S.

No

Name

GenderMale or Female (please select from list)

Years in Current Date of Position Birth (DDor MMM-YY) Present Designat (please fill) Designation on (please in given fill) in format months only

Profession (please select from list in each cell)

Specializat ion (if any) Date of within Joining in hospital EHA (please fill)

Dr. P. J. Emmanuel

Blank

Medical Superintend ent Medical Officer Medical Officer Dentist Medical Officer Medical Officer Nursing Superintend ent Staff Nurse Staff Nurse Staff Nurse

Blank

12-Sep-85

Dr. Vikram 2 Kumar Tirkey Dr. Arpita. 3 ME. Tigga Dr. Wilson 4 Humtsoe 5 6 7

Blank Blank Blank

Blank Blank Blank Blank Blank Blank

29-Apr-13 15-Apr-13 27-Apr-07 3-Jan-11 3-Jan-11 1-Aug-80

Dr. Sandeep Blank Nath Dr. Anjlina Nath Blank

Mrs.Pankoja Blank ni Bansrier Mrs.Raj Blank Kumari Nand Blank Blank

8 9

Blank Blank Blank

16-Jul-78 1-Aug-94 1-Nov-96

Mrs.Meera Rao Mrs.Shant 10 Sheela Kumar 11

Mrs.Anukam Blank pa Lowrance

Staff Nurse

Blank

8-Mar-97

Mrs. 12 Manjula Blank Masih Mrs. Seema 13 Blank Pandaw 14 Mrs. Nishiba Blank Nag Mrs. Sheena Blank Thomas Mr. Rakesh Niranjan Ms. Esther Jeba Leena Ms. Elcy Stephen Ms. Anshumala Sona Ms. Sapna Blank Blank Blank Blank Blank Blank Blank Blank Blank

Staff Nurse Nurse Anesthetist Staff Nurse

Blank Blank Blank

1-Nov-97 5-Dec-94 5-Dec-03

15 16 17 18 19 20

Staff Nurse Male Nurse BSc. Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse ANM ANM (RCH) Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse SAO Admin Assistant General Jr. Manager Store Registration Clerk Clerk

Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank

19-Oct-10 19-Oct-10 19-Apr-12 5-Apr-11 1-Jul-12 19-Apr-12 13-Apr-12 15-Jul-93 1-Oct-94 1-Jul-12 1-Sep-12 1-Sep-12 1-Apr-13 4-Apr-13 4-Sep-79 20-Jul-09

21 Ms. Kriti Mrs.Makku 22 Murmu Mrs.Sanjukta 23 Bagh Ms. Mamta 24 Biswas 25 26

Ms. C. Blank Zohmingliani Blank Blank Blank Blank

Ms.Lalchhan dami Ms.Madhu 27 Thapa Ms. 28 Rajkumari John Mr. Jone 29 Wills 30

Mrs. Nirmala Blank Wills Mrs.P.E.S.E Blank mmanuel

31

Blank

15-Jul-00

Mrs.Aleyam 32 ma Blank Varghese 33 Mrs. Noor Blank Jahan Singh

Blank

1-Jul-91

Blank

1-Nov-97

Mr. Mediplli Blank Joseph Mr. Avinash 35 Blank Sona Mr. Alex P 36 Blank John 34 37 38 Mr. Blank Sgunakaran Ms. J.Stella Blank Prema .

Out Reach Worker Clerk General Manager Jr. Manager Finance Pharmacist X-Ray Technician Lab Tecnician Lab Tecnician Lab Tecnician Ophthalmic Tech. Ophthalmic Tech. Ward Aid Ward Aid Ward Aid Ward Aid Ward Aid Ward Aid Ward Aya Ward Aya Ward Aya Ward Aya Ward Aya Ward Aya MPHW

Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank

6-May-02 1-Nov-96 22-Sep-12 11-Dec-03 4-Dec-92 24-Nov-08 1-Jan-93 1-Apr-96 1-Nov-98 1-Apr-94 1-Aug-07 1-Jan-88 1-Nov-93 1-Oct-97 1-Oct-97 24-Oct-00 1-Dec-94 1-Oct-97 1-Oct-97 10-Oct-00 1-Oct-00 1-Oct-00 24-Oct-00 1-Sep-93

39 Mr. M. Arun Blank 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 Mr.Marwin Lowrance Blank

Mr. Sanatan Blank Kumar Ms.Malti Banerjee Mr.Santanu Das Mrs. Nancy Das Mrs.Subhash ini Mrs.Asine Sonwani Mrs.Anita Patel Mrs.Kavita Masih Blank Blank Blank Blank Blank Blank Blank

Mrs. Anshu Blank Mala Bansier Mr.Anup Masih Mrs.Lalita Masih Mrs.Magdaln i Mrs. Sulochana Bansriar Mrs.Lalita Kumar Ms. Anita Sahu Mrs. Sugandh Nand Mr.Ram Narayan Blank Blank Blank Blank Blank Blank Blank Blank

Mr.Vijender Kumar Mr.Dilip 59 Kumar Mr.Gulab 60 Chandra Tiwari Mr. Parma 61 Nand 58

Blank Blank Blank Blank

Chowkidar Chowkidar Chowkidar Sweeper Sweeper Sweeper Gardener Sweeper Sweeper Driver/ Electrician Driver

Blank Blank Blank Blank Blank Blank Blank Blank Blank

1-Nov-92 1-May-96 1-Feb-95 1-Aug-00 1-Dec-02 15-Apr-03 1-Jul-93 1-Nov-12 1-Nov-12

62 Mr. Ramdeo Blank Mr Samuel Nath Mr.Sukul 64 Patel 63 65 Mr. Kishan 66 Blank Blank Blank

Mrs. Manjula Blank Joseph

Mr. Samuel 67 Kumar Blank Murmu 68 Mr. Rajesh Blank

Blank Blank

1-Oct-84 1-Nov-08

Any Other Qualificati Designatio Supervisor Qualificati ons not in n of on left Name EHA Qualificatio on 2 (Column N Supervisor Department Experience (please ns 1 (please or Column (please fill) select) O), fill) (please fill)

Specializat ion (if any)Subje Location ct (please fill)

27-10

Medical

MBBS. DO

Blank

Champa

00-02 00-03 06-03 02-06 02-06 32-11

Medical Medical Medical Medical Medical Nursing

MBBS MBBS BDS MBBS MBBS RNRM, DNEA RNRM RNRM GNM

Blank Blank Blank Blank Blank Blank

Champa Champa Champa Champa Champa Champa

34-12 18-11 16-08

Nursing Nursing Nursing

Blank Blank Blank

Champa Champa Champa

16-04

Nursing

GNM

Blank

Champa

15-08 18-07 09-07

Nursing Nursing Nursing

GNM GNMAnesthesia GNM

Blank Blank Blank

Champa Champa Champa

02-09 02-09 01-03 02-03 00-12 01-03 01-03 19-12 18-09 00-12 00-10 00-10 00-03 00-03 33-10 03-12

Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Nursing Admin Admin

GNM RN BSc. Nurse GNM GNM GNM GNM ANM

Blank Blank Blank Blank Blank Blank Blank Blank

Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa

ANM (RCH) Blank GNM GNM GNM GNM GNM Graduate 12th Blank Blank Blank Blank Blank Blank Blank

12-12

Admin

P.G Non Graduate Graduate

Blank

Champa

21-12

Admin

Blank

Champa

15-08

Admin

Blank

Champa

11-02 16-08 00-10 09-07 20-07 04-08 20-06 17-03 14-08 19-03 05-11 25-06 19-08 15-09 15-09 12-09 18-07 15-09 15-09 12-09 12-09 12-09 12-09 19-10

Admin Admin Admin Admin Para Med Para Med Para Med Para Med Para Med Para Med Para Med Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff

Non Graduate Non Graduate Graduate Graduate D. Pharma 2 yrs Diploma DMLT 1 yr DMLT 1 yr DMLT 1 yr

Blank Blank Blank Blank Blank Blank Blank Blank Blank

Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa Champa

1 yr Diploma Blank 1 yr Diploma Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank Blank

20-08 17-02 18-05 12-11 10-07 10-03 19-12 00-08 00-08

Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff Support Staff

Blank Blank Blank Blank Blank Blank Blank Blank Blank

Champa Champa Champa Champa Champa Champa Champa Champa Champa

28-09 04-08

Technical Technical

Blank Blank

Champa Champa

Classificati on of Staff: Permanen t, Probation er, Fixed Period, Part-Time Employee, Trainee, Service Commitm ent Agreemen t (please select)

Blank

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Blank

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