Printable daily register

Print, fill by hand, photograph — the intake AI reads this layout (and the real registers it mimics)

ଦୈନିକ ଓପିଡି ପଞ୍ଜିକା / Daily OPD Register

Facility (କେନ୍ଦ୍ର): ________________________    Block: ________________    Date (ତାରିଖ): ____ / ____ / ________

Category / ବର୍ଗCount / ସଂଖ୍ୟା
Total OPD footfall / ମୋଟ ରୋଗୀ
Fever (febrile illness)
Fever with rash
Acute diarrhoeal disease
Acute respiratory infection
Acute jaundice
Snakebite
ANC / maternal visits
Injury / trauma
Beds occupied / ଶଯ୍ୟା ଭର୍ତ୍ତି

Medicine stock / ଔଷଧ ଷ୍ଟକ

Medicine / ଔଷଧOn hand / ଉପଲବ୍ଧEarliest expiry / ମିଆଦ
Paracetamol 500 mg (tab)
ORS sachet (WHO) (sachet)
Zinc sulphate 20 mg (tab)
Amoxicillin 500 mg (cap)
Azithromycin 500 mg (tab)
Artemether-Lumefantrine course (ACT) (course)
Malaria RDT kit (test)
IV Normal Saline 500 ml (bottle)
Doxycycline 100 mg (cap)
Iron folic acid (IFA) (tab)

Notes / ଟିପ୍ପଣୀ: ____________________________________________________________

Signature (ଦସ୍ତଖତ): ____________________    Designation: ____________________