1. The document outlines various types of forms and documents used for medical record keeping, including patient information forms, lab reports, bills, and prescriptions. 2. Key information to include on patient information forms is contact details, medical history, insurance details, and consent for treatment. Lab reports should document test results and dates sampled. 3. Bills and prescriptions require details of procedures, medications, costs, and providers or pharmacies involved in treatment. All records must be clearly and accurately completed and maintained.

1. Irjn `h³ {]hÀ¯w F§s sa¨s¸Sp¯mw

2. 1. Imcymebhpw Poh¡mcpw
2. cPnÌdpIÄ
3. ^bepIÄ
4. tÌm¡pw tÌmdpw

3. 1. Imcymebhpw Poh¡mcpw
• 1.hr¯nbpw shSn¸pw
• 2. IrXy njvT
• 3. Poh¡mcpsS s]cpamäw
• 4. Poh¡mcpsS sFIyw
• 5. ^bepIfptSbpw cPnÌdpIfptSbpw kq£n¸v
• Bib hnnabw

4. 2. cPnÌdpIÄ
• 1. lmPÀ]«nI
XmfpIfpsS km£y ]{Xw
XkvXnI {Ia¯n FgpXWw
CnjyÂ, t{KUv, {]thin¨ Xn¿Xn, D¯chv F¶nh
tcJs¸Sp¯Ww

5. 2.aqhv saâv cPnÌÀ
• Xn¿Xn, t]cpw XkvXnIbpw, ]pds¸Sp¶ Øew, F¯ntNtc Øew,
]pds¸Sp¶ kabw, Xncns¨¯m³ km[yXbpÅ kabw, bm{XbpsS
BhiyIX, Npcps¡m¸v F¶nh IrXyambn tcJs¸Sp¯Ww.
• bm{X Ignªp Xncns¨¯nbmÂXncn¨¯nb kabhpw Npcps¡m¸pw
tcJs¸Sp¯Ww.

6. 3.kvIow cPnÌÀ
• ]²XnbpsSt]cv
• AphZn¨ SmÀPäv, ssIhcn¨ t«w,
• KpWt`màm¡fpsS hnhc§Ä (t]cpwhnemkhpw, hmÀUp ¼À,
hntÃPv, hnkvXoÀ®w, t^m¬ ¼À, PdÂ, FÊv kn, FÊv Sn ),
k_vknUn XpI AphZn¨Xntâbpw hnXcWwS¯nbXntâbpw
hnhc§Ä

7. 4.Imjv _p¡v
• FÃmwZnhkhpwA©p aWnbv¡p ap¼mbn A¶s¯ hchpIfpw
NnehpIfpw tcJs¸Sp¯n _m¡nbpÅ kwJybptSbpw sN¡v/ UnUn
F¶nhbptSbpw kw{Klw FgpXn kq£n¡Ww

8. 5. AIznä³kv cPnÌÀ
• _n ¼À, t{Kmkv XpI, säv XpI, XpI e`n¨ Xn¿Xn, GXn¯nepÅ
XpI F¶nh kw_Ôn¨pÅ hnhc§Ä
• Poh¡mcsâ t]cv, XkvXnI, t{KUv, hn`mKw F¶nh.
• A¿mbnc¯np apIfnepÅFÃmkwJyIfnepw dhyp Ìm¼p ]Xn¨p
H¸p tcJs¸Sp¯Ww.

9. 6.tÌm¡p cPnÌÀ
1. tÌm¡pcPnÌÀ
2. Sn. BÀ 5 tÌm¡p cPnÌÀ
3. ^À®n¨ÀtÌm¡p cPnÌÀ
4. CeIvt{SmWnIvkv tÌm¡p cPnÌÀ
5. tÌjdn tÌm¡p cPnÌÀ

10. tÌm¡p cPnÌÀ
• Irjn `hnÂhcp¶FÃmhn[ SoÂhkvXp¡Ä, hn¯pIÄ, hfw, ^À®n¨dpIÄ, CeIvt{SmWnIvkv
km[§ÄXpS§nbhsbÃmwCu cPnÌdnÂscJs¸Sp¯Ww. ^À®n¨dpIÄ, CeIvt{SmWnIvkv km[§Ä
F¶nhtcJs¸Sp¯nb tijw AXmXvtÌm¡vcPnÌdpIfnte¡v amäWw.
• Hmtcmkm[¯npwHmtcmt]Pv hoXwD]tbmKnt¡Xpwkm[§Äe`n¡p¶apdbv¡v Xn¿Xn
{]ImcwtcJs¸Spt¯XpamWv.
• e`n¨ Xn¿Xn, Bcn n¶pwe`n¨p/hm§n, hne, F®w, I¼n, t{SUv amÀ¡v, ]²Xn, D¯chp¼À
F¶nhkw_Ôn¨ hniZambhnhc§Ä
• hnev]S¯nbhnhc§Ä ( UnUnw, Ab¨Xn¿Xn ) ssIamäwS¯nbhnhc§Ä( cPnÌdnsâ t]cpwt]Pp
¼dpw)
• kuPyssIamä _n kw_Ôn¨hnhc§Ä

11. Sn. BÀ 5 tÌm¡p cPnÌÀ
• e`n¨ Xn¿Xn, BcnÂn¶pw e`n¨p, _p¡pIfpsS F®w, _p¡pIfpsS ¼À,
D]tbmKiqyamb t]PpIÄ, D]tbmK¯nmbn FSp¯ _p¡pIÄ F¶nh
kw_Ôn¨ hnhc§ÄtcJs¸Sp¯Ww

12. ^À®n¨À tÌm¡p cPnÌÀ
• e`n¨ Xn¿Xn, Bcn n¶pw e`n¨p/ hm§n, hne, F®w, hep¸w,
D]tbmKn¡p¶Xv, D]tbmK iqyambXv, nÀamW¯np]tbmKn¨
hkvXp¡Ä F¶nh kw_Ôn¨ hnhc§Ä

13. CeIvt{SmWnIvkv tÌm¡p cPnÌÀ
• e`n¨ Xn¿Xn, Bcn n¶pw e`n¨p/ hm§n, hne, F®w, hep¸w, I¼n,
t{SUv amÀ¡v, kocnb ¼À, D]tbmKn¡p¶Xv, D]tbmK
iqyambXv, Kymcân F¶nh kw_Ôn¨ hnhc§Ä

14. tÌjWdn tÌm¡p cPnÌÀ

15. 7. skIyqcnän cPnÌÀ
• sN¡v/ UnUn/kz´wsN¡v, skIyqcnän sN¡v XpS§nb ]WaÃm¯
FÃmwhn`mKw km[§fpw Cu cPnÌdn tcJs¸Sp¯n kq£n¡Ww.
• {Ia w. ( km¼¯nI hÀjw), e`n¨ Xn¿Xn, Bcn n¶pw e`n¨p, XpI,
¼À, ]²Xn, sImSpt¡ Øm]w/ hyàn, hnXcWwsNbvX Xn¿Xn
F¶nh tcJs¸Sp¯Ww.