| 1 | 1 | Forms | Item1 | | |
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| 2 | 1.01 | Treatment sheet | Item2 | 104750 | Nos |
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| 3 | 1.02 | Blood Form | Item3 | 279000 | Nos |
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| 4 | 1.03 | X-ray Form | Item4 | 187350 | Nos |
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| 5 | 1.04 | Urine Form | Item5 | 33200 | Nos |
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| 6 | 1.05 | Temperature Chart | Item6 | 38000 | Nos |
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| 7 | 1.06 | I.P. Certificate | Item7 | 12000 | Nos |
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| 8 | 1.07 | Discharge Card | Item8 | 47200 | Nos |
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| 9 | 1.08 | Transfer Form | Item9 | 11250 | Nos |
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| 10 | 1.09 | OPD Ticket | Item10 | 25000 | Nos |
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| 11 | 1.1 | Admission Form | Item11 | 17000 | Nos |
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| 12 | 1.11 | Memorandum Form | Item12 | 6000 | Nos |
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| 13 | 1.12 | Bill Details List | Item13 | 6000 | Nos |
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| 14 | 1.13 | Permission letter | Item14 | 8000 | Nos |
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| 15 | 1.14 | Check List | Item15 | 4000 | Nos |
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| 16 | 1.15 | Reference Slip(1) | Item16 | 5000 | Nos |
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| 17 | 1.16 | Reference Slip(2) | Item17 | 5000 | Nos |
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| 18 | 1.17 | OT List | Item18 | 10600 | Nos |
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| 19 | 1.18 | File Flap | Item19 | 2000 | Nos |
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| 20 | 1.19 | Office File | Item20 | 2247 | Nos |
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| 21 | 1.2 | Blood Investigation Form | Item21 | 417050 | Nos |
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| 22 | 1.21 | Patient Counseling Form | Item22 | 3000 | Nos |
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| 23 | 1.22 | Blood Demand Form | Item23 | 2635 | Nos |
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| 24 | 1.23 | U.S.G. Gravid Uterus Form | Item24 | 10000 | Nos |
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| 25 | 1.24 | U.S.G.Pelvis | Item25 | 5000 | Nos |
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| 26 | 1.25 | U.S.G. Abdomen | Item26 | 11000 | Nos |
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| 27 | 1.26 | P.N.D.T. Form(Form-F1) | Item27 | 20000 | Nos |
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| 28 | 1.27 | U.S.G. KUB-P | Item28 | 3000 | Nos |
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| 29 | 1.28 | Ovulation Study Form | Item29 | 2000 | Nos |
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| 30 | 1.29 | X-ray Cover 14''X17'' | Item30 | 5000 | Nos |
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| 31 | 1.3 | X-ray Cover 12''X15'' | Item31 | 12000 | Nos |
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| 32 | 1.31 | X-ray Cover 10''X12'' | Item32 | 9000 | Nos |
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| 33 | 1.32 | X-ray Cover8''X10'' | Item33 | 8000 | Nos |
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| 34 | 1.33 | ECG Mount Paper | Item34 | 20000 | Nos |
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| 35 | 1.34 | Duty List | Item35 | 5000 | Nos |
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| 36 | 1.35 | Certificate for Payment | Item36 | 2000 | Nos |
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| 37 | 1.36 | Inspection Note | Item37 | 6000 | Nos |
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| 38 | 1.37 | Stool form(Discharge Certificate) | Item38 | 31000 | Nos |
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| 39 | 1.38 | Ward Diet sheet | Item39 | 2500 | Nos |
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| 40 | 1.39 | U.O. Note | Item40 | 4500 | Nos |
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| 41 | 1.4 | Adjustment Bill form | Item41 | 3000 | Nos |
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| 42 | 1.41 | Cheque list | Item42 | 5000 | Nos |
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| 43 | 1.42 | Certificate form | Item43 | 5000 | Nos |
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| 44 | 1.43 | T.R.-30 | Item44 | 5000 | Nos |
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| 45 | 1.44 | Brown Cover-5''X12'' with address | Item45 | 5000 | Nos |
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| 46 | 1.45 | T.R.-30 | Item46 | 2000 | Nos |
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| 47 | 1.46 | T.R.-22(Outer) | Item47 | 2000 | Nos |
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| 48 | 2 | Registers | Item48 | | |
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| 49 | 2.01 | Hospital Admission Book(400page) | Item49 | 2 | Nos |
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| 50 | 2.02 | Ward Admission Book(400page) | Item50 | 2 | Nos |
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| 51 | 2.03 | HIV Patient Register (200page) | Item51 | 5 | Nos |
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| 52 | 2.04 | Patient Register(200page) | Item52 | 4 | Nos |
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| 53 | 2.05 | Routine case Register(200page) | Item53 | 2 | Nos |
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| 54 | 2.06 | Antental Case visit Reg.(200page) | Item54 | 1 | Nos |
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| 55 | 2.07 | Attenndance Register(100page) | Item55 | 60 | Nos |
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| 56 | 2.08 | O.P.D. Register(400page) | Item56 | 7 | Nos |
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| 57 | 2.09 | Lab Report Register(400page) | Item57 | 5 | Nos |
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| 58 | 2.1 | Weekly Register(400page) | Item58 | 3 | Nos |
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| 59 | 2.11 | Daily Report Reg.(400page) | Item59 | 3 | Nos |
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| 60 | 2.12 | T.B. Register(400page) | Item60 | 3 | Nos |
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| 61 | 2.13 | Dots Register(CM-162)-200page | Item61 | 123 | Nos |
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| 62 | 2.14 | Stock Consumption Register (200page) | Item62 | 37 | Nos |
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| 63 | 2.15 | Indent Book(100X2 page) | Item63 | 107 | Nos |
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| 64 | 2.16 | Camp Register(200page) | Item64 | 3 | Nos |
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| 65 | 2.17 | Donor Registration Reg.(200page)BD-2 | Item65 | 2 | Nos |
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| 66 | 2.18 | Donor Deferral Reg.(200page)BD-5 | Item66 | 1 | Nos |
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| 67 | 2.19 | Blood Donor.Counseling Reg.(200page)BD-9 | Item67 | 2 | Nos |
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| 68 | 2.2 | Transfusion Trans. Ins. Reg.(200page)TTI-1 | Item68 | 2 | Nos |
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| 69 | 2.21 | Kit stock Reg.(200page)TTI-2 | Item69 | 2 | Nos |
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| 70 | 2.22 | Bio hazard waste Discard Reg.(200page) | Item70 | 2 | Nos |
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| 71 | 2.23 | Rapid and other Tesst Reg.(200page)TTI-5 | Item71 | 2 | Nos |
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| 72 | 2.24 | Patient Sample Receiving Reg.(200page)CM-3 | Item72 | 2 | Nos |
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| 73 | 2.25 | Patient Blood Grouping Reg.(200page)CM-4 | Item73 | 2 | Nos |
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| 74 | 2.26 | Donor cell Grouping Reg.(200page)CM-5 | Item74 | 2 | Nos |
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| 75 | 2.27 | Deonor serum Rouping Reg.(200page)CM-6 | Item75 | 2 | Nos |
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| 76 | 2.28 | Blood Compatibiliy & Issue Reg.(200page)CM-7 | Item76 | 2 | Nos |
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| 77 | 2.29 | Anti Human Globulin testing Reg.(200page)CM-8 | Item77 | 1 | Nos |
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| 78 | 2.3 | Daily whole Blood red Blood cell stock Reg.(200page)CM-9 | Item78 | 2 | Nos |
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| 79 | 2.31 | Master Register(200page)CM-10 | Item79 | 2 | Nos |
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| 80 | 2.32 | Daily charge Hand over Reg.(200page)GD-1 | Item80 | 1 | Nos |
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| 81 | 2.33 | Grievance Redressal Reg.(200page)GD-3 | Item81 | 1 | Nos |
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| 82 | 2.34 | Staff proficiency Reg.(200page)GD-8 | Item82 | 1 | Nos |
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| 83 | 2.35 | Teaching and training record(200page)GD-9 | Item83 | 1 | Nos |
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| 84 | 2.36 | Internal Audit non conformance(200page)GD-12 | Item84 | 1 | Nos |
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| 85 | 2.37 | Calibration and preventive Maintenance schedule(200page)GD-13 | Item85 | 1 | Nos |
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| 86 | 2.38 | Equipment break Down Reg.(200page)GD-14 | Item86 | 1 | Nos |
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| 87 | 2.39 | Thermo graph change reg.(200page)Gd-15 | Item87 | 1 | Nos |
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| 88 | 2.4 | Consumable stock Reg.(200page)GD-16 | Item88 | 1 | Nos |
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| 89 | 2.41 | Blood Bank External quality Assessment (200page)GD-17 | Item89 | 1 | Nos |
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| 90 | 2.42 | Inter laboratory Comparison For B.G.(200page) GD-18 | Item90 | 1 | Nos |
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| 91 | 2.43 | Error reporting Register(200page)GD-9 | Item91 | 1 | Nos |
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| 92 | 2.44 | Quality control Reg.(200page)GD-21 | Item92 | 1 | Nos |
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| 93 | 2.45 | Quality control of normal saline and distilled(200page)GD-22 | Item93 | 1 | Nos |
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| 94 | 2.46 | Cell counter control Register(100page) | Item94 | 1 | Nos |
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| 95 | 2.47 | Patient entry Reg.(400page) | Item95 | 8 | Nos |
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| 96 | 2.48 | Cell Counter Reg.(200page) | Item96 | 16 | Nos |
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| 97 | 2.49 | Urine Reg.(200page) | Item97 | 12 | Nos |
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| 98 | 2.5 | Inventory Reg.(100page) | Item98 | 1 | Nos |
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| 99 | 2.51 | Stock Reg.(Insturment Store)-300page | Item99 | 4 | Nos |
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| 100 | 2.52 | Impress cash Book-200page | Item100 | 2 | Nos |
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| 101 | 2.53 | S-32(200page) | Item101 | 6 | Nos |
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| 102 | 2.54 | T.R.-29(200page) | Item102 | 3 | Nos |
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| 103 | 2.55 | T.R.-4(CRI. Br.)-200page | Item103 | 2 | Nos |
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| 104 | 2.56 | ABC Register (Pay Bill Reg.)-200page | Item104 | 10 | Nos |
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| 105 | 2.57 | Branch Diary(S-31) -200page | Item105 | 14 | Nos |
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| 106 | 2.58 | Account No.-1(150page) | Item106 | 1 | Nos |
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| 107 | 2.59 | Account No.-2(150page) | Item107 | 3 | Nos |
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| 108 | 2.6 | Assistant Diary(S-229)-200page | Item108 | 36 | Nos |
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| 109 | 2.61 | Staff Yearly register for Staff Nurse(400Pages) | Item109 | 3 | Nos |
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| 110 | 2.62 | Staff Yearly Register for NO(200Pages) | Item110 | 6 | Nos |
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| 111 | 2.63 | Death Certificate Book(50X2 pages) | Item111 | 20 | Nos |
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| 112 | 2.64 | B.I.-1(50X2pages) | Item112 | 30 | Nos |
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| 113 | 2.65 | C-8 Form Book | Item113 | 50 | Nos |
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| 114 | 2.66 | Service Book | Item114 | 200 | Nos |
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| 115 | 2.67 | Intensive Care Unit (Discharge/Transfer Slip) | Item115 | 2000 | Nos |
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| 116 | 2.68 | Intensive Care Unit (Consent For Valuable) | Item116 | 2000 | Nos |
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| 117 | 2.69 | Intensive Care Unit (Procedure Consent) | Item117 | 2000 | Nos |
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| 118 | 2.7 | Intensive Care Unit (Doctor”s Notes & Prescription) | Item118 | 2000 | Nos |
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| 119 | 2.71 | Intensive Care Unit (Blood Investigation) | Item119 | 2000 | Nos |
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| 120 | 2.72 | Intensive Care Unit (Consent From For Transfusion Blood /Blood Products) | Item120 | 2000 | Nos |
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| 121 | 2.73 | Intensive Care Unit (Dama) | Item121 | 2000 | Nos |
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| 122 | 2.74 | Intensive Care Unit (Other investigation) | Item122 | 2000 | Nos |
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| 123 | 2.75 | Intensive Care Unit (I.C.U. Nursing Care Chart) | Item123 | 2000 | Nos |
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| 124 | 2.76 | Intensive Care Unit (Consent for Critical Condition) | Item124 | 2000 | Nos |
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| 125 | 2.77 | Laboratory Test Report Form Fro HCTC Confirnatory Facility | Item125 | 2000 | Nos |
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| 126 | 2.78 | Suraksha clinic Unique ID Number | Item126 | 2000 | Nos |
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| 127 | 2.79 | Medical Gas Cylinder Demand Details Indent Book (200 Page) | Item127 | 5 | Nos |
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| 128 | 2.8 | Misce form | Item128 | 5000 | Nos |
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