Clinic Facilities form - Jage 3
momm-rsame
120 volts, 60 32 AC sower available
Other type AC alactrical power (give voltage
Battery powered DC available (give voltage
batteries ara racharzged)
Has its own generator in good working condition
Clinic has {rs own generacor but not in good working condition
Community supoliad sewer which is reliable
Clinic supplied sower which is unreliable
Other (please describe)
None available
AC eleccric operacad \
=
Karos
etrizeratiia
.
ene rerrigerarqon
Dimensions of storage space in inches:
.
-
Heigac
(please describe)
16.
Total mumber of beds in clinic.
17.
Number of mattresses.
18.
Number of mattresses in good condition.
19.
Number of mattresses in poor condition.
20.
frequency
) and (state how
Trpe of refrigeration:
Trees
1S.
None available
If there is AC power available, describe the source:
maaan es
i+.
bet ed beet
Type of alectrical power available for operating equipment:
a ee eee
13.
Examination table facilities:
{ ]
None
( ]
Regular examination cable(s)
( ]
Plain cable wich blanket
(describe each on the next page)
Wideh
Depth