Guidelines for Accreditation of Privagte Health ... - NRHM Tripura

Annexure III b
F. 1
i
ii Tab. Erythromycin 250 mg or 500 mg
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iii Tab. Metronidazole 400 mg
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iv Podophyllin tincture 20%
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v Cap. Amoxicillin 500 mg
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vi Tab. Secnidazole 1 g or 2 g
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vii Tab Fluconazole 150 mg
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viii
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x
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xii
xiii
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xv
F. 2
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ii
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iv
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vi
Essential STI/RTI Medicines
I II
Clotrimazole 500 mg vaginal pessaries + +
Tab. Tinidazole 500 mg (optional)
Inj. Benzathine Penicillin 2.4 MU
Inj. Distilled water ampoules/glass vials 10 ml
Tab. Cefixime 200 mg or 400 mg
Tab. Azithromycin 500 mg or 1 g
Tab. Acyclovir 200 mg or 400 mg
Cap. Doxycycline 100 mg
Clotrimazole 500 mg vaginal pessaries
Essential General Medicines
Tab. Rantac 150 mg
Tab.Metaclopramide
Tab. Ibuprofen 400 mg or Tab. Paracetamol 500 mg
Inj. Adrenaline (epinephrine) 1:1000 dilution
Antihistamines for injection and oral administration (e.g.,
Diphenhydramine and Chlorpheniramine)
Inj. Hydrocortisone
Overall grading of the PHF as per the above list. Level I/Level II/None
(Please tick for the appropriate
level)
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23.2