Bids Are Invited For Design , Printing & Supply Of Various Hospital Forms & Registers At Aiims Bibinagar Total Quantity :
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Bids Are Invited For Design , Printing & Supply Of Various Hospital Forms & Registers At Aiims Bibinagar Total Quantity :; 1 Inpatient hospital registration & IPD consent and LAMA/DAMA form (front & Back) 2 Consent form for children and LAMA / DAMA form for children 3 Hospital referral form 4 Diet chart( in duplicate ) 5 Drug prescription (1+1,200 pages) 6 Blood sugar monitoring chart 7 Discharge summary (in duplicate) (50 set in pads) 8 Doctors progress notes 9 Informed Consent for medical surgical procedures 10 Drug prescription chart (50 set in pads) 11 Daily intake and output record 12 Investigation Chart(50 set in pads) 13 Nursing officer’s Notes 14 Department of Pediatrics admission case history 15 Vitals chart 16 Informed Consent form for surgery 17 OT List 18 Pre operative orders and pre operative checklist 19 Operative Notes 20 Eye Consultation(duplicate) 21 POP instructions(Plaster Instructions) 22 Ortho Admission Case record 9 pages (F&B) 50 sets in each pads 23 Surgery History 3 Pages (F&B) 100 sets in Each Pad 24 Instrument/MOP/Gauze Checklist (For OT) 25 Laboratory Service Report - Hematology, Department of Pathology 26 Laboratory Service Report - Clinical Pathology 27 Sample Collection Register -Pathology 28 Lab Register - Pathology 29 Lab Register - Urine clinical Pathology 30 Histopathology report - additional sheet 31 Consent forms for FNAC/Bone marrow 32 Cytology register 33 Histopathology register 34 Serology Report Form, Dept of Micro 35 Doctors Slip ( OP Sheet) 36 Clinical Pathology Investigation Request Form 37 Haematology Investigation Request Form 38 Requisition of X-Ray 39 Requisition of USG 40 Test Request Form Microbiology 41 Cytology requisitions Patho 42 Histopathology requisition forms Patho 43 Investigation requistion form - Dep of Biochemistry 44 IPD Admission/Discharge Register 45 PAP SMEAR (Cervical/ Vaginal Cytology) Request form 46 HIV Consent form and Informed Consent Form for HIV Test CFM 47 Glass prescription /Visual Acuity (Ophthal) 48 Request for Blood and Blood Components (Both Side) 49 Compatibility Report 50 Consent form for Blood Transfusion 51 Cross Match Register(Blood Storage Centre) 52 Donor Blood Group Register(Blood Storage Centre) 53 Test Requisition form Serology 54 Hospital Out Patients Registration for all OPD Clinics 55 Serology Register 56 IPD Lab Register 57 Bacteriology Register 58 IPD Laundry Register 59 OT Case Consumption Sheet (For OT) 2 Pages 60 Informed consent for Endotracheal Intubation(AICU) 61 Consent for Restraint (AICU) 62 Blood or Blood Product Transfusion Consent Form (AICU) 63 Consent for Invasive Vascular Access (AICU) 64 Stool Examination Report 65 Medical Certificate of Cause of Death Form No. 4 Ser No 001 to 100 (1+1+1)Pages 50 66 Medical Certificate of Cause of Death Form No. 4A Ser No 001 to 100 (1+1+1)Pages 50 67 Laboratory Report at HCTS screening facilities National Aids Control Organization 68 Tubectomy consent form(pages 12) (OBG) 69 Breast IPD Proforma (pages 4)(GS) 70 Thyroid Proforma (pages 4) (GS) 71 Inguinal Hernia Proforma (pages 4) (GS) 72 Hydrocele Proforma (pages 3) (GS) 73 Child Birth Details 74 Research Fund Register 75 MRD Dispatch Register 76 Case Sheet For Maternity Service (F& B) 77 Needle Stick Injury Recording Form 78 Spillage Incident Report 79 Stock Register 80 Essential Narcotic Drugs Utilization Register 81 Mother /Baby Identification Details 82 Monitoring Chart for Neonates in Postnantal Ward 83 Baby Admission Register (Landscape Format) 84 Anesthesia/NEONATAL Call For Emergency Services 85 Treatment Register 86 CSSD Register 87 Inventory Register -II 88 Emergency Patient Register 89 OT Case Register 90 Consent Form for minor Operative Procedures under Local Anaesthesia 91 OPD Procedure Register 92 Inventory Register- I 93 WHO 2006 and IAP 2015 Combined Girls Charts 0-18 Years-front And back 94 WHO 2006 and IAP 2015 Combined Boys Charts 0-18 Years -front And back 95 Leave application -Nursing Officer 96 Heamodialysis Chart - Front & back 97 Consent for heamodialysis - Front & back 98 Heamodialysis patient Details - Front & back 99 Investigation Chart heamodialysis - Front & back 100 Renal Clinics File 101 Renal Clinics Follow Up 102 Dialysis new Case Register 103 Vascular Access register 104 Dialysis patient record Register 105 Headache Diary 106 Lending Register 107 Borrowing Register 108 Dentistry OPD Card 109 Lending & Borrowing Register 110 Laundry register 111 Census Register 112 Laundry Register 113 High Risk Consent Form 114 Videography/Photography Consent 115 Newborn Birth Preforma 116 CSSD Receiving & Dispatching Register (Portrait Split) 117 CSSD Documentation Sheet (landscape Format) 118 Laboratory Service Report - Coagulation Profile 119 Fluid Cell Count and Clinical Pathology report 120 Laboratory Services Report - Hematology(blank) 121 Problem Sheet 122 MRI Requisition and Informed Consent Form 123 Birth Legal Information 124 Lab Bill Slip 125 Plain OPD Registration Sheet 126 Equipment Log Book 127 Leave application HOD /faculty/DOCTORS CL& RH 128 OUT PATIENT REGISTER 129 ATTendance registeR 130 Inward Register 131 Outward Register 132 ATTENDANCE REGISTER NURSING SERVICES 133 LEAVE REGISTER CL/RH 134 LEAVE REGISTER CL/RH 135 LEAVE REGISTER CL/RH 136 SERVICE LEAVE REGISTER 137 SERVICE LEAVE REGISTER 138 SERVICE LEAVE REGISTER 139 DISPATCH LEAVE REGISTER 140 DISPATCH RERGISTER FOR OFFICIAL CORRESPONDENCE 141 DIF Sample Receiving register 142 DIF Reporting register 143 IF Sample Receiving register 144 IFReporting register 145 Renal Biopsy Reporting register 146 MONITORING CHART 147 Admission case reord (4 pages/100) 148 LAB REGISTER 149 `Report book(register) 150 LAUNDRY REGISTER 151 Shift Out Register 152 Transfer out Register 153 Crash cart Inventory Register 154 Fridge Inventory Register 155 VRDL Requisition Form 156 EVAcuation register 157 Doctors Slip ( OP Sheet) 158 Cash book Ser no--- to-- 159 Medical Certificate 160 Fitness Certificate 161 Death Legal InFORMATION 162 MINOR OT REGISTER 163 MAJOR OT 164 BREAST CLINIC REGISTER 165 OT PLAN Register 166 Normal 300 pages Register (BIG) 167 Procedure register 168 Normal 200 pages Register (MEDIUM) 169 CIV FORMS 170 Monthly Census forms 171 AUDIOLOGY Procedure Register 172 Daily Inventory Register 173 Minor procedure consent 174 Immunization clinic register 175 NCD Clinic register 176 ORTHOPAEDICS PROCEDURE ROOM REGISTER 177 Biochemistry investigation Report form(Routine) 178 Biochemistry investigation Report form(Special) 179 Biochemistry investigation Register 180 Quality Control Violation Record register 181 OUTSOURCING LEAVE FORM 182 Referral register 183 Leave applicatioN form for EARNED/MEDICAL Lerave for SR/JR 184 ATTENDANCE REGISTER faculty 185 ATTENDANCE REGISTER Students 186 consent for Cataract 187 consent for Ptergyium 188 consent for FFA 189 Consent for Intra vitreal injection 190 consent for incision,excision & curettage 191 Consent for dacro cystectomy 192 Consent for dacro cystorhinostomy 193 Pulmonary Function Test (PFT) Register 194 Autonomic Function Test (PFT) Register 195 Molecular biology 196 Fungal culture report form 197 Mantoux Tuberculin skin test form 198 Patient feeedback and complaint form for lab services 199 ATCC Strains register 200 Autoclave record 201 Critical alert register 202 Equipment break down register 203 IQC Register 204 LOT TO LOT VEREFICATION REGISTER 205 Media preparation register 206 Sample Discarding 207 Sample integrity register 208 Stock & Issue register 209 TEST REPEAT REGISTER 210 Sample rejection register 211 Report dispatch register 212 Stock register for Diagnostic kits and reagents 213 Patient blood grouping register 214 Sample receiving register for blood components 215 Sample receiving register for investigations 216 Immunohematology register 217 Compatibility Report 218 BLOOD/BLOOD component issue slip form 219 informed consent for USG guided kidney Biopsy 220 Renal biopsy form post biopsy instructions 221 vaccination card for renal patient 222 TREATMENT DETAILS 223 PLASMA EXCHANGE PROTOCAL 224 Informed consent for plasma 225 therapeutic plasma 226 Heamodialysis notes 227 Daily defibrillator checklist 228 heamodialysis consumption sheet 229 Dialysis maCHINE DISINFECTION LOG SHEET 230 Portable RO checklist 231 Water treatment system daily monitoring register 232 Inpatient department lab register 233 Costly medicine register 234 Assignment register 235 admission register(Long admission) 236 IPD Consultation register 237 Case Performa 238 asthma diagnostic criteria 239 Asthma followup >06 year 240 admission-discharge register 241 LAB REGISTER 242 OUTWARD REGISTER-Department of Pediatrics 243 INWARD REGISTER-Department of Pediatrics 244 Transfer out register 245 PICU ROUNDS REGISTER 246 CONSUMPTION REGISTER 247 TEAM Leader handover register 248 assignment register 249 Oxygen support register 250 Procedure register 251 Transfusion register 252 High cost value drug Utilisation 253 Drug stock register 254 Consumable stock register 255 Non-Consumable stock register 256 pharmacy expiry register 257 Admission case record 258 PICU MONITORING Chart 259 PICU TRANSFER OUT SUMMARY 260 Triage classification form 261 MCL-VDRL AIIMS BIBINAGAR 262 Requistion form for Blood or Blood Products 263 Transfer out register 264 Manifold register 265 phototherapy register 266 ROP REGISTER 267 ECHO Register 268 MRD Register 269 Ventilators/CPAP register 270 Birth Register (LSCS) 271 Fumigation Register 272 Latch Score register 273 Human milk consumption register 274 Assignment register 275 admission-discharge register 276 report register 277 Drug consumtion register 278 Death register 279 Equipment Register 280 Drugs expiry register 281 ROP SHEET 282 Donor Breast Milk recipient consent form 283 Neonatology birth performa- 50 set/pads 284 Neonatology ICU master chart 285 Daily summary sheet 286 International postnatal growth standards for preterm infants head circumference (Boys) 287 International postnatal growth standards for preterm infants head circumference (girls) 288 International postnatal growth standards for preterm infants Length (Boys) 289 International postnatal growth standards for preterm infants Length (Girls) 290 International postnatal growth standards for preterm infants Weight (Boys) 291 International postnatal growth standards for preterm infants Weight (Girls) 292 Who charts head Circumference for Age (Boys) 293 Who charts head Circumference for Age (girls) 294 Who charts Length for Age (Boys) 295 Who charts Lengthfor Age (girls) 296 Who charts Weight for Age (Boys) 297 Who charts Weight for Age (Girls) 298 Denver Developmental scale charts 299 NICU Montoring Chart 300 specialty clinic register (200pages) 301 Normal 200 pages Register 302 PNDC PROFORMA ( 04 SHEETS,8 PAGES) 303 Denver II Devlpment milestones 304 Special clinics common sheet 305 Pediatrics Investigation chart (1 sheet) 306 Normal 100 pages Register (SMALL) 307 Equipment maintenance register 308 Expiry Register 309 Departure report 310 Academic leave form 311 joining report 312 Report for Conference 313 MEDICAL REIMBURSEMENT FORMS 314 NARCOTIC DRUG HANDLING OVER REGISTER 315 ABG SAMPLE PROCESSING REGISTER 316 DAILY PATIENT REPORT REGISTER 317 Patient Transfer out register 318 Handover register 319 Anesthesia Booklet (Pre Anaesthetic checkup(2 pages),Anaesthesia Consent( 2 pages),Pre procedure or surgery checklist(4 pages) 320 Equipment Log Book 321 Instrument/MOP/Gauze Checklist-Ophthalmology OT) 322 Pre-procedure or surgery checklist 323 CONSENT FOR Intavenous thrombolysis (Telgu& English) 324 Consent for Diagnostic lumbar puncture 325 ECG Register 326 Assessment Scale for MDS-UPDRS-III 327 National Institute of health stroke scale(NIHSS) 328 Montreal Cognitive Assessment (MOCA) Telgu 329 Consent for Botulinum Toxin Injection 330 Movement Disorder Clinic AIIMS BIBINAGAR(HMR) 331 Movement Disorder Clinic AIIMS BIBINAGAR(HMR) Follow up note 332 Neurology Lab Requistion form 333 CENTRAL LIBRARY 334 CENTRAL LIBRARY ACCESSION REGISTER 335 Report of USG - Blank page for Ancillary reports 336 Form-F( 4 pages back to back in 2 sheets 337 Venous Doppler for Lower Limbs 338 USG Antenatal - first trimester 339 Targeted imaging for fetal anomalies TIFFA 340 Follicular 341 USG thyroid 342 USG Imagine scrotal 343 MRI Appointment Details slips 344 Ultra sound scan report for B scan 345 Post Intervention notes 346 Neuro sono gram 347 Growth scan 348 Sprit register 349 SAMPLE/SUPPLY SAMPLE VERIFICATIO/INSPECTION 350 STOCK REGISTER OF FIXED ASSETS /NON CONSUMABLE ITEM 351 EL/HPL Maternity Leave Application of Nursing Officers 352 Rejoining Letter after availing EL/HPL/Maternity Leave/CCL/PL 353 Departure Letter before availing EL/HPL/Maternity Leave/CCL/PL 354 All printing shall be in black text colour, and the cover shall be printed in two colours. 355 The font size, type, and formatting shall be strictly as per the specimen attached 356 The successful bidder (L1) shall submit an editable soft copy of the document for proofreading and/or printing 357 If the vendor fails to adhere to the prescribed format, or if any deficiency is found in the quality of paper, cover, printing, or layout, the Institute reserves the right to impose a penalty as deemed appropriate 358 The overall designing, formatting, printing, and binding shall not be below the standards and quality of the samples provided to the vendor. 359 The paper colour shall be clearly mentioned in the specification document description 360 The successful L1 bidder shall supply all printing forms and registers in a single lot. 361 The bidder shall submit Bidder Past Performance documents,Compliance to the BoQ/Technical Specification documentDatasheets of the offered productsAll required documents, duly signed and stamped 362 Considering the trilingual content including the local language, specimen submission, and other factors, the vendor participating in the bid must be located within 100 KM of AIIMS Bibinagar. Proof of the same shall be furnished 363 The bidder must possess demonstrated expertise in printing in Telugu, Hindi, and English 364 The supplier shall submit two (02) printed hardcopy samples within 20 days of issuance of the supply order. These samples will be proofread by AIIMS Bibinagar, 365 The final supply shall be completed within 120 days from the date of issue of the contract order
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