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ALI YAVAR JUNG

NATIONAL INSTITUTE OF SPEECH AND HEARING DISABILITIES


REGIONAL CENTRE
NIEPID BUILDING, PLOT NO.44A, BLOCK-C, SECTOR- 40, NOIDA – 201301
Under Department of Empowerment of Persons with Disability (Divyangjan)
Ministry of Social Justice & Empowerment, Govt. of India
Phone No.: 0120-2500474/2500484, e-mail: ayjnihhnrc@gmail.com

THERAPY FILE

ACADEMIC YEAR :

CASE NAME:

CASE NO:

AGE / SEX:

PROVISIONAL DIAGNOSIS:

SUPERVISOR:

CLINICIAN:
ALI YAVAR JUNG
NATIONAL INSTITUTE OF SPEECH AND HEARING DISABILITIES
REGIONAL CENTRE
NIEPID BUILDING, PLOT NO.44A, BLOCK-C, SECTOR- 40, NOIDA – 201301
Under Department of Empowerment of Persons with Disability (Divyangjan)
Ministry of Social Justice & Empowerment, Govt. of India
Phone No.: 0120-2500474/2500484, e-mail: ayjnihhnrc@gmail.com

ATTENDANCE SHEET
ACADEMIC YEAR:

CASE NAME : AGE/SEX :

CASE NO : SUPERVISOR :

PROVISIONAL DIAGNOSIS:

SERIAL PRESENT REMARK SINGNATURE


NO. DATE /ABSENT

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