kq[;ea=h cky e/kqesg lqj{kk ;kstuk · Web viewe/kqesg jksx 2 izdkj ds gksrs gSa] Vkbi 1 ¼iw.kZr%...

*** Ekq[;ea=h cky e/kqesg

lqj{kk ;kstuk ***

1- i`"BHkwfe% &

1-1 e/kqesg jksx 2 izdkj ds gksrs gSa] Vkbi 1 ¼iw.kZr% balqfyu ij vk/kkfjr½ ,oa Vkbi 2A iwjs ns'k esa yxHkx 12 ls 15 izfr'kr yksx e/kqesg ls ihfM+r gS] bl vuqeku ls NRrhlx<+ jkT; esa Hkh 2011 dh tula[;k ds eku ls yxHkx 20 yk[k ls vf/kd O;fDr e/kqesg ls ihfM+r gksaxs rFkk buesa ls balqfyu ij vkfJr jgus okys 20]000 ejht vuqekfur gksaxsA

1-2 Vkbi 1 e/kqesg ds ejht ftlesa balqfyu ij fuHkZj cky jksfx;ksa dh la[;k yxHkx ,d izfr'kr vFkZkr jkT; esa yxHkx 2 gtkj ejht vuqekfur gS vFkok blls Hkh vf/kdA Vkbi 1 dh leL;k dks cky e/kqesg ¼Juvenile Diabetes ½ Hkh dgk tkrk gSA abalqfyu ij vkfJr e/kqesg ,d lkoZtfud LokLF; leL;k ds :i esa mHkj jgh gS ,oa mipkj dk O;; Hkh vkfFkZd :Ik ls detksj ifjokjksa esa c<+ jgk gSaA

1-3 ifjokjksa esa e/kqesg lacaf/kr tfVyrk e/kqesg ls ihfM+r cPps tks tUe vFkok cky voLFkk ls gh balqfyu ij vkfJr gSa mUgas balqfyu dk batsD'ku izfrfnu ysuk iM+rk gSa ns'k@izns'k ds dbZ fpfdRlky;ksa esa chekj cPpksa dh fu;fer :i ls jDr ,oa is'kkc esa 'kDdj dh ek=k dk ewY;kadu ugha gksus ls rFkk ekrk firk esa bl chekjh dh vKkurk ls funku ls igys gh balqfyu ij vkfJr jksfx;ksa dh vkdfLed e`R;q gks jgh gS vr% yksxksa esa balqfyu vkfJr e/kqesg

1


lqj{kk ;kstuk ***

gsrq tkx:drk ,oa izf'k{k.k laCka/kh dk;kZsa dks izksRlkgu nsuk vko’;d gSA

vr% ,sls cPpksa dh lgk;rk@bykt ds fy;s ^^eq[;ea=h cky e/kqesg lqj{kk ;kstuk** cukbZ xbZ gSaA

2- ;kstuk dk mn~ns';&2-1 Vkbi 1 e/kqesg ls xzflr cPpksa dh Rofjr tkap ls

igpkuA2-2 e/kqesg ls xzflr cPpksa dks fu’kqYd balqfyu miyC/k

djkukA2-3 lHkh Vkbi 1 e/kqesg ls xzflr cPpksa esa vkjksX; nj

izkIr djukA 2-4 Vkbi 1 e/kqesg ls xzflr cPpksa dh [kkst nj esa o`f)

djukA2-5 LoLFk thou 'kSyh dsanz }kjk jksfx;ksa mfpr

lgk;rk ,oa ijke'kZ iznku djukA2-6 e/kqesg ls lacaf/kr tfVyrkvksa dks jksdukA2-7 fpfdRldksa }kjk fu;fer tkap lqfuf'pr djukA2-8 ifjokj ds lnL;ksa dks Vkbi 1 e/kqesg ,oa balqfyu

batsD’ku ysus dh izfdz;k ij izf'k{k.k iznku djukA3- ;kstuk ds fgrxzkgh %&

eq[;ea=h cky e/kqesg ;kstuk dk ykHk jkT; ds lHkh balqfyu ij vkfJr cPpksa dks iw.kZ mipkj gsrq fn;k tkosxk&

3-1 0 ls 14 o"kZ ds Vkbi 1 e/kqesg jksxh & uohu iath;u 3-2 21 lky rd iathd`r jksxh dks fu%’kqYd balqfyu

2


lqj{kk ;kstuk ***

uksV%& 21 lky ls Åij ds bUlqfyu ij vkfJr ejht dks fu%’kqYd bUlqfyu izkIr djus gsrq jkT; esa lapkfyr Qzh&Mªx ikWfylh ¼fu%’kqYd nok½ ds rgr~ ’kkldh; vLirky ls izkIr gks ik;sxkA

4- fgrxzkgh;ksa dks iznk; dh tkus okyh lkexzh %

balqfyu ds izdkj

vuqekfur ek=k izfro"kZ izfr

jksxhfjekdZ

jSisM,DVhax balqfyu 30 dkVZfjt

vuqekfur uohu jksxh 2000

izfro"kZ

ykWUx,DVhax balqfyu 30 dkVZfjt

XywdksehVj 01 izfr jksxh ¼izfr o"kZ½

XywdksLVªhi 739ySulsV 739

vkWVksysV 01isuekWMy uhMy 400

gkbZiksVSCl 180cSVjh

XywdksehVj gsrq

04 izfr jksxh ¼izfr o"kZ½

¼uksV% ek=k le;≤ ij {ks= fo’ks"k ds vuqlkj cnyh tk ldsaxh½

5- jk"Vªh; cky lqj{kk dk;Zdze dh Vhe dks iznk; dh tkus okyh lkexzh %

3

lkexzhvuqekfur ek=k

izfro"kZ izfr Vhe

fjekdZ

XywdksehVj 1dqy vkjch,lds

Vhe 292XywdksfLVªi 2000ySulsV 2300


lqj{kk ;kstuk ***

¼uksV% ek=k le;≤ ij {ks= fo’ks"k ds vuqlkj cnyh tk ldsaxh½ ¼uksV% vkjvksih 2016&17 esa vkjch,lds Vhe ds e/kqesg laca/kh izf’k{k.k gsrq jkf’k izkIr gqbZ gS] lHkh miyC/k jkf’k ls Vhe dks izf’k{k.k iznku fd;k tkosxk½

6- ;kstuk ds varxZr nh tkus okyh lgk;rk&6-1 fu%'kqYd fpUgkadu gsrq %&

esfMdy dkSafly ls iathd`r izekf.kdrk izkIr ,aMksdzkbuksykWftLV] ,eMh esfMflu] ,eMh ihfM;kfVªDl }kjk fpUgkafdr fd;s x;s bUlqfyu ij vkfJr ejhtksa dks lHkh ysc Mk;Xuksfll ;k VsLV iqf"Vdj.k gsrq ,d ckj lehiLr ftyk vLirky ls vfuok;Z :i ls djkuk gksxkA izkIr iqf"V fjiksVZ ds vk/kkj ij jksxh dks ;kstuk varxZr tksM+k tk;sxkA

6-2 cPpksa ds ekrk firk vFkok vfHkHkkod dks e/kqesg ls lacaf/kr fu%'kqYd LokLF; f’k{kkA

6-3 fu%'kqYd vk/kqfud balqfyu ds fy;s iathd`r f’k’kq dks 21 o"kZ rd ykHk feysxkA

6-4 fu%'kqYd fljhat ,oa lqbZ ¼isuekWMy flfjat½A

7- bUlqfyu ij vkfJr e/kqesg jksxh dh fpUgkadu izfdz;k& 7-1 lekpkj i=] Vhoh esa e/kqesg lacaf/kr y{k.kksa dh

lqpuk ,oa balqfyu ij vkfJr gksus dh tkudkjh izlkfjr dh tkosxh] ftlls lacaf/kr y{k.k ls xzflr jksxh izFke

4


lqj{kk ;kstuk ***

pj.k esa ’kklu Lrj ij miyC/k 104 Vksy Qzh uEcj esa vius vki dks eq[;ea=h cky e/kqesg lqj{kk ;kstuk esa tksM+us dk dk;Z djsxkA

7-2 104 Vksy Qzh lsokvksa ls laikfnr ejht iath;u ¼jftLVªh½ esa viuk uke ,oa foLr`r tkudkjh ntZ djsaxsA bu iathd`r jksfx;ksa dk ijh{k.k iathd`r izekf.kdrk izkIr ,aMksdzkbuksykWftLV }kjk fd;k tkdj bUlqfyu ij vkfJr gksus dh iqf"V dh tk;sxhA iqf"V mijkar bUlqfyu ij vkfJr ejht dks bl ;kstuk varxZr tksM+k tk;sxk ,oa mudks ;kstukarxZr iath;u izkIr gksxkA

7-3 jk"Vªh; cky lqj{kk dk;Zdze varxZRk CykWd eksckbZy Vhe }kjk jDr’kdZjk tkap mijkar vk’kafdr jksxh;ksa dks ftyk fpfdRlky; esa iz;ksx’kkyk VsLV mijkar Vkbi 1 izekf.kr gksus ij] bu jksfx;ksa dks ;kstuk ls tksMk tk;sxkA

8- balqfyu iznk; djus dh izfdz;k ,oa j[kj[kko& 8-1 Lkapkyd LokLF; lsok,a] lapkyuky; NRrhlx<+ }kjk

iathd`r fgrxzkgh dks ,d iklcqd iznk; fd;k tk,xkA 8-2 vkfFkZd :i ls detksj ifjokj ftuds ikl fQzt ugha gSa]

mUgsa p;fur fpfdRlky; ls bUlqfyu miyC/k djk;k tkosxk bl rjg ds vk/kqfud bUlqfyu dk ok;y [kksys tkus ij 28 fnu rd lkekU; rkieku esa] fQzt ds fcuk Hkh j[kk tk ldsxkA

5


lqj{kk ;kstuk ***

8-3 vkfFkZd :i ls l{ke ifjokj ftuds ikl fQzt miyC/k gS] p;fur 'kkldh; fpfdRlky; }kjk aiwjs ekg dh vko';drk vuqlkj balqfyu miyC/k djk;k tkosxkA

8-4 ejht ftuds ikl fQzt dh miyC/krk ugha gS] mudks ,d eghus dh bUlqfyu vkiwfrZ dh tk;sxhA

8-5 esfMdy dkSafly ls iathd`r izekf.kdrk izkIr ,aMksdzkbuksykWftLV] ,eMh esfMflu] ,eMh ihfM;kfVªDl }kjk jksxh dk fpUgkadu ,oa p;u djus ds mijkar fn;s x;s bZykt iphZ dks ekU; dj eq¶Rk balqfyu 'kkldh; fpfdRlk egkfo|ky;] ftyk fpfdRlky;] lkeqnkf;d LokLF; dsanz ,oa izkFkfed LokLF; dsanz ds LVkslZ }kjk jksxh ds iath;u mijkar fizfLdzIlu vuq:i fn;k tkosxkA jksxh dks iklcqd esa Vadu mijkar balqfyu miyC/k djk;k tkosxkA

8-6 ejht dks vU;Fkk ejht ds ifjtuksa dks jDr ’kdZjk ekius dk izf’k{k.k fn;k tk;sxkA ftlls ejht ;k ejht ds ifjtuksa }kjk izfrfnu nks ckj ejht dh jDr ’kdZjk ekih tk;sxhA bl gsrq ’kdZjk tkap midj.k ,oa XywdksfLVªi ejht dks gj rhu eghus ds fy;s miyC/k djk;h tk;sxhA

8-7 ejht dks iwoZ esa iz;ksx fd;s x;s [kkyh dkVZsªt vFkok ok;y vko’;d :i ls lacaf/kr fpfdRlky; esa vkxkeh balqfyu ysus ls iwoZ tek djk;k tkuk gksxkA

8-8 ifjokj ds lnL; ¼ekrk&firk vFkok vfHkHkkod½ dks balqfyu yxkus dk leqfpr izf'k{k.k fn;k tkosxkA

6

uksV%& iznk; dh tkus okyh vk/kqfud nnZ jfgr balqfyu dks 2 ls 8 fMxzh cº rkieku esa lqjf{kr j[kk tkrk gSaA balqfyu dk ok;y [kqyus ij 28 ls 30 fnu rd fcuk fQzt ds lkekU; rkieku esa lqjf{kr j[kk tk


lqj{kk ;kstuk ***

9- fgrxzkfg;ksa dk iath;u ,o Lohd`fr izfdz;k&9-1 jk"Vªh; cky lqj{kk dk;Zdze varxZr fodkl[k.M Lrjh;

Vhe }kjk XywdksehVj ls jDr’kdZjk tkap ij vk’kafdr jksxh dks ftyk vLirky ,oa lkeqnkf;d LokLF; dsanz esa iqf"V ,oa ;kstuk iath;u gsrq Hkstk tkosxkA

9-2 lHkh fgrxzkfg;ksa dk iath;u] jksx ds funku ,oa mipkj LokLF; laLFkku ¼ftyk fpfdRlky; vFkok lkeqnkf;d LokLF; dsanz½ Lrj ij fd;k tkosaxkA fgrxzkgh ftl 'kkldh; fpfdRlky; ls balqfyu izkIr djuk pkgrs gS] ml fpfdRlky; ds v/kh{kd dks iw.kZ fd;s x;s izk:i&1 ds }kjk vkosnu dj ;kstuk esa tqM+us dh izfdz;k izkjaHk djsaxsA fpfdRlky; v/kh{kd jksxh ds fizfLdzI'ku tks fd ekU;rk izkIr fpfdRld }kjk fn;k tk;sxkA mldh tkap dj jksxh dks ;kstuk esa tksM+us gsrq izfd;k izkjaHk djsaxsA

9-3 ;kstuk esa jksxh dks tksM+us gsrq lacaf/kr fpfdRlky; v/kh{kd vkosnd dk fpfdRldh; ijh{k.k djok,axsA Ikjh{k.k dh lqfo/kk lacaf/kr fpfdRlky; esa ,eMh fo"k; fo’ks"kK ,oa f’k’kq jksx fo’ks"kK }kj fd;k tkosxkA ftyk vLirky esa lqfo/kk u gksus dh n'kk esa vU; ekU;rk izkIr fpfdRlky;ksa esa ijh{k.k iwa.kZ fd;k tk ldsxkA ftyk vLirky ls jksxh dk ;kstuk vuq:i laiwa.kZ ySc Mk;Xuksfll djok;k tk;sxkAftlls jksxh dh iqf"V

7


lqj{kk ;kstuk ***

dj ;kstuk esa tksM+us dh izfdz;k dks iwa.kZ dj vafre iath;u dh dk;Zokgh dh tkosxhA

9-4 izkekf.kdrk izkIr futh fo"k; fo’ks"kKksa }kjk iqf"V fd;s x;s jksfx;ksa dks ;kstuk varxZr tksMk tkosxkA vko';d gksus ij futh fpfdRlky;ksa ds esfMdy dkSafly ls iathd`r izekf.kdrk izkIr ,aMksdzkbuksykWftLV] ,eMh esfMflu] ,eMh ihfM;kfVªDl }kjk fd;s x;s ijh{k.k dks ekU; fd;k tkosxkA

9-5 iath;u i’pkr balqfyu dh fu/kkZfjr ek=k ,oa izdkj dh tkudkjh miyC/k djk;s x;s jksxh ykWxcqd vuqlkj fgrxzkgh dks balqfyu miyC/k djk;k tkosxkA ifjf’k"V&1 esa layXuA

9-6 iathd`r jksxh dks izfr ,d ekg ds Qkyksvi tkap ds nkSjku lacaf/kr LokLF; laLFkk ls balqfyu iznku fd;k tkosxkA lacaf/kr fpfdRlk vf/kdkjh }kjk jksxh dh jDr’kdZjk ntZ djuk lqfuf’pr fd;k tkosxkA

10- dz; izfdz;k&10-1 lapkyuky; LokLF; lsok;sa NRrhlx<+ }kjk okf"kZd

balqfyu] XywdksehVj] XywdksfLVªi ,oa ySulsV dh vuqekfur ek=k ,oa izdkj vuqlkj NRrhlx<+ esfMdy lfoZlst dkiksZjs’ku dks baMsaV fd;k tkosxkA

10-2 NRrhlx<+ esfMdy lfoZlst dkiksZjs’ku }kjk N-x- HkaMkj dz; fu;e dk ikyu djrs gq;s ;Fkk vko’;drk fdLrksa esa dz; fd;k tk;sxkA

8


lqj{kk ;kstuk ***

11- forj.k iz.kkyh %11-1 NRrhlx< esfMdy lfoZlsl esfMdy dkiksZjs’ku }kjk

okf"kZd balqfyu] XywdksehVj] XywdksfLVªi ,oa ySulsV dk lapkyuky; LokLF; lsok;sa Nx- }kjk nh xbZ tkudkjh vuqlkj LokLF; laLFkkvks ¼ftyk vLirky@lkeqnkf;d LokLF; dsUnz½ ds Lrj rd HkaMkj.k djk;k tk;sxkA

11-2 LVkWd dh vkod o forj.k dk fooj.k laLFkk Lrj ij vkWuykbZu bs.MsaV vk/kkfjr iz.kkyh ls la/kkfjr fd;k tkosxk rFkk NRrhlx< esfMdy lfoZlsl dkiksZjs’ku }kjk lrr~ leh{kk dj bl izdkj HkaMkj.k fd;k tkosxk dh izR;sd =Sekfld ds izkjaHk esa de ls de vkxkeh pkj ekg dk LVkWd izR;ssd laLFkku esa miyC/k jgsaA

11-3 jk"Vªh; cky lqj{kk dk;Zdze varxZr lapkfyr Vhe dks Ldwy] vkaxuckM+h esa jDr’kdZjk tkap lqfuf’pr dj vk’kafdr ejhtksa dks ftyk fpfdRlky;@ lkeqnkf;d LokLF; dsanz iqf"V ,oa ;kstuk ls tqM+us gsrq Hkstk tkosxkA

11-4 balqfyu] XywdksehVj] XywdksfLVªi ,oa ySulsV mfpr ek=k esa miyC/krk lqfuf’pr djus gsrq ftyk ,oa jkT; Lrj ij fu;fer :i ls fuxjkuh] fufj{k.k ,oa leh{kk dh tkosxhA

12- iz’kklu ,oa fuxjkuh&12-1 jkT; LokLF; lfefr dh dk;Zdkfj.kh dh cSBd

esa ;ksstuk dh leh{kk dj vko’;d uhfrxr QSlys fy,

9


lqj{kk ;kstuk ***

tk;sxasA ftyk Lrj ij bl ;kstuk dh leh{kk ftyk LokLF; lfefr }kjk dh tk;sxhA

13- ekWuhVjhax ladsrd&13-1 Vkbi 1 e/kqesg jksxh ds [kkst nj esa o`f)A13-2 mipkfjr ejhtksa dh la[;k esa o`f)A13-3 Ekjht dk izfr’kr ftudh jDr’kdZjk lkekU; gksA13-4 jk"Vªh; cky lqj{kk dk;Zdze dh fodkl[k.M Lrjh; Vhe

}kjk vk’kafdr jksxh igpku esa o`f)A14- vkWuykbZu fuxjkuh midj.k&

14-1 ,uvkbZlh ds lg;ksx ls vkWuykbZu islsaV Vsªfdax flLVe fodflr fd;k tk;sxk] ftldh ekfld ,aVªh ftyk vLirky ,oa lkeqnkf;d LokLF; dsanz ls dh tkosxhA

14-2 vkWuykbZu fuxjkuh midj.k dk mn~ns’; % fgrxzkgh }kjk fu;fer :i ls balqfyu izkfIr dh

fuxjkuhA okf"kZd balqfyu gh HkaMkj esa volku frfFk]

deh ,oa HkaMkj lekfir ds dfe;ksa dh fuxjkuh15- ;kstukarxZr izekf.kdrk izkIr fpfdRld&

15-1 izns'k ds fpfdRlk egkfo|ky; ds ,e-Mh- esMhlhu fo'ks"kK@,UMksdzkb uks ykW& ftLVA

15-2 izns'k ds fpfdRlk egkfo|ky; 'kh'kq jksx fo'ks"kK@,UMksdzkbuksykWftLVA

15-3 izns'k ds vkbZ-,e-,- rFkk vkbZ-,-ih- }kjk vuq'kaflr ekU;rk izkIr fpfdRldA

15-4 jk"Vªh; ,oa izns'k Lrj ds ,UMksdzkbuksykWftLVA

10


lqj{kk ;kstuk ***

15-5 Mk;fcfVt ,lksfl,’ku }kjk vuq’kaflr iathd`r fpfdRldA

16- ;kstukarxZr jksxh iklcqd dk lR;kiu dk;Z&16-1 izekf.kdrk izkIr fpfdRldksa ds }kjk fn;s x;s

fizfLdzI'ku vuqlkj iklcqd ds }kjk miyC/k djk;s x;s Qzh balqfyu dk lR;kiu dk;Z 'kkldh; fpfdRlky; ds fpfdRld }kjk fd;k tk;sxkA

16-2 jkT; Lrj ,oa ftyk Lrj ls le; le; ij ekWuhVfjax Hkh dh tkosxhA

16-3 izfro"kZ iathd`r 'kh'kq ds tSfod fLFkfr dk lR;kiu Hkh ejht vFkok mlds vfHkHkkod ds }kjk fd;k tkuk vko';d gksxkA

17- ;kstuk dk O;kid izpkj&izlkj&17-1 lapkyuky; LokLF; lsok;sa ds varxZr jkT; xSj lapkjh

izdks"B }kjk bl ;kstuk dk O;kid izpkj&izlkj fd;k tkosxkA

18- f'kdk;r dk izko/kku&

18-1 Vksy Qzh uacj 104 ,oa vkuykbZu xzhfo;Ul fjMªsly flLVe esa f'kdk;r ntZ dj ldsaxs] ftudk fujkdj.k ftyk@jkT; Lrj ls fd;k tkosxkA

18-2 ftyk Lrj ij ftyk LokLF; lfefr }kjk leL;k dk fujkdj.k ,d ekg ds Hkhrj lqfuf’pr fd;k tkosxkA ftu izdj.kksa esa

11

uksV%& izekf.kdrk izkIr fpfdRldksa dh lwph le; le; ij lapkyd LokLF; lsok,a] lapkyuky;


lqj{kk ;kstuk ***

jkT; Lrj ls dk;Zokgh fd;k tkuk gksxk mudk fujkdj.k rhu ekg ds Hkhrj lqfuf’pr fd;k tkosxkA

18-3 ftyk Lrj ij ftyk LokLF; lfefr }kjk leL;k dk fujkdj.k le; lhek ds vanj fd;k tkosxkA

18-4 ftu izdj.kksa ij LokLF; lfefr }kjk fu.kZ; @fujkdj.k ugha fd;s tkus dh fLFkfr esa mDr izdj.k ij jkT; LOkLF; lfefr }kjk dk;Zokgh @ fu.kZ; le; lhek ds vanj fy;k tkosxkA

12

uksV%& 1- tks 21 lky dh vk;q ls vf/kd gSa mUgs ;kstuk

esa ugha tksM+k x;k gSa bldk eq[; dkj.k ;g gS fd mDr vk;q lhek ls mij okys Lojkstxkjh gksrs gSa vr% balqfyu dk [kpZ os [kqn ogu dj ldrs gS] vU;Fkk jkT; esa lapkfyr Qzh Mªx ikWfylh ds varxZr bUgs Qzh balqfyu 'kkldh; fpfdRlky;ksa ls izkIr gks ldsxhA

2-bl ;kstuk ds rgr balqfyu ij vkfJr ejhtksa dks vk/kqfud nnZ jfgr balqfyu gsrq lg;ksx iznku fd;k tkosxkA fdUrq e/kqesg ls mRiUu gksus okyh tfVyrkvksa ls lacaf/kr mipkj ,oa vU;


lqj{kk ;kstuk ***

;wuhd vkbZMh ua-----------------

vkosnu i=¼izk:i&1½s

1- vkosnd dk uke&-------------------------------------------------------------------

-------------------

2- vkosnd dk tUe iath;u dz-&------------------------------------------------------------------------------

3- vkosnd ds ekrk@firk@vfHkHkkod@ifr&iRuh dk uke &----------------------------------------------------------------

4- tUefrfFk &----------------------------------------------------------------------------------------------------------------------------------------------------------

13

Photo of the patient


lqj{kk ;kstuk ***

5- irk &--------------------------------------------------------------------------------------------------------------------------------------------------------------------

6- chih,y@,ih,y dz-&-------------------------------------------------------------------------------------------------------------------------------------

7- vkosnd dk vk/kkj dkMZ uEcj@-----------------------------------------------------------------------------------------------------------------vkosnd ds firk ;k ekrk dk vk/kkj dkMZ ua- &-

8- vkosnd ds 'kkldh;@xSj’kkldh; Ldwy dk uke tgka vkosnd i<+rk gS&¼vxj vkosnd 18 o"kZ ls de mez dk gSaA½

9- ftl fpfdRld us balqfyu Prescribe dh gSa mldk uke ----------------------------------------------------- RkFkk jftLVs'ku dz-& --------------------------------------------------------------¼Prescription dh Nk;k izfr layXu djsa½

10- ftl ’kkldh; fpfdRlky; ls balqfyu izkIr djuk gS mldk uke & -------------------------------------------

11- esjs vFkok vfHkHkkod }kjk balqfyu batsD'ku yxkus dk izf’k{k.k ysus ds fy, rS;kj gw¡A

12- d`i;k eq[;ea=h lgk;rk ;kstuk ds varxZr fu%'kqYd balqfyu dh Lohd`fr iznku djsaA¼tks ykxw u gks mls dkV nsa½

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lqj{kk ;kstuk ***

Ekjht ds gLrk{kj ejht ds firk@vfHkHkkod ds gLrk{kj

'kiFk i=

eSa-----------------------------------------------------------------------

LFkkbZ

irk-----------------------------------------------------------------------------

------------------------------------------'kiFk ?kksf"kr djrk@djrh

gwaW fd eq>s bUlqfyu batsD’ku yxkus dk izf’k{k.k fn;k

x;k gS] vr% eS iaw.kZ laKku esa vfHkdFku djrk@djrh

gwaW fd izf’k{k.k eq>s iq.kZr% vius@vius cPps dks

bUlqfyu batsD’ku yxkus ds fy, gh izkIr gqvk gS ,oa

izf’k{k.k ds ckn eSa iwjh rjg ls bUlqfyu batsD’ku yxkus

esa l{ke gwaWA

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lqj{kk ;kstuk ***

vkosnd ds iwa.kZ gLrk{kj fnukad & uke& ------------------------------------------------------------------------ irk & ----------------------------------------------------------------------- ------------------------------------------------------------------------ eks- ua- & -----------------------------------------------------------------

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kq[;ea=h cky e/kqesg lqj{kk ;kstuk · Web viewe/kqesg jksx 2 izdkj ds gksrs gSa] Vkbi 1 ¼iw.kZr%...

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Transcript of kq[;ea=h cky e/kqesg lqj{kk ;kstuk · Web viewe/kqesg jksx 2 izdkj ds gksrs gSa] Vkbi 1 ¼iw.kZr%...