FORMAT FOR RADIOLOGY INVESTIGATIONS RECORD REGISTER

Hospital Name

RADIOLOGY INVESTIGATIONS RECORD REGISTER (X-ray)

S. No.

Date

Patient Name

UHID

Diagnosis

Investigation to be done

Time

TAT

Re-Do (Yes/ No)

Reason for Re-Do

Critical Result (Yes/ No)

Action Taken

Report Co-relating with Clinical Diagnosis (Yes/ No)

Adherence to safety Precautions (Yes/ No)

Remarks

Signature of Technician

Signature of Radiologist

Order

Investigation Done

Report Dispatched