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SSSSOTN Medical Activities Report Form
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SSSSOTN Medical Activities Report Form
[]
1
Step 1
SSSOTN MEDICAL ACTIVITIES REPORT
Name of the Medical Seva Dal
(Reporter)
Contact number
of the reporting person
Email
of the reporting person
email
District
of the activity
Select the District
Chennai East Coast
Chennai North
Chennai North-West
Chennai South
Chennai South-East
Chennai West
Coimbatore
Cuddalore
DHARMAPURI
Dindigul
Erode
Kanchi North
Kanchi South
Kanyakumari
Karur
Madurai
Mayiladudurai
Nagai
Namakkal
Nilgiris
Puducherry
Salem
Sivaganga and Ramnad
Thanjavur
Theni
Thiruvannamalai
TIRUNELVELI
Tirupathur
Tirupur
Tiruvallur East
Tiruvallur West
Trichy
TUTICORIN
Vellore
VILLUPURAM
Virudhunagar
Date
of the activity
date_range
Venue
of the activity
Is this an adopted village
Yes
No
Is this a Tribal Village
Yes
No
Is this a SSSVIP Village
Yes
No
Type of Camp /
Activity
Select An Option
General Medical Camp
Comprehensive Medical Camp
Diabetic Camp
Cardiac Medical Camp
Cancer Screening
Eye Camp
Dental Camp
Mental Health Check up
Gynaec Special Camp
Paediatric Camp
Ortho Camp
ENT Camp
Homeopathy Camp
Siddha Camp
Ayurvedic Camp
Blood Donation Camp
Veterinary Camp
Virtual Consultation
Hrudaya Sangamam
Sai Kripa
Health Awareness camp (Preventive Care)
COVID Awareness Camp
COVID Vaccination Camp
SSS MOBILE MEDICAL CAMP
Other
No. of UG Doctors participated
Numeric please
No. of PG Doctors participated
Numeric Please
No. of Para Medical staff participated
Numeric Pls
No. of Sevadals participated
Numeric Please
No. of Beneficiaries
OP Patients
OP - Male
No. of Male patients
OP - Children
No. of Children patients
OP - Female
No. of Female patients
Special Tests / Treatments
Echo
ECG
No. of Male patients
Cataract Surgery
Cataract Screened for Male
Cataract Screened for Mahilas
Cataract Surgery done for Male
Cataract Surgery done for Mahilas
Free vision test done for school children Boys
Free vision test done for school children Girls
Free Spectacle issued:
Ultrasonogram
X-Ray
Blood Test
Blood donation Team From
Blood donors participated Male
Blood donors participated Mahilas
Blood Units collected from Male
Blood Units collected from Mahilas
Sai Protein distributed
mention in Kilogram
Free Medicine
distributed under Sai Dhanvanthri Project
Others
Please specify
Veterinary Camp
Veterinary Camp Team From
details
No. of Animals treated
details
SSSSSMH MOBILE MEDICAL CAMP
Dental cases
treated
Yoga Training given
Cancer Screening done
Papsmear done
Mammogram done
OTHER DETAILS
Approximate
cost for the camp
Date submitted
the report
date_range
Please upload photos
(with Dress code Scarf and banner)
cloud_upload
Upload
Comments
Feedback if any
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I submit this activity at the Lotus Feet of our Beloved Bhagawan
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