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Daily report Dated 04.02.

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Name of the Vigilance officer : A.G JACOB Designation & H.O D.V.O - Tirunelveli
Name Of hospitals visited KRISHNANURSING HOME,TIRUNELVELI
Information collected Information verified Details

Total number of beds in the


Date of Empanelment 23/10/2009 Hospital NO DETAILS
Beds allotted to scheme
Place of L.O SEPARATE ROOM PROVIDED Patients 14

Name of the L.O SUBRAMANIAN No of OP registrations on date 53

L.O Present/Absent PRESENT New Admissions on date 1


Telephonic approvals during
CUG no of L.O 9445020239 the month NIL
Follow up cases during the month
L.O on Weekly off/Leave NIL NIL
No of preauth sent on date
Status of computer PROVIDED . 53
Availablity of scanner, printer, Barcode reader No of preauth pending
& Web camera AVAILABLE NIL [7 REJECTED]
In patients in ward
Display of scheme board DISPLAYED (physical verification) 2
No of beds & patients in ICU
No.of Claims paid so far 33 2/NIL
No of patients in op
No of Claims Pending 2 NIL

Maintenance of records ADMISSION REGISTER VIG Report & Remarks BELOW

Irregularities noticed NIL

Action taken
Contacted inpatients Rajagopal and Lakshmi and they speak well about the treatment.Patient Rajagopal spent Rs.1200/- from his pocket and alleged that the am
time of discharge by the hospital authorities.According to my previous report the H.Qrs directed the hospital authorities to refund Rs.1800/- to patient Petchithai
under acknowledgement.The public appreciated the scheme.
Details of the field staff date of visit

DGM ___

DPO 02.02.2010

DC 02.02.2010

ADC _____

DVO/ZVO 2,5,23/1 & 4/2

DMO DAILY

Information from the patient REMARKS

No of patients interacted with 2


Quantity of treatment by the
patient opinion GOOD

Hyglene & saitation GOOD


Role of middle men in
admissions SELF
Amount paid to hospital
Advance/Admissions/Tests/
Medicines with bill NIL
Amount paid to hospital
without bill NIL
nd alleged that the amount will be settled during the
0/- to patient Petchithai and the same was refunded

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