Appendix 'A' (Refer to Para 7(a) of letter No B/49774 ... - Indian Army
Appendix 'A' (Refer to Para 7(a) of letter No B/49774 ... - Indian Army
Appendix 'A' (Refer to Para 7(a) of letter No B/49774 ... - Indian Army
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in Station<br />
<strong>Appendix</strong> ‘G’<br />
(<strong>Refer</strong> <strong>to</strong> <strong>Para</strong> 14 <strong>of</strong> <strong>letter</strong> <strong>No</strong><br />
B/<strong>49774</strong>/AG/ECHS/<strong>Refer</strong>ral<br />
dt ____ Dec 2009)<br />
18<br />
ECHS POLYCLINIC,_______________________________<br />
EMERGENCY INFORMATION REPORT (EIR)<br />
Particulars <strong>of</strong> ECHS member<br />
(To be issued by OIC Polyclinic)<br />
ECHS <strong>No</strong> ______________________ Date <strong>of</strong> membership<br />
________________<br />
Service <strong>No</strong> ______________ Rank ____________ Name<br />
__________________<br />
Patient Particulars<br />
Name _______________________ Relationship _____________ Age<br />
_________<br />
Diagnosis<br />
_________________________________________________________<br />
Emergency Detail
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