Disability Care Service Rendered Form

Multi-patient visit ledger — record services provided during field visits. Add one row per patient.

Accessibility tip: Use Tab to move between cells. Space to toggle checkboxes. Scroll the table horizontally to see all columns. Hover over abbreviated column headers for full names.

Abbreviation Guide — hover column headers for full names

AB — Adductor Band

FL — Finger Loop

GS — Gutter Splint

OL — Opponents Loop

FDS — Foot Drop Splint

ADL — Activity of Daily Living

OU — Occupational Use

TB — Taken Before

TN — Taking Now

TS — To be Started

SCK — Self Care Kit

HOS — Hospital

HMM — Home Made Materials

AF — Anaesthetic Feet

CR — Cracks

US — Ulcer on the Sole

GP — Grip Problem

NC — Not Compliant

Vi — Vision

LG — Lagophthalmos

Form Header

Centre *

Follow Up Date *

Worker *

Patient Service Register (1 row)

Multi-patient service rendered register. Each row represents services provided to one patient. Use Tab to navigate between cells.
#	RLP	Name	Village	Hands	Feet	Physio	Exer	Eye Care	Adv For	Vi	LG	AB	FL	GS	OL	FDS	ADL	OU	Conf. & Anti	Reac. Therapy	TB	TN	TS	SCK	HOS	HMM	AF	CR	US	GP	NC	Recon	OP	NO	Remarks	Actions
	Patient			Self Care Adv.		Taught For						Splints Given					Grip-Aids		Therapy		Ulcer Dressing						MCR Footwear					Reconstructive Surgery			Remarks
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