Pims Provider Registration

Procedure/Facilities	Procedures Available
Complete Physical Examination and History	YesNo
ECG (tracing & report)	YesNo
TMECG	YesNo
Blood Sugar Test (BST) – Fasting & 2 hour post Glucose	YesNo
BST – only fasting / only 2 hour post glucose	YesNo
Haemogram	YesNo
Lipidogram	YesNo
X-ray of chest	YesNo
Routine Urine Analysis – RUA	YesNo
HIV test-Elisa	YesNo
HIV test-Tridot	YesNo
Computerized Tread Mill Test – CTMT	YesNo
Glycosylated Hb%	YesNo
Hb %	YesNo
Report on X-Ray (plain) of G.U. Tract (2 plates) (KUB)	YesNo
Report on X-Rays of Stomach and Duodenum (Barium Meal) (5 plates)	YesNo
Report on X-Ray of Caecum and (Ba. Enema) (2 plates)	YesNo
Report on Intravenous Pyelography (5 plates)	YesNo
Report on Cholecystography (5 plates)	YesNo
X-Ray of Hip and Joints in A.P. and Lateral views (2 plates)	YesNo
X-Ray of Dorsal Spine (2 plates)	YesNo
2D Echo with colour Doppler	YesNo
G.T.T. of Urine	YesNo
Blood Urea Report	YesNo
SGOT	YesNo
SGPT	YesNo
Serum Triglycerides	YesNo
Serum Bilirubin	YesNo
Serum Proteins (Albumin & Globulin)	YesNo
Stool Examination	YesNo
ESR Report of Blood	YesNo
WBC Differential Count	YesNo
Australian Antigen Test	YesNo
CBC/ESR with Hb% & peripheral smear	YesNo
VDRL	YesNo
Serum Cholesterol	YesNo
Serum Creatinine	YesNo
Serum Amylase	YesNo
Acid Phosphatase	YesNo
Stress Thallium Test	YesNo
Angiography	YesNo
Audiogram	YesNo
C.T.Scan of brain / C. T. Scan of chest	YesNo
Gama (GTT)	YesNo
USG of abdomen / pelvis	YesNo
USG of KUB	YesNo
T3T4TSH	YesNo
Pulmonary Function Test	YesNo
Dobutamin Stress Echo	YesNo
AFB Sputum	YesNo
LDH	YesNo
Venous Doppler	YesNo
Liver Function test	YesNo
Reticulocyte count	YesNo
Serum Electrolytes	YesNo
Sickling test	YesNo
Stress Echocardiography	YesNo
USG Liver	YesNo
Thallassaemia	YesNo
HbeAg	YesNo
Prostrate Specific Antigen (PSA)	YesNo
Beta HCG	YesNo
CT Coronary Angio	YesNo
Renal function test	YesNo
24 Hour Creatinine Clearance test	YesNo
Report from attending Gynaecologist	YesNo
Micro Albumin	YesNo
Any other questionnaire	YesNo
Anti HCV	YesNo
GGT	YesNo
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Infrastructure
Toilet	YesNo
Accessible by (Train/ Bus/ Taxi/ Auto)	YesNo
Reception & Waiting Area	YesNo
Parking Space	YesNo
Air Condition	YesNo
Weighting Instrument	YesNo
Height Measuring Scale	YesNo
Facility for Spot Collection of Urine	YesNo
Disposable syringes used	YesNo
Female attendent for female client	YesNo
Computerized Reporting	YesNo
Internet Connection	YesNo
Type of Internet Connection (Broadband/ Dialup)	BroadDial
Daily Timing
Is Sunday Available	YesNo
Timing on Sunday
Can you handle Direct Walk-in Customer	YesNo
MER by MBBS	YesNo
MER by MD	YesNo
MER Timing
Reg no of Dr.
Qualification of Dr
Pathology Test available	YesNo
Pathologist Regno.
Pathologist Qualification
Gen.Med. Reg no.
Gen.Med.Qualification
Radiologist Reg.no.
Radiologist Qualification
Out Sourced Test	YesNo
Nearest Alternative Locations
PAN No.
Name of Insurance Companies working with
Location covered
Home visit Sunday	YesNo
Spl. Comment From Provider
Scanning facility to scan in JPEG format	YesNo
Report by Email	YesNo