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Department of Health
Bureau of Licensing and Regulation
Manila
STATISTICAL REPORT
General Information:
Medicine ______5_____
Pediatrics ______2_____
Surgery: a Pediatrics ______1_____
b. Adult _____________
Obstetrics _____________
Gynecology _____________
(Newborn) _____________
Orthopedics _____________
TOTAL _______8_____
4. Out-patient Service:
4.1 Number of out-patient attended:
TOTAL: _______450______
Medicines _______312_____
Pediatrics _______125_____
Surgery ________13_____
Obstetrics _______________
Gynecology _______________
EENT _______________
Dental _______________
Family Planning _______________
TOTAL:____450_
4.3.2 Ten leading causes of Consultation:
1 Cough _________76________
2. Fever _________72________
3. Cough & Fever _________67________
4. Epigastric Pain _________21________
5. LBM _________16________
6. Lacerated Wound _________13________
7. Head Ache _________12________
8. Abdominal Pain _________10________
9. Dizziness _________09________
10. Vomiting _________7_________
5 Other Service rendered
ACTIVITIES In-patients Out-patients TOTAL
RADIOLOGY:
X-ray (chest, abdomen, bones, etc.) __________ ___________ ________
Special Radiological Procedures __________ ___________ ________
(Ultrasound, CT scan, etc.)
LABORATORY EXAMINATIONS:
6. Training Activity
6.1 Staff Development YES NO
6.1.1 within Hospital _____ _____
6.1.2 outside Hospital _____ _____
6.2 Residency Training _____ _____
6.3 Other (Specify) _____ _____
7. Cost of Operation and Maintenance:
7.1 Total Budget 200,000.00 _____
7.2 Total Income 200,000.00 _____
7.3 Total Expenditures 185,000.00 _____
8. Personal Compliment
Personnel Required No. Actual No. Contractual/Casual
Prepared By.