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Proforma for Preparation of List of Informal Healthcare Providers in The

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Proforma for Preparation of List of Informal Healthcare Providers in The PROFORMA FOR PREPARATION OF LIST OF INFORMAL HEALTHCARE PROVIDERS IN THE STATE OF WEST BENGAL NAME OF BLOCK:- Sadar - I Year of Education experienc Activities as Name of Sl. Name of Name of Informal Phone al e as Informal Name of Block Gram Address E-mail ID if any Date of Birth DATE & TIME No. Village Healthcare Provider Number Qualificati Informal Healthcare Panchayet on Healthcar Provider e Provider Vill-matial p.o - 1 BURDWAN-1 BELKASH MATIAL RUPESH KUMAR RUPAK 9475898095 12.02.1983 H.S 3 YEARS ALLOPATHI chandul Dist- Vill-matial p.o - 2 BURDWAN-1 BELKASH MATIAL DEEPAK KUMAR DEEPAK 9475936325 12.04.1979 H.S 12 YEARS ALLOPATHI chandul Dist- Vill-matial p.o - 3 BURDWAN-1 BELKASH MATIAL SK FIROJ 8116065226 12.02.1985 H.S 10 YEARS ALLOPATHI chandul Dist- Vill-matial p.o mdsamphulans DISPENSARY 4 BURDWAN-1 BELKASH MATIAL SAMPHUL ANSARY 8927672132 15.01.1994 H.S 3 years -chandul [email protected] ALLOPATHI Dist- Vill-matial p.o - DISPENSARY 5 BURDWAN-1 BELKASH MATIAL MAKBUL ANSARY 8116195218 20.03.1993 H.S 5 YEARS chandul ALLOPATHI Dist- Vill-matial p.o - DISPENSARY 6 BURDWAN-1 BELKASH MATIAL SK GOUSOL ALAM 9932892049 12.05.1981 M.P 16 YEARS chandul ALLOPATHI Dist- VILL- INDO- KALIGRAM 7 BURDWAN-1 BELKASH KALIGRAM SAMIRAN SAHA 9153529582 08.03.1979 B.A PASS 11 YEARS ALLOPATHI(R. P.O- M.P) SHYAMSUNDA VILL- KALIGRAM 8 BURDWAN-1 BELKASH KALIGRAM BINAY KUMAR SAHA 7407026297 12.05.1982 M.P PASS 13 YEARS FIRST -AID P.O- SHYAMSUNDA VILL- COMMUNITY KALIGRAM 9 BURDWAN-1 BELKASH KALIGRAM GADADHAR SAHA 9153276484 17.08.1968 M.P PASS 24 YEARS MEDICAL P.O- SERVICE SHYAMSUNDA VILL- COMMUNITY KALIGRAM 10 BURDWAN-1 BELKASH KALIGRAM SHRIDHAR KUMAR SAHA 9734774789 23.03.1970 H.S PASS 24 YEARS MEDICAL P.O- SERVICE SHYAMSUNDA VILL- KALIGRAM X-RAY & ECG 11 BURDWAN-1 BELKASH KALIGRAM RAJIB KUMAR SAHA 9732010545 02.01.1977 M.A 3 YEARS P.O- TECHNICIAN SHYAMSUNDA VILL- KALIGRAM O.T 12 BURDWAN-1 BELKASH KALIGRAM SUSHAVAN MITRA 9564819483 05.01.1994 B.A PASS 1 YEARS TECHNICIAN P.O- VILL-NALA INDO- 13 BURDWAN-1 BELKASH NALA MANGOLMOY GHOSH 8768353120 06.01.1980 CLASS X 12 YEARS P.O- ALLOPATHI SHYAMSUNDA VILL-NALA 14 BURDWAN-1 BELKASH NALA JAY NARAYAN DAS 9732104798 09.11.1960 M.P PASS 15 YEARS ALLOPATHY P.O- SHYAMSUNDA VILL-NALA 15 BURDWAN-1 BELKASH NALA DILIP KUMAR DAS 9609646146 16.08.1961 M.P PASS 15 YEARS ALLOPATHY P.O- SHYAMSUNDA VILL-NALA 16 BURDWAN-1 BELKASH NALA KSHIROD RANJAN DAS 9832977649 05.09.1957 B.SC PASS 15 YEARS ALLOPATHY P.O- SHYAMSUNDA VILL-NALA 17 BURDWAN-1 BELKASH NALA MUKTIPADA MAJHI 7872687669 09.11.1957 H.S PASS 15 YEARS ALLOPATHY P.O- SHYAMSUNDA VILL-NALA SHYAMALI ADHIKARI 18 BURDWAN-1 BELKASH NALA 8348977153 10.03.1994 M.P PASS 5 YEARS ALLOPATHY (MOHANTA) P.O- SHYAMSUNDA VILL-NALA 19 BURDWAN-1 BELKASH NALA SK SABIR ALI 8436505272 07.03.1988 H.S PASS 9 YEARS R.M.P.S P.O- SHYAMSUNDA VILL-NALA 20 BURDWAN-1 BELKASH NALA SK SAYEL HAQUE 9932211289 13.02.1978 M.P PASS 15 YEARS R.M.P P.O- SHYAMSUNDA RENAISSANCE M.P HEALTH RENAISSAN anisurmondal73 R.M.P.D.I CHECK 21 BURDWAN-1 BELKASH ANISUR MONDAL 9735192583 29.05.1973 18 YEARS CE REBOTI-2 @gmail.com SM ECG DIAGNOSTIC G/A TECH NAWABHAT BURDWAN LAKUDDI, NON 22 BURDWAN-1 MUNICIPALIT LAKUDDI SHRE SUKANTA SAHA 9332298326 01.01.1967 25 YEARS ALLOPATHY BURDWAN MATRICK Y 23 BURDWAN-1 BELKASH GORHTALIT CHAINA MALLICK GORH TALIT 9605778947 20.04.1990 M.P 8 MONTH ALLOPATHY VIIL- NAWABHAT 24 BURDWAN-1 BELKASH NAWABHAT AMEL HAQUE MALLIK 8759249997 25.01.1967 B.SC 13 YEARS ALLOPATHY P.O-FAGUPUR DIST- VILL-FAGUPUR P.O-FAGUPUR 25 BURDWAN-1 BELKASH FAGUPUR TAJNUR ALI SK 9475704902 20.03.1984 H,S 11 YEARS ALLOPATHY DIST- BURDWAN VILL-FAGUPUR P.O-FAGUPUR 26 BURDWAN-1 BELKASH FAGUPUR IMRAJ MOLLA 8798115405 02.05.1989 M.P 5 YEARS ALLOPATHY DIST- BURDWAN UDAIPALLY, Giving P.O- service as a 27 BURDWAN-1 BELKASH UDAIPALLY BISWABANDHU BISWAS 9832587356 3/12/1988 B.A 5 YEARS KANCHANNAG rural AR, P.S+DIST- doctor(BCAS), VILL+PO- CHANDUL, B.Sc,Bio,R. 28 BURDWAN-1 BELKASH CHANDUL SK MD EMNAN HOSSAIN 9734271877 7/17/1968 18 YEARS Allopathy P.S+DIST- M.P,C.M.S BURDWAN,713 VILL+PO- CHANDUL, M.P(R.M.P 08.02.19 at 29 BURDWAN-1 BELKASH CHANDUL KASHINATH DAS 9434574698 10/1/1970 21 YEARS Allopathy P.S+DIST- ) 11.30 a.m. BURDWAN,713 VILL+PO- CHANDUL, M.P(R.M.P 30 BURDWAN-1 BELKASH CHANDUL ASGAR HOSEN SK 8967221876 11/20/1969 14 YEARS Allopathy P.S+DIST- ) BURDWAN,713 VILL- M.P,H.S,D. BOHARPUR, 31 BURDWAN-1 BELKASH BOHARPUR BISWAJIT NAYEK 8001792913 2/10/1961 M.S, 18 YEARS Allopathy P.O-BELKASH, L.M.M P.S+DIST- VILL-SHIBPUR SHIBPUR NAZRUL HAQUE DIGHIR PAR, 32 BURDWAN-1 BELKASH 9614921086 4/4/1987 M.P 10 YEARS Allopathy DIGHIRPAR CHOWDHURY P.O- RAJBATI, BURDWAN, VILL-SHIBPUR SHIBPUR DIGHIR PAR, 33 BURDWAN-1 BELKASH ABDUL RASID MONDAL 9153935002 1/4/1970 B.A 18 YEARS Allopathy DIGHIRPAR P.O- RAJBATI, BURDWAN, VILL-SHIBPUR SHIBPUR DIGHIR PAR, 34 BURDWAN-1 BELKASH SK AZIZUL HAQUE 8670860626 10/20/1967 H.S 18 YEARS Allopathy DIGHIRPAR P.O- RAJBATI, BURDWAN, VILL-DHOLNA, P.O- 35 BURDWAN-1 BELKASH DHOLNA SK RAFIQUL ISLAM 9153311497 11/5/1969 B.A 22 YEARS Allopathy FAGUPUR, P.S+ DIST- VILL-DHOLNA, P.O- HOMEOPATH 36 BURDWAN-1 BELKASH DHOLNA SIDDIQUE MALLICK 8640967520 4/10/1967 M.P 17 YEARS FAGUPUR, Y P.S+ DIST- VILL-DHOLNA, P.O- 37 BURDWAN-1 BELKASH DHOLNA SK KERAMAT ALI 7679152026 8/1/1977 B.A 17 YEARS Allopathy FAGUPUR, P.S+ DIST- VILL-DHOLNA, P.O- 38 BURDWAN-1 BELKASH DHOLNA SK ABDUL KALAM 8926866670 4/22/1984 M.P 12 YEARS Allopathy FAGUPUR, P.S+ DIST- 5NO 39 BURDWAN-1 BELKASH AMTALA BISWANATH CHATTERJEE 9735837131 10/7/1948 B.Com 25 YEARS Allopathy MITHAPUKUR VILL-AMTALA, P.O- RAJBATI, 40 BURDWAN-1 BELKASH AMTALA APURBA DAS 9378490270 9/3/1963 H.S 30 YEARS Allopathy DIST- BURDWAN VILL- amina KESHABGA KESHABGANGE 41 BURDWAN-1 BELKASH AMINA KHATUN 9153399381 khatun37@yah 3/3/1994 B.A(H) 4 YEARS Allopathy NGECHATTI CHATTI, P.O- oo.com RAJBATI, VILL- KESHABGA KESHABGANGE 9564680267/9 42 BURDWAN-1 BELKASH NAZRUL HAQUE MONDAL 12/27/1960 H.S 25 YEARS Allopathy NGECHATTI CHATTI, P.O- 832122432 RAJBATI, VILL+P.O- BELKASH, 43 BURDWAN-1 BELKASH BELKASH SWETBARAN PATRA 8145593681 2/12/1973 IX PASS 17 YEARS Allopathy BURDWAN, 713102 VILL+P.O- PRIMARI BELKASH, 44 BURDWAN-1 BELKASH BELKASH PARESH CHANDRA GHOSH 9734262193 11/9/1968 M.P 20 YEARS GENERAL BURDWAN, MEDICINE 713102 VILL- SINGHAPUR, 45 BURDWAN-1 BELKASH SINGHAPUR RIYAJUL ISLAM 9475755605 1/1/1981 M.P 9 YEARS Allopathy P.O- BELKASH, P.S+DIST- VILL- MILIKPARA,P.O 46 BURDWAN-1 BELKASH MILIKPARA RADHAGOBINDA MALLICK 9332103773 8/7/1969 M.P 18 YEARS Allopathy - BELKASH, BURDWAN, VILL- R.M.P MILIKPARA,P.O 47 BURDWAN-1 BELKASH MILIKPARA DEBASIS MALLIK 9126663082 2/5/1970 H.S 11 YEARS Practitioner - BELKASH, INDO-ALO BURDWAN, VILL- USUFABAD, Allopathy(PR 48 BURDWAN-1 BELKASH USUFABAD SK MD HANIF 9474175211 8/19/1967 M.P 20 YEARS P.O- ACTITIONER) FAGUPUR, VILL- USUFABAD, Allopathy(PR 49 BURDWAN-1 BELKASH USUFABAD SK SAIFUL ISLAM 8509339262 2/10/1984 M.P 10 YEARS P.O- ACTITIONER) FAGUPUR, VILL- KASHIMPU KASHIMPUR,P. Allopathy(PR 50 BURDWAN-1 BELKASH SK BADRUZZAMAN 9932268053 1/17/1981 M.P 12 YEARS R O-FAGUPUR, ACTITIONER) BURDWAN VILL- KASHIMPU KASHIMPUR,P. Allopathy(PR 51 BURDWAN-1 BELKASH SK SEFAT ALI 9679870313 6/30/1986 H.S 10 YEARS R O-FAGUPUR, ACTITIONER) BURDWAN VILL-SUJAPUR P.O-BELKASH 52 BURDWAN-1 BELKASH SUJAPUR SK SAIYAD ALI 9732276087 16.10.1976 H.S 10 YEARS ALLOPATHY DIST- BURDWAN KAMAL MUNICIPALIT KAMAL SAGAR, P.O- HOMEOPATH 53 BURDWAN-1 SK ALI HOSSAIN 9153400688 15.10.1967 B.Sc 16years Y SAYAR RAJBATI, Y BURDWAN ALAMGANG ALAMGANGE, 54 BURDWAN-1 BELKASH MANOJ KUMAR THAKUR 9832798767 19.10.1976 H.S(R.M.P) 10 YEARS ALLOPATHY E BURDWAN VILL+P.O- PRACTCING BELKASH, 55 BURDWAN-1 BELKASH BELKASH ABHIJIT DUTTA 9732228211 13.07.1973 H.S 18 YEARS AS R.M.P BURDWAN, VILL-BELKASH 713102 BOREHAT, Presently NUTANGANJ, H.S. working as a 56 BURDWAN-1 BELKASH BORHAT BIJOY KUMAR BHAKAT 9474603621 04.11.1965 12 YEARS BURDWAN, SCIENCE Govt. 713102 Employee UDAIPALLY, P.O- 57 BURDWAN-1 BELKASH UDAIPALLY SUMANTA BISWAS 9153933720 06.01.1963 S.F 10 ALLOPATHY KANCHANNAG AR, P.S+DIST- Village -Balisa. M.P M.B.B.S/A sr.molla@gmail. B.I.A.M 58 Burdwan-1 Bondul-1 Balisa Sofikul RahamanMolla 9647628029 11/1/1969 24 Yrs P.O- com F.W.T Kamarkita. R.M.P F.W.T Village -Balisa. 59 Burdwan-1 Bondul-1 Balisa Malina Begam 8609887161 N.A 7/2/1986 B.A (PASS) 9 Yrs B.I.A.M P.O- Kamarkita. Village - H.S Naragohalia B.I.A.S.M 60 Burdwan-1 Bondul-1 Naragohalia Ardhendu Bhattacharyya 9732351114 N.A 9/4/1976 14Yrs P.O- D.M.L.T Village - Kothari Nityananda NityanandaPur Medical 61 Burdwan-1 Bondul-1 S.k Shahjahan 9434545849 N.A 1/23/1974 H.S 15 Yrs Pur .
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