Tamil Nadu COVID19 War Room
Public Bed Request
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User Profile
Type Of Caller
*
:
Patient
Attender
Name
*
:
Age (in completed years)
*
:
Gender
*
:
Select Gender
Male
Female
TransGender
Caller's Mobile Number
*
+91
Where is the patient?
*
Select Type
Home
Hospital
Triage Facility
Transit/Ambulance
District
*
Select District
{{dl.District_Name}}
Taluk
Select Taluk
{{T.Taluk_Name}}
Address
*
Where the patient wants bed
*
Select Type
Government Hospital
Private Hospital
Any Of The Above
Type of Bed
*
Select Bed Type
ICU
Ventilator Bed
O2 Bed
Non O2 Bed
CCC
Icu Bed with Ventilator
Any Of The Above
Vaccination Status
*
Select Vaccine Status
1 dose
2 dose
Booster
Not Vaccinated
Counseling Required
Mucormycosis
Previously Infected By Covid
Symptoms
Confusion
Breathlessness
Continuous Fever
Tiredness
Others
Comorbidity
Diabetes Mellitus (DM)
HyperTension (HT)
Ischemic Heart Disease (IHD / CHD / CCF)
Tuberculosis (TB)
Asthma/COPD
Chronic Kidney Disease
Cancer
Others
Vital Signs
Saturation (SpO2 %)
Whether patient is on O2? (L/min)
Select Type
YES
NO
Respiratory Rate (per min)
Pulse Rate (per min)
BP
/
CT Scan Report Score
/
Select
25
40
RT-PCR
*
--Select Result--
Positive Covid19
Negative Covid19
Pending Result
Test Not Done
Remarks
For further assistance please call
call
104
