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FORM NO. 3C
[See rule 6F(3)]
Form of daily case register
[TO BE MAINTAINED BY PRACTITIONERS OF ANY SYSTEM OF MEDICINE, I.E., PHYSICIANS, SURGEONS, DENTISTS, PATHOLOGISTS, RADIOLOGISTS, VAIDS, HAKIMS, ETC.]
 


Date

Sl. No.

Patient's name

Nature of professional services rendered, i.e., general consultation, surgery, injection, visit, etc.

Fees received

Date of receipt

(1)

(2)

(3)

(4)

(5)

(6)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



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