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FORM NO. 3C
[See rule 6F(3)]
Form of daily case register
[TO BE MAINTAINED BY PRACTIONERS OF ANY SYSTEM OF MEDICINE. I.E.,
PHYSIANS, SURGEONS, DENTISTS, PATHOLOGISTS, RADIOLOGISTS,
VAIDS, HAKIMS, ETC.]
Date SL No. Patient’s Nature of professional Fees Date of
name services rendered, i.e., received receipt
general consultation,
surgery, injection,
visit, etc.
(1) (2) (3) (4)
(5) (6)