Form 3C:Form of daily case register

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FORM NO. 3C
[See rule 6F(3)]
Form of daily case register

[TO BE MAINTAINED BY PRACTITIONERS OF ANY SYSTEM OF MEDICINE, I.E., PHYSICIANS, SURGEONS, DENTISTS, PATHOLOGISTS, RADIOLOGISTS, VAIDS, HAKIMS, ETC.]

Date Sl. No. Patient's name Nature of professional services rendered, i.e.,
general consultation, surgery, injection, visit, etc.
Fees received Date of receipt
(1) (2) (3) (4) (5) (6)