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) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|