Dr. T Manjubairavi was posted at the Kumarapalayam Rural Health Training Centre from December 16, 2022 to January 15, 2023. During this time, two assistant professors, Dr. S. Pravinraj and Dr. M. Mercy, were also posted there. The RHTC provides outpatient services, minor procedures, laboratory investigations, specialty clinics, field activities including health education, and academic activities for students. A total of 538 outpatients were seen in December 2022 and 473 in January 2023. Common cases included respiratory, musculoskeletal, and circulatory diseases. Cases were also referred to SLIMS as needed.

1. SRI LAKSHMI NARAYANA
INSTITUTE OF MEDICAL SCIENCES
Kumarapalayam, rural health centre posting
Dr.T Manjubairavi, 1st year postgraduate
Posted from December 16, 2022 – January 15, 2023

2. Kumarapalayam RHTC

3. Kumarapalayam RHTC area map

4. Assistant professors posted in RHTC
• Dr. S. Pravinraj, Assistant professor in the department of
community medicine, posted at the rural health training
centre kumarapalayam from December 16, 2022 to
December 31, 2023.
• Dr. M. Mercy, Assistant professor in the department of
community medicine, posted at the rural health training
centre kumarapalayam from January 1, 2023 to january 15,
2023.

5. Registers List
• OPD register
• LAB register
• Referral register
• Speciality register
• Drug register

6. Distribution of outpatients based on ICD 11
S.NO Classification ICD
Code
December
2022
January
2023
1 Infectious and parasitic diseases A00-B99 27 20
2 Neoplasms C00-D48 2 0
3 Diseases of Blood and blood forming
organs
D50-D89 29 17
4 Endocrine, nutritional and metabolic
diseases
E00-E90 27 23
5 Mental and behavioral disorders F00-F99 0 1
6 Diseases of the nervous system G00-G99 6 3
7 Diseases of the eye and adnexa H00-H59 17 28

7. Table 1: opd distribution continued…
S NO classification ICD code December
2022
January 2023
8 Diseases of the ear and mastoid
process
H60-H95 10 3
9 Diseases of the circulatory system I00-I99 46 45
10 Diseases of the respiratory system J00-J99 96 97
11 Diseases of the digestive system K00-K93 45 30
12 Diseases of the skin and subcutaneous
tissue
L00-L99 34 29
13 Diseases of musculoskeletal system
and connective tissue
M00-M99 70 50
14 Diseases of genitourinary system N00-N99 18 18

8. Table 1: OPD distribution continued…
S NO classification ICD
code
December 2022 January 2023
15 Pregnancy, childbirth and
puerperium
O00-
O99
7 17
16 Conditions originating in perinatal
period
P00-P96 0 0
17 Congenital malformations and
deformations
Q00-
Q99
0 0
18 Abnormal findings not else were
classified
R00-R99 34 34
19 Injury, poisoning and other external
causes
S00-T98 70 58

9. Table 1: OPD distribution continued…
S NO classification ICD
code
December 2022 January 2023
20 External causes of morbidity and
mortality
V01-
Y98
0 0
21 Risk factors and contact with health
services
Z00-Z99 0 0
TOTAL 538 473
Average patients per day 41 43

10. Out patient department

11. TABLE 2: Minor procedures
S.NO procedure December 2022 January 2023
1 dressings 74 61
2 Suture removals 1 0
3 injections 80 56
4 nebulization 10 9
5 Intravenous fluids 0 0
6 suturing 0 0
7 miscellaneous 0 0
TOTAL 165 126

12. Minor procedures continued…

13. Registration and pharmacy

14. Laboratory
• Instruments available:
• Microscopy
• Centrifuge
• Sahli haemoglobinometer
• Glucometer
• Urine dipstick for ketone, albumin and glucose

15. Laboratory continued…
• Investigations and methods done in RHTC :
Fasting and postprandial blood sugar-
Random blood sugar
Capillary blood glucose
Urine routine and microscopy
Hemoglobin - visual method/ colour comparison method
Blood grouping and rh typing

16. Laboratory continued…

17. Speciality clinic

18. Table 3: Referred cases
S.NO Department December
2022
January 2023 Place of
referral
1 General medicine 22 18 SLIMS
2 General surgery 12 4 SLIMS
3 OBG 10 11 SLIMS
4 pediatrics 2 3 SLIMS
5 orthopedics 6 2 SLIMS
6 ENT 3 4 SLIMS
7 Ophthalmology 5 3 SLIMS

19. Table 3: Referred cases CONTINUED…
S.NO Department December
2022
January 2023 Place of
referral
8 psychiatry 1 1 SLIMS
9 dermatology 6 5 SLIMS
10 dental 3 6 SLIMS

20. Field activity
• Health education given to mothers and under five age groups of
kumarapalayam area regarding
1. Hand washing
2. Immunisation
3. Breast feeding benefits
4.Contraception

21. Field activity Continued…

22. Field activity continued…

23. Field activity continued…
• Visited anganwadi centre at kumarapalayam.

24. FIELD ACTIVITY CONTINUED…
• Benefits providing to beneficiaries are take home ration and
Cooked hot meals.
• List of beneficiaries:

25. Academic activity
• Presentation done by CRRI Posted in rhtc:
• Pyrexia of unknown origin
• Under five
• Immunisation, anganwadi centres and contraception
• Drugs in phc with dosing
• Polio vaccines