwar General and Teaching Hospital, Kalaburagi

 District Hospital, Vijayapura
 District Hospital, Bagalkot
 S. Nijalingappa Medical College and HSK Hospital and
Research Centre , Bagalkot
 PHC, Kaladagi (Bagalkot).

With Regards
AARTI
DMRT Final year
S.NO Index
1. ESIC Medical College and Hospital
2. Introduction About Medical Records
3. History of Medical Records
4. Organization of Medical Record Department
5. Objective of Medical Records Department
6. Function of Medical Records Department
7. Standard procedure of MRD
8. Function and Responsibility of Medical Records
Technician

ESIC HOSPITAL, KALABURAGI

 ESIC Medical College and Hospital
Kalaburagi
Employee State Insurance Corporation Medical College Kalaburagi is
one of the famous Government Medical colleges in Karnataka. It is
also known as ESIC kalabuargi. It is situated in kalabuargi Karnataka .

ESIC Started its first Medical College in Bangalore in 2012 with PG

Courses since 2009.

Subsequently, ESI Corporation began Medical College in Chennai,

Joka, and Kalaburagi 2013

ESIC Kalaburagi is one of the leading Medical College in Karnataka.

ESIC Medical College Kalaburagi is affiliated with Rajiv Gandhi
University of Health sciences and approved by the National Medical
Commission.

ESIC Kalaburagi provides top notch instruction in medicine and

related health sciences while encouraging scholarship, research
learning. Its main goal is to give people and families comprehensive,
culturally aware, community based health care.

This ESIC Medical College and Hospital was inaugurated on 2014. it is

constructed in 50.26 located in Kalaburagi University.
 INTRODUCTION OF MEDICAL RECOEDS

1. Medical Record department plays a very important role in every

hospital.
2. Medical Records keeps all record of the hospital.
3. Medical Records is an orderly written report of the patient’s
complaints the diagnostic findings treatment and end result.
4. Medical Records department contains complete records and
clearly and sufficient information of the patient.
5. The Medical Record value to patient, the hospital the physician
and for research and teaching.
6. According to the patient the Medical records the physician
describe the patient’s present and past state health and
analyses the present illness in term of prognosis and diagnosis.
7. According to the patient Medical Records is value to the
hospital in evaluating the competency of Medical staff and the
end result of treatement.
8. The qualitative Medical Records protecting legal interest and
arrest in diagnosis and procedure coding.
9. To the physician the Medical Records is helpful to physician in
caring of a patient during subsequent hospitalization, in
Out-Patient follow-up.
10. Medical Records is also useful to the teaching and for further
medical research and to administrators.
11 . Medical Records plays major role in the Medical audit
Meeting and quality control care as the patient.
 HISTORY OF MEDICAL RECORD
DEPARTMENT

The History of Medical Records run parallel to the history of

medicine.
The earliest records where primitive in form and very different from
present Medical Records , But they served the records Medical
achievement for later generation.

There is some periods :-

1. EGYPTION PERIOD :-
In this period there is great achievement by men where
ascribed by to god. In Egypt Thoth is known as God of letter he
is credited with having invented writing. The first real
physicians of records in Egypt is Imhotep.

2. GREEK PERIOD :-
In Greek period the Greek medicine was not only for the greacian.
Form older civilization , especially those of Egypt , Babilonia,
Assyria the Medicine in greace was cultivated by Asclepiadae.
The Hippocrates knwos as a father of medicine was born about
460 BC in island of COS.

3. GREECO ROMAN PERIOD :-

About 600 years after the time of
Hippocrates a physicians name galen appeared in Rome he had
access to Aesculapain table as well to libraries, he has been first
to recognize true function of Arteries.
4. BYZNTIVE PERIOD :-
The only work in th e recording being
done at that time was by monks who copied the was writing of
Hippocrates celsus, Galen.

5. JEWISH PERIOD :-
The principal sources of information
regarding Jewish Medicine are bible and the Talmud contain
more detailed Medical information than bible.

6. MOHAMMEDAN PERIOD :-
Christain schoiars , versed both in
greck and Arabic , translated works of Hippocrates and Galen
in Arabic and these stimulated medical studies among Arabs.

7. MEDIEVAL PERIOD :-
St.Bartho Lomew’s Hospital landon the
hospital still in existenses form Medical period founded in this
period . It is still has some records of the patients form the
beginning.

8. SVENTEENTH CENTURY :-
The Writing of case records was
established and that it was the responsibility of the doctors to
write is one orders.
9. EIGHTEETH CENTURY :-
Benjamin Franklin was one of the
leaders in the movements to established the first in corporate
hospital within the US from the beginning the only medical
records kept where who’s registers in which patient name
Address, DOA, DOD have recorded.

10. NINETEENTH CENTURY :-

In 1921 the famous Massachusetts
General Hospital, Boston opened it has the distinction of having
a complete file clinical record with all types of cases.

11. TWENTEETH CENTURY :-

In 1920 American Association
discussed Medical records for the first time at a conventions.
 HISTORY RECORDS IN INDIA

In India Medical Record is an organization system appeared in 1900.

Christian Medical college Hospital vallore in Tamilnadu the first
department started in India 1965 a medical records review
committee was held at directorate of Health services.
1973 courses of medical Records Technicians were started in
Safdatarjang, New Delhi.
In Karnataka patient records used to be maintained in short form and
the case records was bound into volume of surgery and Medicine
and preserved but a medical record in an organized pattern was
started in the combined hospital attached to Bangalore Medical in
January 1972. From 1982 the department is started in other Hospital.
 ORGANIZATION OF MEDICAL RECORD
DEPARTMENT

SENIOR MEDICAL RECORD OFFICERS

JUNIRO MEDICAL RECORD OFFICERS

ASSITANT MEDICAL MEDICAL RECORD

TECHNICIAN
STATISTICAN
RECORD OFFICER

MEDICAL RECORD
MEDICAL RECORD
OFFICER TECHNICIAN

LITERATE ATTENDER SWEEPER

ATTENDER
 OBJECTIVE OF MEDICAL RECORDS
DEPARTMENT

 To provide a means of communication among physician’s nurses

and other a lied health care.
 To serve an early reference for providing continuity in patient
care.
 To establish guidelines for maintenance of uniform and
comprehensive patient records in health facilities.
 To protect the patient, physician, as well as the health care
institution and its employee in the event of legislation.
 To develop the education programmes for the training Medical
record personal.
 To maintain a Modern sufficient Medical record system in
conformity with international standard in all hospital.
 The render clinical and administrative data required for
budgeting , management , services , development planning
review , medical education and medical research.
 To provide organizational directives and operational policies
and procedure in maintaining effective health records.
 To supply patient care information to authorizes organization
and third party payers.
 To develop the education programmes for the training medical
record personal.
 To serve as a information document to assist in quality review
patient care.
 FUNCTION OF MEDICAL RECORDS

 Communication of patient and physician.

 Immediate clinical care of the patient.
 Act as document Average for legal Aspect.
 For Future research.
 Further care of the patient.
 Utilization for epidemiological purpose.
 Source of monition Management and planning.
 STANDARD PROCEDURE MEDICAL
RECORDS DEPARTMENT
RECEIVING

ASSEMBLING

DEFICIENCY
CHECK

INCOMPLETE COMPLETE RECORDS

RECORDS

ACCESSION
WARDS
CODING
MEDICAL
RECORD INDEXING
DEPARTMENT

FILLING

RETERIVELING

RE - STUDY PATIENT
ADMISSIO PURPOSE DISCHARGE
 ASSEMBLING: -
It arrangement of Medical records form as per
the hospital guidelines.
Commonly Following Assembling :-
a) Admission and summary Record.
b) OPD slip (Admission request form).
c) Death summary or discharge summary.
d) Death reporting from No-2 (single).
e) MCCD form.
f) History.
g) Doctors orders.
h) Progress Notes.
i) Investigation Reports.
j) Consultation Reports.
k) Nurse’s Notes.
l) Graphic Notes.
m) Miscellaneous.

 DEFICIENCY CHECK :-
After assembling the case files MRD staff
has to check and deficiencies in check list and keeping the
records separate for completion. In the same hospital all the
received files are entered in a registration for easy retrieval and
there files are sending for coding.

 CODING :-
All the files are coded as per international statistical
classification of disease and related health problem (ICD-10).
 INDEXING :-
Here we entering patient data in an index card
with code. There are four types of indexing
1. Diagnostic Index
2. Procedure Index
3. Physician or Surgeon Index
4. Alpha Index

 FILLING :-
In this stage all files are arranging as per MR number
in ascending order. For filling specialization racks are arrange in
MRD.

 RETRIEVAL :-
Here we are reporting permanently filed case
sheet for various purpose such as study, follow up,
Re-admission etc. Only trained person can retrieve case file
with the order of superior.

 CENSUS: -
It is the number of inpatient present at any one time.
Daily Inpatient Census :-
 It is the of number of inpatient present at the census
taking time each days plus any inpatient who where
both admitted and discharge after the census taking
previous day.
 The census may be complete by the admitting
department or MRD.
 Nurse usually compile the census for each floor or
each inpatient care unit of the hospital at a specified
census taking time.
  The inpatient census for the hospital is usually taken
midnight.
 It may be taken any convenient time but must be
taken at the same hour of each time.
 They send the individual 24 hours reports to the
department responsibility for combining the into for
complete marter census.

 STATISTICS :-
Statistics is the study of principle and Methods
used in collection, presentation, analysis and interpretation of
numerical data in any sphere of enquiry.
Uses of Statistics :-
 To utilization of hospital.
 To provide a basis for preparing operation budget.
 MCI (Medical council of India) needs hospital.

 BIRTH AND DEATH :-

Birth and death section is most important
section in medical record department. The Medical Records
technicians collect the Birth and Death information entire the
particular data in the Birth and Death Register and computer.
CONTENTS OF BIRTH REGISTER :-
 S.R Number
 Date of Birth
 Sex
 Father Name
 Mother Name
 IP Number
 Type of Delivery
 Address
 Registration Data
  Approval No

CONTENTS OF DEATH REGISTER

 S.R Number
 Date of Death
 Sex
 Name
 Father Name
 Mother Name
 IP NO.
 Place
 Address
 Registration
 Approval No

 MLC (MEDICO LEGAL CASE) :-

All the cases coming to the
hospital casualty Department for urgent and immediate
treatment are generally not considered as medico legal cases.
The cases which are to be treated as MLC are
 Road Traffic Accident
 Rail
 Water Accident
 Assault cases
 Poison cases
 Hanging cases
 Animal Bite

CONTENTS OF MLC / ACCIDENT REGISTER :-

  Serial number
 Date and time of examination of the patient
 Age / Sex
 Address
 Identification mark
 Brought by Whom
 Patient Name
 OP number /MRD number / IP number
 Thumb impression
 History of Accident
 Treatment Given
 Signature of CMO

FUNCTIONS OF MRT
 To register and collect appropriate identification information
from Outpatient and arrange appointment, admission procedure.
 To prepare patient master Index card arrange according to
alphabetical order, file them in index cabinets and retrieve
whenever required.
 Feed the all data Mannual and also computerize.
 To work in all the units of MRD, Accident and Emergency or
outpatient clinic or admission office or ward or X-ray or other
units.
 To work in MRD of hospital and perform duties in any of the
three shift as required.
 To maintain information confidentially from unauthorized
person and participate in education programs.
 Collect daily ward census along with discharge with patient
records.
 To index previously coded disease and operation index cards
Mannual or electronically in computer.

FLOW CHART OF MRD

OPD CASULTY / CENTRAL
LABOUR ROOM ADMITTIN OFFICE

NURSARY OR
ASSEMBLING
WARD

DEFICIENCY INCOMPLE
CHECK RECORD CONTROL

INDEXING CODING

FILLING

RETERIVAL
 BASAVESHWAR TEACHING AND
GENERAL HOSPITAL, KALABURAGI

ABOUT HOSPITAL
Basaveshwar Teaching and General Hospital is 860 Beded
Hospital. And beds are divided further departments.
 Emergency Medicine 30Beds, 1Unit
 General Medicine 50Beds, 5Unit
 Respiratory Medicine 20Beds, 1Unit
 DVL 40Beds, 1Unit
 Paediatrics 90Beds, 3Unit
 Psychiatry 30Beds, 1Unit
 General Surgery 150Beds, 1Unit
 Orthopaedics 90Beds, 3Unit
 ORL 60Beds, 2Unit
 Ophthalmology 80Beds, 2Unit
 OBG 120Beds, 2Unit

BASAVESHWAR TEACHING AND GENERAL HOSPITAL,

KALBURAGI
 Basaveshwar Teaching and General Hospital, Kalaburagi is
private hospital Kalaburagi affiliated with Madhadevappa
Rampure Medical College (MRMC) in Kalaburagi, Karnataka
state India.
Its renowned hospital in the name of Basaveshwar. This
hospital is situated in sedam road, Kalaburagi. The hospital was
on 21st June 1989 by Prime Minister of India Shir Rajiv Gandhi.
It started functioning from 28th March 1990.
In this hospital super specility OPD’s is also available :-
 Neuro Surgery
 Neurologist
 Plastic Surgery
 Endocrinologist
 Gastrologist
 Urologist
 Nephrologist
 Peadiatric Surgeon
 Oncologist

MEDICAL RECORD DEPARTMENT: -

 MRO of This hospital “SADANAND SIR”
  In Basaveshwar Teaching and General Hospital. There are six
working OPD Counters
 Two Male OPD
 Two Female OPD
 One Admission Counter
 One re-visit Counter
 RECEIVING:-
Receiving the records is incomplete then it will be
returned to the ward. If it is complete records, they will
undergo many procedures.
In these records are maintained systematically with serial
numbering system.

 ACCESSION:-
Accession Register is maintained manual manner.

CONTENT OF ACCESSION REGISTER:-

 Serial number
 Inpatient number
 Name of patient
 Age/Sex
 Date of data entry
 Department

 CODING:-
Coding is done from the ICD-10(International
Statistical classification of disease related health problem). And
also, procedure coding is done by using ICP-9.

 INDEXING:-
 Indexing is done both Manual and computerised. In
this Hospital there are three types of indexing maintained.
1. Diagnostic Indexing
2. Operative Indexing
3. Physician Indexing

 FILLING:-
Filling is doing according to serial number and six-digit
number system. Stable racks are used for filling.

 STATISTICS:-
 Average Daily OPD 1300 to 1400
 Average Daily IPD 95 to 100
 Average Daily Brith 8 to 12
 Average Daily Death 1 to 2
 Average Daily MLC cases 10 to 15.

SOME OTHER REGISTERS

 MLC Register:-
All the types of MLC cases records are
maintained. MLC register is manual and computerised
CONTENTS OF MLC REGISTER: -
 IP number, Date
 Patient name, Age/sex
 Address
 Signature of attender
 Details of incidents

 BIRTH REGISTER:-
They maintained birth register after doing
online registration by using state Government software e-janma
CONTENTS OF BITRTH REGISTER:-
 Serial number
 IP number
 Patient name, Age/Sex
 Present and Permanent address of parents
 Method of delivery
 Date of delivery & Time
 Weight of baby
 Weeks of gestation

 DEATH REGISTER:-
Like birth registration they will do death
registration also manual as well as computerised.

CONTENTS OF DEATH REGISTER

 Serial number
 IP number
 Patient name, Age/Sex
 Cause of death
DISTRICT HOSPITAL, VIJAYAPURA
 DISTRICT HOSPITAL, VIJAYAPURA

The District Hospital Vijayapura was started in 1886 near Shivaji

chowk, it came up with a new building of 250 bedded hospital
in 1976 at Athani road next to sainik school second gate,
training centre for trained birth assistants / daayi was started in
1983. The Hospital development MOU with AI Ameen Medical
College for deputing of its doctors and medical students for
practicing/internship in its OPD facility respectively in 1984.
The Hospital set upped its Blood bank in 1995.
 MEDICAL RECORD DEPARTMENT:-
In the Medical Records Department Maintained the inpatient
records.
Most of the Medico-legal cases are referred to this hospital. Or
the police officials will take the patients here or directly people
will come to show their illness whether it is MLC or General.

 RECEIVING:-
They receive the completed records sheet and
incomplete case sheet files are returned to their treating
department.

 ACCESSION:-
After receiving the case sheet from the ward, they
will do accession of the case sheet. They maintained two
separate registers one for general and another for Medico legal
cases.
CONTENT OF ACCESSION REGISTER: -
 Serial number
 Name of patient
 Age/Sex
 Date of Admission
 Date of Discharge
 Diagnosis
 Department
 Date of Receiving

 INDEXING:-
They are doing indexing Mannual Manner.
 FILLING:-
They are making bundle of files by department wise and kept
them in separate bundle according to month wise.
Here for filing they are using stable racks for filling.

 STATISTICS:-
 Daily Average OPD = 2000 to 3000
 Daily Average Admission = 250
 Daily Average Birth = 20 to 25 (15to20 LSCS)
 Daily Average Death = 4 to 5
 MLC Average= 400 to 500
 MLC :-
Here most of the cases are MLC only because its District
Government hospital so the all-medico legal cases are referred
to here for further management like wound certificate, post
mortem etc.,

CONTENT OF MLC REGISTER:-

 Serial number
 IP number
 Patient name
 Address
 Age/Sex
 By which weapon patient is injured
 Signature of treating doctor.
DISTRICT HOSPITAL, BAGALKOT
 DISTRICT HOSPITAL, BAGALKOT

This hospital is 400 Bedded. In this hospital they have e-

hospital software that is provided by Government of
Karnataka.

This health care facility such as a doctor nurses and the

support staff that it has been able to grow and make new
advancements everyday. The ultimate adjective of this health
care centre stands to be better patient care. The establishment
enjoys a good connectivity with the rest of the city because of
its prominent location.

Isolation wards with adequate medical facilities have been

formed so that is no room for treatment delays in this time of
emergency sufficient medical facilities are available for the
patient who are tested positive. The establishment is fully
prepare to create more isolation ward if need be.
 MEDICAL RECORDS DEPARTMENT:-
In this hospital they maintain all types of records in the Medical
Records Department.
In this hospital there is three working OPD is there.

 RECEIVING:-
They received the complete records sheet and
incomplete case sheet returned to their treating department.

 Indexing:-
They are not doing indexing because of lack of staff

 ACCESSION:-
Accession register they are Maintaining. In the
Accession Register they are maintained following details of
patients: -
 Serial number
 IP number
 Patient name
 Age/Sex
 Department of date of admission and date of
discharge
 Diagnosis
 Date of entry

 CODING:-
They are not doing coding.
 FILLING:-
They are doing filling date wise/department wise and
month wise.
And they are doing and keeping MLC and death case
sheet separately. According to months.

 STATISTICS:-
 Daily Average OPD
 Daily Average Admission
 Daily Average Birth
 Daily Average Death
 Daily Average MLC

 MLC:-
They are maintained Medio Legal Cases. They are keeping
seperatly MLC case according to months wise. They maintain
computerized data or mannual Both.

CONTENTS OF MLC:-
 Serial number, IP number
 Patient name
 Ward
 Age/sex
 Date of admission and date of discharge
 Cause of admission
 Referred by doctor
 X-ray, CT scan (investigation)
 Doctor name also
S. NINJLINGAPPA MEDICAL COLLEGE AND
H.S.K HOSPITAL AND RESEARCH CENTRE
 H.S.K HOSPIATL AND RESEARCH CENTR

This Hospital and college is Started in 2002 one growing

educational in the state. This college is affiliated to Rajiv Gandhi
University of Health Science.

To crown its endeavour the Sangha started Hanagal Sri

Kumareshwar Hospital 2000. Two years later Medical College
was started in old campus (in 2002).

The Hospital and the Medical College were shifted to new

campus is 2004 this campus is spread over an specious area of
114 acreas of land situated between the new (Navanagar) and
the old city of Bagalkot on hillock.

Hangal Shree Kumareshwar Hospital and Research centre is well

equipped with all ultra-modern high teach tertiary care hospital.

It provides specialist care in General Surgery, Burns Urology,

Peadiatric Surgery, Plastic Surgery, Cancer Surgery, Laparoscopic
Surgery, Surgical Gastroenterology General hospital, Cardiac care
and many more branches.
DEPARTMENT OF MEDICAL RECORDS FLOW OF IN-PATIENT
MEDICAL RECORDS

CENTRAL
WARD
ADMITTING OFFICE

DEFICIENCY CHECK
ACCESSION AND
ASSEMBLING

ADMISSION
INCOMPLETE
AND
RECORDS
DISCHARGE CONTROL
ANALYSIS

INDEXING CODING DISEASE

OPERATION OPERATIVE
DIAGNOSIS SURGEON
SURGEON

FILLING
 MEDICAL RECORDS DEPARTMENT: -
In Medical Records Department there is all types of record are
maintained in the department.
In Hospital MRD is divided into three parts.
1. OPD = 12 OPD counter is working
2. IPD = 3 IPD counter is working and 2 to 4 counters for Billing
and those who are not able to stand.
3. MRD: -
 General Cases: - General Case files are kept in
department only for 5 years remaining they will give
notification to the press then later they will destroy
as per administrative orders or guidance.
 MLC Cases: - MLC cases are kept for a life time.
 Death Cases: - Death cases are also kept for life time.

HIMIS: - This is a Key of Hospital to open hospital reports.

 RECEIVING: -
In this Medical Record Department, they kept only
complete records if the records are incomplete, they will send
back to the particular ward where the patient was taken a
treatment.

 ACCESSION: -
They are doing accession Mannual as well as
Computerized.

CONTENTS OF ACCESSION REGISTER: -

 Serial number
 IP number
 Patient name
 Age/sex
 Ward
  Entry date
 Diagnosis

 ICD CODING: -
In this hospital they are doing or using ICD-10
International Statistical Classification of Disease Related to
Health Problem. For procedural coding they are using ICD-9

 INDEXING:-
Here in this hospital they are doing three types of Indexing
1.Operative Indexing 2. Diagnostic Indexing 3. Physician
Indexing.

 FILLING:-
In this hospital they are doing filling according the
numerical system and department wise.
MLC and Death files they are kept separately.
They are making a bundle of 100 Case sheet according to
department and serial number system.
In Medical Record section for the filling, they are using
moveable racks. Because it is easy to move and to search the
files.

 STATISTICS:-
 Daily Average OPD = 2800
 Daily Average IPD = 185
 Daily Average Birth = 11 to 12
 Daily Average Death = 1 to 2
 MLC: -
They are maintained MLC Register and also maintained
data mannual and Computerized manner.

CONTENT OF MLC REGISTER: -

 Serial number
 IP number
 Patient name
 Age/sex
 Ward
 Diagnosis
 Name of treating doctor
 Signature of person who brought that person

In this hospital Average MLC case are 900 per months.

PHC (PRIMARY HEALTH CENTRE)
KALADAGI
 PHC (PRIMARY HEALTH CENTRE) KALADAGI

Primary Health Centre (PHC), sometimes referred to public

health centre are stated owned rural and urban health care
facilities in India. They are essentially single-physician clinics
usually with facilities for minor surgeries. They are part of
Government funded public health system in India and most
basic Unit of this system.
Suggestion of a PHC was Given by Bhore committee in 1946.

Primary Health Centre programmes are listed Below:

 Provision of Medical Care
 Maternal child health including family planning
 Safe water supply and Basic sanitation
 Prevention and control of locally endemic disease
 Education about health
 National health programmes
 Referral services
 Training of health guides
 Basic laboratory workers
 First PHC established in 1952
SUB-CENTER

PHC UHC
(PRIMARY HEALTH (UNIVERSAL HEALTH
CENTER) COVERAGE)

TALUK CHC
(COMMUNITY HEALTH
HOSPITAL CENTER)

DISTRICT
HOSPITAL

MEDICAL
COLLEGE
 In PHC there is 170 out-patient department daily.
 There is 15 to 20 In-patient department daily Females are more
because in PHC only More delivery is happened.
 In PHC all data is available Computerized. In PHC ANC delivery
and PNC delivery patient is routine Immunization.
 In PHC National Programme is going on ACF (Active Case Found).
 Lab Investigation all done like: -
 HB
 Urine
 HIV
 HBSAG
 6 Beds is available in PHC.
 8 to 10 Birth in a per months.
 Temperature 2-8 Celsius Freez. Icelan Refrigerator they keep all
types of vaccine immunization Covid-19 Vaccine is available.
 Deep Freeze ice-pack also available Temperature (-15 to 25).
 One Reception.
 Two Consultation Room.
 Pharmacy.
 Dressing Room.
 Injection.
 Six Beds LR.
 Laboratory.
 Meeting Hall.
 E.C.G Room.

CONCLUSION
The Medical Records in general should be compiled, preserved and
protected for the benefit of patient, hospital & Physician. The record
is not only documentation of care of patient but also growing data
base pf medical & scientific knowledge.

When properly maintained these records form an important source

of information to conduct epidemiological studies especially case
control study and retrospective cohort study. Electronic record
facilities are available then retrieval of information becomes still
easier.
THANK YOU