Child's Health Services In Sudan Registration Form


Name of the Service or Institution
Type of institution
If Others Specify
State City Area
Service Provided By
If Others Specify
Total No. of beds
No. of Consultants
No. of Senior Specialists
No. of Specialists
No. of Paediatric Resident (Registrars)
No. Medical Officers
No. House officers
No. of Nurses
No. of other medical staff
No. of Non–medical staff
Services presented by: Diagnosis
Management
Rehabilitation
Prevention
If Others Specify
Short note on institution activities
Information provided by
Position
Tel. No.
Fax No.
E-Mail
Attach one or two pictures showing the institution (optional)