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Rntcp Request Form for Examination of Biological Specimen for Tb

Rntcp Request Form for Examination of Biological Specimen for Tb

Use a request form tb 0 template to make your document workflow more streamlined.

Migrant Refugee  Urban slum Health-care worker Other(specify) ______ Name and Type of referring facility (PHI/DMC/TU/ DTC/ICTC/ART/Medical College/DR-TB Centre/Private Others, specify): __________________________ CDL NIKSHAY ID: _ _ - _ _ _ - _ - C - _ _- _ _ _ _ _ RNTCP TB Reg No. __________________ Or Health Establishment ID (NIKSHAY): _ _ _ _ State: _____________________ ☐ Not Applicable District:_______________ Tuberculosis Unit (TU): _________________ Reason for...
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