Sri Sathya Sai Palliative Center
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The documentation resources from the center are shared here.
Patient Care Documents
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Document
PDF
Editable document
Version Date
1
Homecare Consent Form (English)
01-July-2023
2
Homecare Consent Form (Telugu)
01-July-2023
3
Homecare First Visit Form
01-July-2023
4
Homecare Symptom Assessment ESAS Form
01-July-2023
5
IP Admission Form
01-July-2023
6
IP Admission Assessment ESAS Form
01-July-2023
7
IP Doctor Notes
01-July-2023
8
IP Medication Chart
01-July-2023
9
IP Monitoring SOS Chart
01-July-2023
10
IP Nurse Notes
01-July-2023
11
IP Morphine Trial Chart
20-October-2023
12
Drugs and Surgicals List
08-July-2023
13
Narcotic Drugs List
08-July-2023
SSSPCC Center information
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Document
PDF
1
APMC (Clinical Establishment License)
2
Drug License - Form 20 (Normal Drugs)
3
Drug License - Form 21 (schedule C, C1)
4
Drug License - Form NDPS-2
5
PCB Biomedical Waste Authorisation
6
Biomedical Waste Contract
7
Fire Safety NOC