Format for Listing Empanelled Providers for Uploading in State/UT Website

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Format for Listing Empanelled Providers for Uploading in State/UT Website Format for listing empanelled providers for uploading in State/UT website State West Bengal /Cooch Behar Year 2019-20 Empanelment List for (Prepare separate list for Minilap, Lap and Vasectomy and indicate the same) Qualification Postal address of (MBBS/MS- Name of Name of Empanelled Type of Facility Posted facility where Contact SNo. Gynae/DGO/DNB/M Designation District Sterilization Provider (PHC/CHC/ SDH/DH/ Private) empaneled provider number S-Surgery/Other is posted Specialty Cooch Behar Govt. Medical College & 1 Coochbehar Dr. Asish Kr. Mandal G&O Spl. MC & H Hospital 9433328248 P.O. + Dist. – Coochbehar, WB Cooch Behar Govt. Medical College & Hospital Coochbehar Dr. JayantaChoudhuri G&O Spl. MC&H 9434036688 2 P.O. + Dist. – Coochbehar Pin- 736101, WB Cooch Behar Govt. Medical College & Dr. BhaskarJyoti Hospital Coochbehar G&O Spl. MC&H 9830212516 3 Mani P.O. + Dist. – Coochbehar Pin- 736101, WB Cooch Behar Govt. Medical College & Hospital Coochbehar Dr. PolashHalder G&O Spl. MC&H 8017025533 4 P.O. + Dist. – Coochbehar, WB Pin- 736101 Cooch Behar Govt. Medical College & Hospital Coochbehar Dr. Lila Hembrom MBBS MO MC&H 9434168963 5 P.O. + Dist. – Coochbehar Pin- 736101, WB Dinhata S.D. Hospital P.O.+P.S. – Dinhata Coochbehar Dr. UjjalAcherjee MBBS MO SDH 9434367003 6 Dist- Coochbehar Pin - 736135, WB Dinhata S.D. Hospital P.O.+P.S. – Dinhata 7 Coochbehar Dr. SaswatiHalder G&O Spl. SDH 9433489814 Dist- Coochbehar Pin - 736135, WB Mathabhanga SDH P.O.+P.S.- 8 Coochbehar Dr. GopalChakraborty MBBS MO SDH Mathabhanga 9932994560 Dist- Cooch Behar Pin- 736146, WB Dinhata S.D. Hospital P.O.+P.S. – Dinhata 9 Coochbehar Dr. Bharat Ch. Barma G&O Spl. SDH 7074296605 Dist- Coochbehar Pin – 736135, WB 9434184795 Tufangunj SDH Dr. P.O.+P.S. – Tufangunj 10 Coochbehar MBBS Supdt SDH MrinalKantiAdhikari Dist- Cooch Behar Pin- 736159, WB Tufangunj SDH P.O.+P.S. – Tufangunj 11 Coochbehar Dr. ParthoChatterjee G&O Spl. SDH 9903480466 Dist- Cooch Behar Pin- 736159, WB Tufangunj SDH P.O.+P.S. – Tufangunj 12 Coochbehar Dr. Dilip Kr. Roy G&O Spl. SDH 9734086981 Dist- Cooch Behar Pin- 736159, WB Mekhligunj SDH 13 Coochbehar Dr. AlokSantra G&O Spl. SDH 9476389965 P.O.+P.S.- Mekhligunj Dist – Cooch Behar Pin- 735304, WB Mekhligunj SDH Dr. P.O.+P.S.- Mekhligunj 14 Coochbehar G&O Spl. SDH 9830214558 DibeyanduChoudhuri Dist – Cooch Behar Pin- 735304, WB Dewanhat BPHC Vill+P.O.- Dewanhat 15 Coochbehar Dr. ParasarPodder MBBS MO BPHC 9903235057 Dist- Cooch Behar Pin- 736134, WB Pundibari BPHC Vill- Hoglabari, 16 Coochbehar Dr. Sunil Mandal MBBS BMOH BPHC P.O.+P.S.- Pundibari 9434230897 Dist - Coochbehar Pin-736165, WB Anguldekha PHC P.O- Fatemud, Dist - 17 Coochbehar Dr. Animesh Das MBBS MO PHC 9903015284 Coochbehar Pin-735122, WB Rampur PHC Vill+P.O- Rampur Coochbehar Dr. SayanMandal MBBS MO PHC P.S-Boxirhat 18 8820585691 Dist - Coochbehar Pin-736207, WB 8670885609 Gosanimari BPHC P.O. – Gosanimari Coochbehar Dr. AnjanHunsda MBBS MO BPHC P.S. – Dinhata 19 Dist - Coochbehar Pin- 736145, WB Bamanhat BPHC Vill- Lowchapra, P.O- 20 Coochbehar Dr. Manash Das MBBS MO BPHC Bamanhat 9339279197 Dist – Coochbehar Pin-736168, WB Sitai BPHC 21 Coochbehar Dr. MasudHasan MBBS BMOH BPHC 9681163087 Vill- Bharali P.O- Sitai hat P.S-Sitai Dist – Coochbehar Pin-736167, WB Sitai BPHC Vill- Bharali Dr. Shyamal Kumar P.O- Sitai hat 22 Coochbehar MBBS MO BPHC 8944949851 Das P.S-Sitai Dist – Coochbehar Pin-736167, WB Ghoksadanga BPHC Dr. Subash Ch. Vill- ChotoSimulguri Coochbehar MBBS BMOH 9433481347 23 Gayen BPHC P.O- Ghoksadanga Dist – Coochbehar Pin-736171, WB Sitalkuchi BPHC Vill+P.O- Sitalkuchi 24 Coochbehar Dr. SafiurRahaman MBBS BMOH BPHC 9804510780 Dist - Coochbehar Pin- 736158, WB Hudumdanga PHC P.O-Dewanganj 25 Coochbehar Dr. Bipul Ch. Roy MBBS MO PHC 9933988850 Dist - Coochbehar Pin- 735122, WB Haldibari RH P.O.+P.S.-- Haldibari 26 Coochbehar Dr. Tapash Das MBBS BMOH RH 9474960946 Dist - Coochbehar Pin- 735122, WB *** row Add if necessary 19 18 17 16 15 14 23 22 21 20 13 12 11 10 1 3 2 4 9 8 7 6 5 Sl. No DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD DHHD Name of District Dr. Syed Nazirul Islam Nazirul Syed Dr. Roy Joydeb Dr. Das Kheyali Dr. Debasis Dr. Mitra Roy Krishnendu Dr. Dr.Bimal Das Dr. Souro Ranjan Basu Ranjan Souro Dr. ParimalDr. Dakua Sardar Shib Dr. Sundar Tapas Dr. Das Karim Abu Mahfuz-ul Dr. Sale Md. Mandal Buddhadeb Dr. Dr. AshimDr. Saha Kisku Dasrathi Dr. Dr. Anup KumarAnup Dr. Jana Dr.Ruma Dr.Ruma Pal Banarjee Mondal Samarendra Dr. Roy Anup Dr. Mandal Dr.Gurupada Mitra Dipayan Dr. Nayaban Maharaj Dr. Roy Pradip Dr. Adak Nath Binayendra Dr. Name of trained/ Empanelled provider Line Listing Of Sterilization Trained/Empaneled Providers Diamond Trained/Empaneled Providers HD Harbour Of Listing Sterilization Line MD G&O MD MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS MBBS DGO Qualification PHC Paschim Bhabanipur RH Mathurapur RH Magrahat Magrahat-RH RH Madhabnagar BPHC Kakdwip Kulpi RH Sarisha BPHC Sarisha RH Sagar RH Raidighi RH Raidighi Office DHHD CMOH Kakdwip SDH &SDH SSH Kakdwip SDH Kakdwip Kakdwip SDH &SDH SSH Kakdwip Kulpi Kulpi RH Jamtalahat PHC Falta BPHC RH Dwariknagar RH Baneswarpur RH Baneswarpur RH Baneswarpur SDH Kakdwip Place of Posting (Name of Facility and Level) 9647123197 8145715511 8617744854 9433123430 9830885670 9126422675 7278780492 8584970422 9474461640 9433286043 9093207704 8296416011 6291643307 9775157871 9674244038 9732077318 8830887620 9874113224 8768630287 9830420456 9735696595 943307178 841002865 Contact Number Trained/ Empaneled for Empaneled Trained/ Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Minilap No Laparoscopic Sterilization Yes Yes Yes Yes Yes Yes Yes Yes Yes No No NSV Number of Minilap performed Services provided in last one year last in provided Services If not performed surgery , please quote the reason for non- performance Number of Laparoscopic Sterilization performed If not performed surgery , please quote the reason for non- performance Number of NSV performed If not performed surgery , please quote the reason for non- performance Remarks :Empanelment List of Surgeons for for Minilap, Lap Ligation & NSV of Darjeeling Sl. No. Name of Medical Officer Place of Posting Designation Qualificaltion Method 1 Dr. Tshering Sherpa DH. Darjeeling MO MD Mini Lap / LaB LiS 2 Dr. Uden Bhutia DH. Darjeeling MO MD Mini Lap / Lap Lie 3 Dr.A. Majumder DH. Darjeeling MO MD Mini Lap I Lap Lie 4 Dr.S.K.Ali DH. Darjeeling MO MD Mini Lap / Lap l-ig 5 Mrinalini Choudhury DH. Darjeeling MO MD Mini Lap / Lap Lig 6 Dr. Sneha Singh DH. Darjeeling MO MD Mini Lap / Lap Lig 7 Dr. C. L. Sherpa DH. Darjeeling MO MD Mini Lap / Lap Lig 8 Dr. P. K. Mandal Bijanbari RH BMOH M BBS Mini Lap 9 Dr. Sukanta Podder Sukhiapokhri BPHC BMOH M BBS Mini Lap 10 Dr. Jayanta Hansda DH, Siliguri GDMO M BBS Mini Lap 11. Dr. Malabika Bagani DH, Siliguri MO MD Mini Lap / Lap Lig 12 Dr. Mallika Mukherjee DH, Siliguri MO DGO Mini Lap 13 Dr. Ranjit Bhagat DH, Siliguri MO MD NSV 1.4 Dr. David Narjinary DH, Siliguri MO MD 15 Dr. Sudesh Baraily DH, Siliguri GDMO M BBS Mini Lap L6 Dr. P. Nath DH. Darjeeling MO MD Mini Lap / Lap Lig 17 Dr. Tapash Bhattacharya DH. Darjeeling MO MD Mini Lap / Lap Lig 18 Dr. Shambhu Rana DH. Darjeeling MO MD Mini Lap / Lap Lie 19 Dr. Mahua Kundu DH. Darjeeling MO MD Mini Lap / Lap Lig 20 Dr. Barsha RaniTigga SDH, Kurseong MO MD Mini Lap / Lap Lig 21 Dr. Hasibul Mallick Sukna BPHC BMOH MBBS Mini Lap 22 qrA.Dutta Gupta Sukna BPHC GDMO M BBS Mini Lap 23 Dr. Arnab Pramanik Matigara BPHC MO M BBS Mini Lap 24 Dr. Debashis Roy Kharibari RH MO M BBS Mini Lap 25 Dr. Sayan Dutta Kharibari RH MO DGO Mini Lap 26 Dr. lrndadur Rahaman Kharibari RH mo MBBS Mini Lap 27 Dr. Nilotpal Majumder Naxalbari RH GDMO MBBS lVlini Lap 28 Dr. S. Das Naxalbari RH GDMO DGO Mini Lqp 29 Dr. Arunabha Das Phansidewa BpHC BMOH MBBS Mini Lap 30 Dr: Suman Sarjar Phansidewa BpHC MO MBBS lVlini Lap 31 Dr. Mahewar Mudi ACMOH, Silieuri ACMOH DPH Mini Lap / trtSV r\ --l.-LnQ-fu*,' ical Offider of Health_ul Darjeering cherm;, lg[ tollg Darjeeling Format for listing empaneled providers for uploading in State/UT website State West Bengal Year 2019-20 Empanelment List for (Prepare separate list for Minilap, Lap and Vasectomy and indicate the same) Minilap Type of Facility Name of Qualification Posted Postal address of Empanelled (MBBS/MS- (PHC/CHC/ facility where Name of Sterilization Gynae/DGO/DNB/MS- SDH/DH/ empaneled SNo. District Provider Surgery/Other Specialty Designation Private) provider is posted Contact number Dr Prakash MBBS O/o the DTO, 1 Hooghly Chandra Baag DTO DH Hooghly Hooghly Dr Joydip Barua MBBS Ahmedpur BPHC, 2 BMOH CHC Balagarh, Hooghly 8145588508 Hooghly Dr Sankar MBBS CHC Pandua RH, 3 Narayan Sarkar MO Pandua, Hooghly 9732571617 Hooghly Dr Anindita MBBS, MD (G&O) MO (G&O) CHC Pandua RH, 4 Mitra Pandua, Hooghly 9836345540 Hooghly Dr Sukhendu MBBS MO CHC Pandua RH, 5 Mukherjee Pandua, Hooghly 9433092540 Dr Monisankar MBBS MO CHC Pandua RH, 6 Hooghly Mukhopadhyay Pandua, Hooghly Hooghly Dr Baijayanti MBBS MO CHC Pandua RH, 7 Saha (Mochari) Pandua, Hooghly 9233083898 Hooghly Dr Falguni Bala MBBS MO CHC Chinsurah-Mogra BPHC, Mogra, 8 Hooghly 9434388938 Hooghly Dr Sulekha Das MBBS MO CHC Chinsurah-Mogra BPHC, Mogra, 9 Hooghly Hooghly Dr Jayanta MBBS BMOH CHC Chinsurah-Mogra Sarkar BPHC, Mogra, 10 Hooghly 9733084925 Dr Amartya Pal MBBS MO CHC Chinsurah-Mogra BPHC, Mogra, 11 Hooghly Hooghly 9433119451
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