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)