Women Health Camp Contact Form Venue of Camp Camp Date:(required) Venue:(required) City/Village:(required) District:(required) State:(required) Camp Coordinator Information Camp Coordinator Name: Camp Sponsor: Chief Guests Attended the Camp : : Other Organizations Helped to Organize Camp: Survey & Awareness No.of people surveyed: No.of people attended camp: No.of people for 2nd checkup: No.of people for 3rd checkup: Number of Free Medicines given : Supporters No.of Doctors Provided Services: No.of Volunteers: Names of Doctors: Names of Volunteers with Mobile Numbers: No.of Volunteer Hours Spent: Paramedical Staff: Tests Conducted V.I.A: Papsmear: U/S: Mammography: Biopsy: Breast Surgery: Histeractomy: Pre Cancer Data: Biopsy Date : FNAC Test Date : No.of Breast Examinations Done: Expenditure Total Expenditure of Camp: Cost of freely distributed medicines: Expenditure for Equipment: Expenditure for Tests: Food Expenditure: Other Expenditure: Feedback Patient Feedback: Your Message: × vtsadmin2018-01-02T07:20:33+00:00 Share This Post FacebookTwitterLinkedInPinterest