Guidance for TB Notification in India

Transcription

1 2012 Guidance for TB Notification in India Cenl TB Division, Directorate General of Services, Ministry of & Family Welfare, Govt of India July 2012 For any queries, please write to

2 Sr No Contents: Page no 1 Background 2 2 Why should private health facilities notify TB? 3 3 Objectives 3 4 Minimum information requirement for TB notification 3 5 Definitions for TB notification 3 6 List of RNTCP endorsed TB diagnostics 4 7 Registion of the establishments for TB 5 notification 8 Mechanisms for TB notification 6 9 Responsibility of the district level nodal officer 7 10 Responsibility of the Local public health authority 7 11 Responsibility of the health worker 8 Annexures I Establishment registion form for TB Notification 9 II Undertaking for establishments not routinely diagnosing / treating Tuberculosis patients 10 III Formats for TB notification 11 IV List & contact details of Local Authority (Nodal ) for TB notification 13 1

3 1 Background: Tuberculosis is a major public health problem in India. Early diagnosis and complete treatment of TB is the cornerstone of TB prevention and control stegy. India s National TB Control programme provides quality assured diagnostic and treatment services to all the TB patients including necessary supportive mechanisms for ensuring treatment adherence and completion. The country has a huge private sector and it is growing at enormous pace. Private sector predominates in health care and TB treatment. Extremely large quantities of anti-tb drugs are sold in the private sector. Non standerdized prescribing practices among some of the private providers with inappropriate and inadequate regimens and unsupervised treatment continues without supporting patient for ensuring treatment adherence and completion with unrestricted access to first and second line TB drugs including without prescription. This frequently leads to treatment interruptions and subsequent drug resistance. Revised National TB Control Programme provides mechanisms to ensure treatment adherence support including Directly Observed Theray (DOT). But a large number of patients are not benefitted with these programme services and leads to non adherence, incomplete, inadequate treatment leading to M/XDR TB, mitigating all the efforts of the programme to prevent emergence and spread of drug resistance. If the TB patients diagnosed and treated under all sectors are reported to public health authorities, the mechanisms available under the programme can be extended to these patients to ensure treatment adherence and completion. The impending epidemic of M/XDR TB can only be prevented to a large extent by this intervention. In order to ensure proper TB diagnosis and case management, reduce TB nsmission and address the problems of emergence of spread of Drug Resistant-TB, it is essential to have complete information of all TB cases. Therefore, Govt of India declared Tuberculosis a notifiable disease on 7th May All public and private health providers shall notify TB cases diagnosed and/or treated by them to the nodal officers for TB notification. This guidance document aims to to minimize variations in notification practice and improve the quality ofdata in the local TB surveillance system. 2

4 2 Why should private health facilities notify TB? Notification gives an opportunity to support private sector for following standerdized practices in terms of Standard TB Care It helps the patients to get right diagnosis, treatment, Follow up, Contact Tracing Chemoprophylaxis & facilitates social support systems. Complete and accurate data obtained from notification will allow continuousevaluation of the trend of the disease with better estimation of burden/impact. 3 Objectives: 1. To establish Tuberculosis surveillance system in the country 2. To ensure proper TB diagnosis and case management and further accelerate reduction of TB nsmission 3. To extend mechanisms of TB treatment adherence and contact cing to patients treated by all health care providers 4. To mitigate the impeding Drug resistant TB epidemic in the country 4 Minimum information requirement for TB notification: 5 Definitions for TB notification 1. TB Case name 2. Age 3. Sex 4. GoI-issued personal unique identification number (Aadhaar, Driving license etc) 5. Detailed address of TB case with pin code 6. Phone number 7. Basis of diagnosis: Microbiologically-confirmed TB case / Clinical TB case 8. Patient category: New / Recurrent TB case / Treatment change 9. Site of disease: Pulmonary / Ex-pulmonary only 10. Rifampicin resistance: Resistant / sensitive / not available (& other drug resistance pattern by laboratories) Basis of diagnosis: 1. Microbiologically-confirmed TB case Patient diagnosed with at least one sputum specimen positive for acid fast bacilli, or Culture-positive for Mycobacterium tuberculosis, or RNTCP-approved Rapid Diagnostic molecular test positive for tuberculosis 2. Clinical TB case Patient diagnosed clinically as tuberculosis, without microbiologic confirmation and 3 OR

5 initiated on anti-tb drugs. Patient type: New TB case Patient who has never been treated with anti-tb drugs or has been treated with anti-tb drugs for less than one month from any source Recurrent TB case Patient who has been treated for tuberculosis in the past and been declared successfully treated (cured/treatment completed) at the end of their treatment regimen. Treatment change Patient returning after interruption, or patients put on a new treatment regimen and due to failure of the current treatment regimen. Site of disease Pulmonary TB case Patient with TB of the lungs (with or without involvement of any ex-pulmonary locations). Ex-pulmonary TB case Patient with TB of any an other than the lungs, such as pleura, lymph notes, intestines, genitourinary ct, skin, bones and joints, meninges of the brain, etc, diagnosed with microbiological, histological, radiological, or strong clinical evidence. 6 List of RNTCP endorsed TB diagnostics Rifampicin resistance: Rifampicin resistant Patient with a drug susceptibility test result from a RNTCP-certified laboratory or WRD (WHOendorsed Rapid Diagnostics) drug susceptibility test report showing resistance to rifampicin. Rifampicin sensitive Patient with a drug susceptibility test result from a RNTCP-certified laboratory or WRD drug susceptibility test report showing sensitivity to rifampicin. Not available Patient without a drug susceptibility test result from a RNTCP-certified laboratory or WRD drug susceptibility test report. Smear Microscopy (for AFB): Sputum smear stained with Zeil-Nelson Staining or Fluorescence stains and examined under direct or indirect microscopy with or without LED. Culture: Solid(Lowenstein Jansen) media or 4

6 Liquid media (Middle Brook) using manual, semiautomatic or automatic machines e.g. Bactec, MGIT etc. Rapid diagnostic molecular test: Conventional PCR based Line Probe Assay for MTB complex or Real-time PCR based Nucleic Acid Amplification Test (NAAT) for MTB complex e.g. GeneXpert 7 Registion of the establishments for TB notification [Sputum Smear Microscopy (for AFB): Sputum smear stained with Zeil-Nelson Staining or Fluorescence stains and examined under direct or indirect microscopy. Sputum Culture: Sputum culture on solid (Lowenstein Jansen) media or liquid media (Middle Brook) using manual, semi-automatic or automatic machines e.g. Bactec, MGIT etc. Rapid diagnostic molecular test: Line Probe Assay for MTB or Nucleic Acid Amplification Test (CB-NAAT) Note: Diagnosis of TB based on radiology (e.g. X-ray) will be termed as clinical TB] For operational simplicity, the types of establishments will be divided into three categories 1. Laboratories 2. Private practitioner / Clinic (single) 3. Hospital / Clinic / Nursing Home (multi) Laboratories will include those Establishments carrying out any of the RNTCP endorsed TB diagnostics Private practitioner / Clinic (single) will include any Establishments where TB cases are treated or diagnosed clinically / radiologically and the medical services are provided by single medical practitioner Hospital / Clinic / Nursing Home (multi-practitioners) will include any Establishments where TB cases are treated or diagnosed clinically / radiologically&medical services are provided by more than one practitioner Each of the Establishment will be registered for TB Notification by submitting a simple registion form mentioning the details of the establishment. This registion form can be availed from the nodal officer for TB Notification in the district or can be downloaded from 5

7 Alternatively health Establishments can be automatically registered by the respective nodal officers after submission of their first TB notification report to respective nodal officer in the district. Each Establishment on receipt of request for registion for TB Notification or submission of first TB notification report will receive the Unique number for further correspondence after verification / confirmation of the submitted details. 8 Mechanisms for TB notification Route of information nsmission: 1. Submission of hard copy of the TB to the Nodal for TB notification o by post o by courier o by hand 2. Submission of the soft copy to the Nodal for TB Notification by authorized 3. Submission of information to the Nodal for TB Notification using authorized mobile o by Mobile phone call * o by IVRS (Interactive Voice Response System) * o by SMS * (*will be incorporated in future) 4. Uploading of information directly on the Nikshay portal website is under construction & such facility may be available from 2013 after the health establishments are registered) This, in future, may include direct online TB cases information nsmission from newer diagnostic machines like CB- NAAT or MGIT etc. 5. In States/UTs or districts where the bilateral understanding is established between the Establishments and the local public health authorities for convenient local TB notification, the information on TB Notification can be submitted to the local public health authorities (e.g. of the Primary Center) as designated by the district nodal authority for TB notification. However, this should be done only in consultation with the concerned district nodal officer for TB notification. Note: The list of Nodal s is available on 6

8 9 Responsibility of the district level nodal officer 10 Responsibility of the Local public health authority In case, health care provider is not aware about the contact details of the nodal officer for TB Notification in the district the same may be obtained from the respective / State for the updated contact. In case of any grievences, the same may be sent to tbnotification@tbcindia.nic.in& issues regarding electronic reporting data update may be sent to helpdesk.nikshay@tbcindia.nic.inmentioning the name and complete address of the health care facility. establishments and medical practitioners not routinely diagnosing / treating TB patients may give an undertaking regarding the same while agreeing to submit the information in future, in case they diagnose or treat any TB case. Disseminate information regarding TB Notification to all Establishments in the district and the professional bodies like IMA Provide the formats for TB Notification and establishment registion form for TB Notification to all Establishments in the districts Ensure that each Establishment submitting registion form or submitting its first TB Notification report (whichever is earlier) are visited / their details are confirmed within two weeks from submission Ensure that all Establishments in the districts are registered for TB Notification by Dec 2012 and they are given the Unique ID Maintain the list of Establishments with details and IDs Ensure that all Establishments in the district notify TB cases on timely manner Capacity building of the local s and health staff to undertake public health action for the TB cases notified Ensure that all TB cases notified by all the establishments are entered in the Nikshay portal not later than two weeks from submission of the report Routinely review the progress in TB notification by all Establishments in the district Carry out following activities as directed by and in consultation with the district nodal officer for TB Notification o Disseminate information regarding TB Notification to all Establishments in the district and the 7

9 11 Responsibility of the health worker professional bodies like IMA o Provide the formats for TB Notification and establishment registion form for TB Notification to all Establishments in the districts o Ensure that each Establishment submitting registion form or submitting its first TB Notification report (whichever is earlier) are visited / their details are confirmed within two weeks from submission o Ensure that all Establishments in the districts are registered for TB Notification by Dec 2012 and they are given the Unique ID o Ensure that all Establishments in the district notify TB cases on timely manner o Capacity building of the health staff to undertake public health action for the TB cases notified o Collect, collate and upward submit the TB Notification reports submitted by the Establishments Regularly visit all establishments in the area of work and promote understanding and requirement about the TB Notification amongst the staff and medical practitioners in the Establishments Provide the formats for TB Notification and establishment registion form for TB Notification to all Establishments in the districts Collect, collate and upward submit the TB Notification reports submitted by the Establishments Ensure that all TB cases notified by the establishments are entered in Nikshay Visit the TB patients notified by the Establishments in consultation with them for important and timely public health actions including: o Counselling of TB patients including promotion of treatment adherence & Follow up to ensure treatment completion o TB Contact cing, screening for symptoms and referral for evaluation if any TB symptomatic is found amongst the TB contacts o Offering INH chemoprophylaxis as per RNTCP policy o Family members counselling o Offering TB treatment under RNTCP, if desired by the patients o Advising on ICTC services, further testing of C&DST, if eligible 8

10 Annexure I Establishment Registion Form (for TB Notification) 1 Name of Establishment 2. Sector Public Private/NGO 3. Type of Establishment Laboratory 4 MCI/Hospital/Clinical Registion Number 5. Authorized Contact Person 6. Designation of Contact Person Land Line Number (with STD Code) 9. Mobile Number 10. Complete Address Private Practitioner /clinic (single) Hospital / Clinic / Nursing Home (multi) 11. PIN Code For Office Use Registion Form Received on Mode of Receipt E Mail / Post / By Hand /Fax Verified By Verified On HEID Allocated State Tuberculosis Unit 9

11 Annexure II Declaration of not diagnosing / treating TB cases To, Nodal for TB Notification, State Dear Sir, I had received the information regarding notification of Tuberculosis patients. I undertand the I am expected to report each and every patient who has been either diagnosed as Tuberculosis or prescribed treatment with anti-tuberculosis drugs or both needs to be reported on atleast monthly basis to health system. I have also received the format. My details are as follows: 1. Name: 2. Qualification: 3. Registion / Licence no. 4. Correspondence address: 5. Contact: Landline (with STD): Mobile: (if any): 6. I had neither diagnosed nor prescribed anti-tb drugs / treatment or both in last one year and I usually do not manage TB patients. Hence I request to kindly grant exemption from submitting monthly report. I take full responsibility that I will report even if I manage (diagnose / prescribe tb drugs / both) a single patient during any month. If I fail to report such case, I will be responsible for the further action. 7. I had been informed that / health system staff will be making enquiry to the pharmacy shops / community as a surprise check and proposal for actions will be initiated if it is found that the TB patient managed by me / my institute/ health facility / lab / diagnostic centre has not been reported from my side. Authorised Signature: Full Name & Stamp: CC to, PHC. / Superintendent, SDH / RH. / Taluka / BHO / BMO..) 10

12 Annexure III TB Notification reporting format for Laboratory Period of reporting: From.././ To.././ Name of the Laboratory : Registion Number: Telephone (with STD): Mobile number: Complete Address:..... Establishment code for TB Notification.../ Sr No Name of TB Patient (surname first) Father / Husband s name Age (yrs ) Sex (M/ F /O) GoI issued identifi cation numbe r * Complete residentia l address PIN num ber Patient Phone number Date of TB Diagnosis Date of sputum collection Date of result Type of Test result (smear positive / culture positive / molecular test LPA Xpert / DST DST results for each drug tested (R=resistant / S=sensitive/NA=not available) Rif, INH, SM, EMB, Ofx, Km, Eto, Cipro, Capr, etc $ Ri f INH S M EMB Of x Km * Aadhaar, driving license, voter ID, ration card, PAN no, passport no etc Laboratories include those Establishments carrying out any of the RNTCP endorsed TB diagnostics Signature: Date:.././

13 TB Notification reporting format for medical practitioners / Clinics/Hospitals/Nursing homes Period of reporting: From.././ To.././ Name of the health facility / practitioner : (single/multi) Registion Number: Telephone (with STD): Mobile number: Complete Address:..... Establishment code for TB Notification.../ Sr No Name of TB Patient (surname first) Father / Husband s name Age (yrs) Sex (M/F /O) GoI issued identification number * Complete residential address PIN number Patient Phone number Date of TB Diagnosis Date of TB treatment initiation Site of Disease (P / EP) Pateint Type (New TB case/ Recurrent TB case/ Treatment change) Basis of diagnosis (Sputum microscopy / culture / PCR / LPA/ Clinical exam/x-ray) Treatment started (No / First line / second line) * Aadhaar, driving license, voter ID, ration card, PAN no, passport no etc Private practitioner / Clinic (single) will include any Establishments where TB cases are treated or diagnosed clinically / radiologically and the medical services are provided by single medical practitioner Hospital / Clinic / Nursing Home (multi-practitioners) will include any Establishments where TB cases are treated or diagnosed clinically / radiologically & medical services are provided by more than one practitioner Signature: Date:.././

14 Annexure IV List & contact details of Local Authority (nodal officer) for TB notification Sr No Name of State / UT A&N Islands A&N Islands A&N Islands A&N Islands Andhra Andhra Name of Adminis tive district Name of RNTCP district Full name of local Authority / Nodal for TB notification - - Dr. S. P. Burma South Andama n N&M Andama n Nicobar Hyderab ad Prakasa m TB Unit - Port Blair TB Unit Mayabund er TB Unit - Nicobar Hyderabad Prakasam Dr. Kusum Kunwar Dr. Md. Shammi Dr. BG Lall Dr.S.Ananth Reddy Dr D. Giri Kumar Designati on State TB Superinte ndant In- Charge Superinte ndant TB Control Addl. DM&HO Official Address State TB Office, DHS Annexure Building, Directorate of Services, A&N Islands, Port Blair G.B. Pant Hospital, Port Blair, A&N Islands Dr.R. P. Hospital, Mayabunder, N&M Andaman, A&N Islands BJR Hospital, Car Nicobar, Nicobar, A&N Islands O/O The Tb Centre, S.R., Nagar, Irramnuma, Hyderabad C/o DM&HO Office, Collectors Office Campus, Ongole. Prakasam. Pin Code Landline no with STD code (O) / Mobile no ID Fax No stoan@rntcp msgbph@gmail.c om dhsnicobar@gma il.com dtoaphyd@rntcp

15 Andhra Andhra Andhra Andhra Andhra Andhra Andhra Adilaba d Nalgond a Nalgond a Karimna gar Vizianag aram Khamm am Visakha patnam Adilabad Nalgonda Nalgonda Karimnagar Vizianagara m Bhadrachal am Visakhapat nam Dr.M.Manikya Rao Dr. P. Amos Dr. B. Arundhathi Dr. A. Rajesham Dr. T. Rama Rao B. JAYAKUMAR Dr. B. Sasidhar kumar DM&HO & TB Control (FAC) TB Control TB Control DM&HO Dist TB control O/o.Dist &, DM&HO Building, 1st Floor, Vinayak Chowk, Adilabad, AP & Office, R.P. Road, Nalgonda. TB Control Office, Dist. Head Quarters Hospital Campus, Nalgonda TB Control Centre, Opp: Madeena Complex, Karimnagar. Head Quarters Hospital Compound Dist. &, Khammam TB Control, TB Control Center, Mental Hospital Campus, TB Hospital Compound, PedaWaltair, Visakhapatnam apadbdmo@nic.i n dmhonlg2002@y ahoo.com dtoapngd@rntcp. dtoapkmr@rntcp. dtoapvzm@rntcp. govtdmhokmm@ yahoo.com.in dtoapvsm@tbcin dia.nic.in

16 Andhra Andhra Andhra Andhra Andhra Andhra Andhra Andhra Khamm am Krishna Rangare ddy Chittoor Nellore East Godavar i MEDAK Warang al Khammam Krishna Rangaredd y DM&HO, CHITTOOR Nellore East Godavari Medak Warangal Dr.B.Jaya Kumar Dr. G.G.J. Naga Laxmi DR. Venkatapathy / Dr. Ch. Aruna Kumari Dr Y.Lalitha Kumari, MBBS, D.A. Dr.D.Sureshku mar Dr.N.Prasanna kumar Dr. D. Ravinder Goud Dr.P.Sambhas hiva Rao & DTCO DM&HO and DTCO DTCO CAS DM&HO & Office, Nehru Nagar, Khammam D.NO : 30/55, Railway station road, Malakapatnam, Machilipatnam, Krishna district DM&HO Office, Sivarampally, Rangareddy Dist. and Office, Reddy Gunta, Near Collecte Office, Chittoor TB Control Office, Dargamitta, opp Collectors banglow Nellore Room No. 63, GGH Campus, Kakinada Dist. TB Centre, Dist. Hqr. Hospital Premises, Sangareddy, Medak Dist. DM&HO Campus, Mulugu Road, Warangal dtoapkrn@rntcp. rrdmho@yahoo.c om dmhoctr@yahoo. com dtoapnlr@tbcindi a.nic.in dtoapnlr@rntcp. dtoapegv@rntcp. wgldmho@yaho o.com

17 Arunachal Arunachal Arunachal Arunachal Arunachal Arunachal Arunachal Arunachal Arunachal Changla ng Dibang Valley East Kameng East Siang Kurung Kumey Changlang Roing Dr. M. Khimhum Dr. S. J. Mitapo DTO DTO Seppa Dr. K. Welly DTO Pasighat Dr. Y. Perme DTO Koloriang Dr. Toko Lakshmi DTO Lohit Tezu Dr. U. K. Nath DTO Lower Subansir i Papum Pare Tawang Ziro Dr. H. Nibo DTO Naharlagun Tawang Dr. P. D. Thongchi Dr. Urgen Lhamu DTO The, DTCS, Changlang, PO- Changlang, Dist. Changlang The DTCS, Roing, PO- Roing, Dist. Dibang Valley The DTCS, Seppa, PO- Seppa, Dist. East Kameng The DTCS, Pasighat, PO- Pasighat, Dist. East Siang The DTCS, Koloriang, PO-Koloriang, Dist. Kurung Kumey The DTCS, Tezu, PO-Tezu, Dist. Lohit The DTCS, Ziro, PO-Ziro, Dist. Lower Subansiri The DTCS, G. H. Naharalgun, PO- Naharalgun, Dist. Papum Pare The DTCS, Tawang PO- Tawang, Dist. Tawang DTOARCHA@tbci ndia. DTOARDIV@tbci ndia. DTOAREKA@tbci ndia. DTOARESI@tbcin dia. DTOARKKM@rnt cp. DTOARLOH@tbci ndia. DTOARLSU@tbci ndia. DTOARPMP@tbci ndia. DTOARTWN@tbc india

18 Arunachal Arunachal Arunachal Arunachal Arunachal Tirap Deomali Dr. J. Thingok, Upper Siang Upper Subansir i West Kameng West Siang Yingkiong Daporijo Bomdila Aalo Dr. A. Miyu Dr. Y. Hangkar Dr. R. D. Thongchi Dr. M. Nyori 36 Assam Barpeta Barpeta Dr. Z. Ahmed 37 Assam Bongaig aon Bongaigaon 38 Assam Cachar Cachar 39 Assam Darrang Darrang Dr. H. Adhikary Dr.Abed Rasul Mazumder Dr. A. Goswami The DTCS, Deomali PO- Deomali, Dist. Tirap The DTCS, Yingkiong PO-Yingkiong, Dist. Upper Siang The DTCS, Daporijo, PO- Daporijo Dist. Upper Subansiri The DTCS, Bomdila, PO- Bomdila Dist. West Kameng The DTCS, Aalo, PO-Aalo Dist. West Siang Dist. TB Centre, Barpeta I/c TB Centre (Old Civil Hospital Campus) P.O. & Dist. Barpeta T.B. Centre (Bongaigaon Civil Hospital Campus) Borpara, Po + Dist. - Bongaigaon, Assam Tuberculosis Center, S.M.Dev Civil Hospital Mangaldai Civil Hospital Campus, P.O DTOARTRP@tbci ndia. DTOARUSI@tbcin dia. DTOARUSU@tbci ndia. DTOARWKA@tbc india. DTOARWSI@tbci ndia. dtoasbpt@rntcp. dtoasbng@rntcp. dtoaschr@rntcp. dtoasdrg@rntcp

19 Mangaldai, Dist. Darrang 40 Assam Dhemaji Dhemaji Dr. J. B. Roy 41 Assam Dhubri Dhubri 42 Assam 43 Assam 44 Assam 45 Assam Dibruga rh Goalpar a Golagha t Hailakan di Dibrugarh Goalpara Dr. P. P. Baruah Dr. S. N. Konwar Dr, R. Kakati Golaghat Dr. R. C. Nath i/c DTO Hailakandi Dr. A. K. Bayan 46 Assam Jorhat Jorhat Dr. B. K. Pegu 47 Assam Kamrup Kamrup Dr. S. Nisha 48 Assam 49 Assam Karbi Anglong Karimga nj Karbi Anglong Karimganj Dr. B. K. Singh Dr. G. Deuri Dist.TB Centre P.O&Dist:Dhemaji TB Centre, Chest Hospital Campus, P.O. Amco Road, Dhubri, Assam Assam College Campus, P.O. & Dist. Dibrugarh Dist. TB Centre, 200 Bedded Civil Hospital, Po-Bhalukdubi, Dist- Goalpara(Assam) TB Centre,K.K.C.H Campus,Golaghat,Assam Hailakandi Town,Old Hospital Campus. Civil Hospital Campus P.O. & Dist. Jorhat LGB Chest Hospital Campus, Kalapahar, Birubari, Guwahati Dist. TB Centre, Diphu, Karbi Anglong T.B. Center, Opposite Civil Hospital,Karimganj, P.O + Dist. Karimganj dtoasdmj@rntcp. dtoasdbb@rntcp. dtoasdbr@rntcp. dtoasglp@rntcp. dtoasglt@rntcp.o rg dtoashlk@rntcp. dtoasjht@rntcp.o rg dtoaskmp@rntcp. dtoaskag@rntcp. dtoaskxj@rntcp. 18

20 50 Assam 51 Assam 52 Assam Kokrajh ar Lakhimp ur Marigao n Kokrajhar Lakhimpur Marigaon 53 Assam Nagaon Nagaon Dr.J. C. Boro Dr. A. K. Bhuyan Dr. J. Boro Dr. M. R. Matabbar 54 Assam Nalbari Nalbari Dr. K. K. Deka 55 Assam North Cachar Hills North Cachar Hills Dr.(Ms.) K. Kemprai 56 Assam Sibsagar Sibsagar Dr. A. Ahmed 57 Assam Sonitpur Sonitpur Dr. R. N. Roy 58 Assam Tinsukia Tinsukia Dr.(Mrs.) T. Bora 59 Assam Udalguri Udalguri Dr. G. Brahma Civil Hospital Campus P.O. & Dist. Kokrajhar Old Civil Hospital Campus,P.O. North Lakhimpur. Dist. T.B. Centre, Morigaon Civil Hospital. TB Centre, B. P. Civil Hospital, Nagaon, Assam. Civil Hospital Campus P.O.&Dist. Nalbari T.B. Center, Civil Hospital Campus, N.C. Hills, Haflong, Assam. TB Centre, Civil Hospital Campus Joysagar. Dist.:- Sibsagar TB Centre, Sonitpur, Tezpur TB Centre O/O Joint Director Of Services Thana Chariali Tinsukia TB Centre PHC Campus, Udalguri P.O. Udalguri dtoaskjr@rntcp.o rg dtoaslkr@rntcp.o rg dtoasmrg@rntcp. dtoasngn@rntcp. dtoasnlb@rntcp. dtoasnch@rntcp. dtoassbr@rntcp. dtoasspr@rntcp. dtoastsk@rntcp. dtoasulr@rntcp. 19

21 60 Bihar Araria Araria Dr. Md. Moiz 61 Bihar Arwal Arwal 62 Bihar Auranga bad Aurangaba d 63 Bihar Banka Banka 64 Bihar 65 Bihar Begusar ai Bhagalp ur Begusarai Bhagalpur Dr. Baijnath Prasad Dr. Ram Pratap Singh Dr. Jitendra Prasad Dr. Anand Kumar Sharma Dr. S.P. Singh 66 Bihar Bhojpur Bhojpur Dr. R.N. Prasad 67 Bihar Buxar Buxar Dr. R.N. Verma 68 Bihar Darbhan ga Darbhanga Dr.K.K Mishra T.B. Centre Sadar Hospital Campus Dist. Araria, BIHAR T.B. Centre Sadar Hospital Campus Dist. Arwal, BIHAR T.B. Centre Sadar Hospital Campus Dist. Aurangabad, BIHAR TB Centre Sadar Hospital Campus Banka, Bihar Tuberculosis Centre, Sadar Hospital, Begusarai TB Centre, Sadar Hospital Bhagalpur, Bihar Tuberculosis Centre, Sadar Hospital, Near ANM School,Bhojpur Tuberculosis Centre, Old Sadar Hospital Campus,Buxar, Bihar TB Center, TBDC Campus, Allapatti, Darbhanga dtobiarr@rntcp.o rg dtobiarw@rntcp. dtobiagb@rntcp. dtobibnk@rntcp. dtobibgs@rntcp. dtobibgl@rntcp. dtobibjr@rntcpor g dtobibxr@rntcp. dtobidbg@rntcp

22 69 Bihar Gaya Gaya 70 Bihar Gopalga nj Gopalganj 71 Bihar Jamui Jamui 72 Bihar Jehanab ad Jehanabad 73 Bihar Kaimur Kaimur 74 Bihar Katihar Katihar 75 Bihar 76 Bihar 77 Bihar 78 Bihar Khagari a Kishang anj Lakhisar ai Madhep ura Khagaria Kishanganj Lakhisarai Madhepura Dr. Radha Prasad Dr.Bimal Kumar Dr Suchi Prasad Singh Dr.V K Singh Dr. Anil Kumar Singh Dr.Jawahar Singh Dr. S.P Mandal Dr. Nalnikant Prasad Dr.Ashok Kumar Singh Dr.BK Chaudhury TB Centre, Chand Chaura, Infectious Disease Hospital Campus,Gaya TB Centre, Sadar Hospital Campus,Gopalganj TB Centre, Sadar Hospital Campus,Jamui TB Centre, Sadar Hospital Campus,Jehanabad TB Centre, Sadar Hospital Campus,Kaimur TB Office Katihar, Sadar Hospital Campus, Katihar TB Cenetr, Sadar Hospital Campus, Khagaria TB Center, Sadar Hospital, Kishanganj Tb Centre, Sadar Hospital Campus, Lakhisarai TB Centre, Sadar Hospital Campus, Dist.- Madhepura dtobigya@rntcp. dtobigpg@rntcp. dtobijmi@rntcp. dtobijbd@rntcp. dtobikmu@rntcp. dtobikth@rntcp. dtobikha@rntcp. dtobikis@rntcp.o rg dtobilks@rntcp.o rg dtobimdp@rntcp

23 79 Bihar Madhub ani Madhubani 80 Bihar Munger Munger 81 Bihar Muzaffa rpur Muzaffarpu r 82 Bihar Nalanda Nalanda 83 Bihar Nawada Nawada 84 Bihar Paschim Champa ran Paschim Champaran Dr. Harendra Kumar Alok Dr Wahabbudin Dr.Suresh Kr.Sharma Dr. Narendra Prasad Singh Dr. Md. Naushad Alam Dr. Shankar Rajak 85 Bihar Patna Patna Dr. A.K.Sinha 86 Bihar Purba Champa ran Purba Champaran 87 Bihar Purnia Purnia Dr. Sushil Kumar Sinha Dr Mohammad Shabbir TB Centre, Sadar Hospital Campus, Madhubani TB Centre, Sadar Hospital Road, Dist.- Munger. TB Centre, Sadar Hospital Campus, Dist.- Muzaffarpur. TB Centre, Sadar Hospital Campus, Dist.- Nalanda TB Centre, Sadar Hospital Campus, Dist.- Nawada TB Centre, Sadar Hospital Campus, Dist.- Paschim Champaran. TB Center, Patna, TBDC Complex, Agamkuan, Patna: TB Centre, Hospital Road Dist.- Purbi Champaran. TB center,sadar Hospital campus, Purnea dtobimdb@rntcp. dtobimun@rntcp. dtobimzf@rntcp. dtobinld@rntcp. dtobinwd@rntcp. dtobicpw@rntcp. dtobiptn@rntcp. dtobicpe@rntcp. dtobiprn@rntcp

24 88 Bihar Rohtas Rohtas Dr. R.S. Tiwari 89 Bihar Saharsa Saharsa 90 Bihar Samasti pur Samastipur 91 Bihar Saran Saran 92 Bihar Sheikhp ura Sheikhpura Dr. Md Umar Farook Dr. Sudha Verma Dr. Ratnesh Prasad Singh Dr Jawahar Lal 93 Bihar Sheohar Sheohar Dr.K.Prasad 94 Bihar Sitamar hi Sitamarhi Dr. A. A. Lari 95 Bihar Siwan Siwan Dr. L.B. Prasad 96 Bihar Supaul Supaul Dr R N Verma 97 Bihar Vaishali Vaishali 98 Chandigar h Chandig arh Chandigarh Dr. Ramjee Singh Dr. Anil Garg State TB TB center,sadar Hospital campus, Rohtas TB center,sadar Hospital campus, Saharsha TB Centre, Sadar Hospital Campus, Samastipur TB Center, behind Sadar Hospital, Chapra TB center,sadar Hospital campus, Sheikhpura TB Centre, Sadar Hospital Campus, Dist.- Sheohar. TB Centre, Sadar Hospital Campus, Sitamarhi TB Centre, Sadar Hospital Campus, Siwan TB center,sadar Hospital campus, Supaul TB Centre, Sadar Hospital Campus, Vaishali State, Chest Clinic, Sector-22, Chandigarh dtobirts@rntc.or g dtobisah@rntcp. dtobisam@rntcp. dtobisar@rntcp. dtobiskp@rntcp. dtobishr@rntcp. dtobisit@rntcp.o rg dtobiswn@rntcp. dtobispl@rntcp.o rg dtobivsl@rntcp.o rg stoch@rntcp

25 99 Chhatisga rh Bastar Bastar Dr. K.R- More CMHO office Chief medical and officer - Bastar Chhatisga rh Bilaspur Bilaspur Dr. Amar singh Thakur CMHO office Chief medical and officer - Bilaspur amarcmo@gmail.com Chhatisga rh Dantew ada Dantewada Dr. A.R. Gota CMHO office Chief medical and officer - Dantewada Chhatisga rh Dhamta ri Dhamtari Dr. K.S. Shandilya CMHO office Chief medical and officer - Dhamtari dhsdmt@rediffmail.c om Chhatisga rh Durg Durg Dr. Ajay Dani CMHO office Chief medical and officer - Durg cmodurg@yahoo.com Chhatisga rh Janjgir Janjgir Dr. R.L.Dhritlahre CMHO office Chief medical and officer - Janjgir cmho_janjgir@re diffmail.com Chhatisga rh Jashpur Jashpur Dr. B.B.Borde CMHO office Chief medical and officer - Jashpur dr.bharatbode@ yahoo.com Chhatisga rh Kanker Kanker Dr. R.N. Pandey CMHO office Chief medical and officer - Kankr cmhoknk.cg@nic.in Chhatisga rh Kaward ha Kawardha Dr. G.K. Saxena CMHO office Chief medical and officer - Kawardha rch_kwd2007@r edffmail Chhatisga rh Korba Korba Dr. Faggu Ram Kumbhakar CMHO office Chief medical and officer - Korba rchkorba@rediff mail.com

26 Chhatisga rh Chhatisga rh Chhatisga rh Chhatisga rh Chhatisga rh Chhatisga rh Chhatisga rh Chhatisga rh Dadara & Nagar Haveli Daman & Diu Koria Mahasa mund Koria Mahasamu nd Dr. S.L. Chawada Dr. Mangloorkar CMHO CMHO Raigarh Raigarh Dr. Havel urav CMHO Raipur Rajnand gaon Sarguja Narayan pur Bijapur Dadara & Nagar Haveli Daman Raipur Rajnandgao n Sarguja Dr.K.R. Sonwani Dr. R.k. Saxena Dr. Samsud Duha CMHO CMHO CMHO Narayanpur Dr. Dhaneria CMHO Bijapur Dadara & Nagar Haveli Daman Dr. Devendra Nag Dr. M V Dhodia Dr. D K Makwana CMHO Director- & Services / State TB office Chief medical and officer - Koriya office Chief medical and officer - Mahasamund office Chief medical and officer - Raigarh office Chief medical and officer -Raipur office Chief medical and officer - Rajnandgaon office Chief medical and officer - Sarguja office Chief medical and officer - Narayanpur office Chief medical and officer - Bijapur & Public Department, Shri Vinoba Bhave Civil Hospital CampusDadra & Nagar Haveli (U.T.), Silvassa. PHC,,FORT Area MOTI DAMAN cmho_mahasam und@reddiffmail.com cmhoraigarh@re dffimail.com cmho_raipur@ya hoo.co.in cmho.narayanpu r@gmail.com stodn@tbcindia. nic.in stodd@rntcp cmhorjn.cg@nic.in

27 119 Daman & Diu 120 Delhi 121 Delhi Diu Diu Dr.M.J.Vaishya East Delhi East Delhi Hedgewar Dr.Daljit Kaur CMO IC Patparganj Dr.Parveen Kumar CMO IC Ghoghla, Diu Chest & TB Clinic, Dr. Hedgewar Hospital, Karkardooma, Dr. Shyama Prasad Mukharjee, MCD Chest Clinic & Hospital,Patparganj (Near Pandav Nagar Thana) ia.nic.in 122 Delhi 123 Delhi 124 Delhi 125 Delhi 126 Delhi 127 Delhi East Delhi New Delhi North Delhi North Delhi North Delhi North East Delhi Shahadara NDMC Gulabi Bagh Kingsway Camp SPM,Pilli Kothi Guru Teg Bahadur Hospital Dr.Arun Mehto Dr.Ranbir Singh Dr.R.K.Mehra Dr.Ngilang Taley Dr.Rajinder Singh Dr.Nagar CMO IC CMO IC CMO IC CMO IC CMO IC CMO IC DR. ARUN MEHTO, MCD Chest Clinic, Chotta Bazar, Shahdara, DR. RANBIR SINGH, NDMC Chest Clinic,37, Shaheed Bhagat Singh Marg, MCD Chest Clinic, Kalidas Marg, Gulabi Bagh, Kingsway Chest Clinic, MCD RBTB Hospital Campus, G.T.B. Nagar,Kingsway Camp, MCD Chest Clinic, Pilikothi,Town Hall, Chandini Chowk Chest Clinic Guru Teg Bahadur Hospital, Dharamshala Building, Shahdara,

28 128 Delhi 129 Delhi 130 Delhi 131 Delhi 132 Delhi 133 Delhi 134 Delhi North East Delhi North East Delhi North West Delhi North West Delhi North West Delhi North West Delhi North West Delhi Karawal Nagar Shastri Park Dr.Suresh Dr.Sandeep Saini CMO IC CMO IC Narela Dr.Dinesh CMO IC Babu Jagjiwan Ram Memorial Hospital Baba Saheb Ambedkar Choudhary Desraj Sanjay Gandhi Memorial Hospital Dr.B.K.Vashist Dr.A.K.Diwan Dr.Y.C.Kathuri a Dr. S.C. Chandra CMO IC CMO IC CMO IC CMO IC MCD Chest Clinic, Mukhiya Market, Johripur Road, Karawal Nagar, Jag Pravesh Chandra Hospital & TB Chest Clinic, Shastri Park Hospital, Shastri Park, Chest Clinic NARELA MCD Chest Clinic, PHC Complex Lampur Road, Narela, Chest Clinic, Babu Jagjivan Ram Memorial Hospital, Jahangirpuri Baba Saheb Ambedkar Hospital & TB Chest Clinic, Sector 6, Rohini Lala Hansraj Poly Clinic Building, Ch. Desraj Chest Clinic, D-16, Sector-7, Rohini, (Near Metro Station Rohini West) Sanjay Gandhi Memorial Hospital Chest Clinic, S-Block, Mangol Puri dtodlkwl@rntcp. dtodlsph@rntcp. dtodlnla@rntcp. dtodlbjr@rntcp.o rg dtodlbsa@rntcp. dtodlcdc@rntcp. dtodlsgm@rntcp. 27

29 135 Delhi 136 Delhi 137 Delhi 138 Delhi South Delhi South Delhi South West Delhi South West Delhi Nehru Nagar Malviya nagar Rao Tula Ram Memorial Hospital Lala Ram Swarup Memorial Hospital Dr.A.Sengupta Dr.S.K.Verma Dr.B.B.Sinha Dr.U.K.Khalid CMO IC CMO IC CMO IC CMO IC DR. A.SEN GUPTA MCD Chest Clinic & Hospital, Nehru Nagar, Chest Clinic Malviya Nagar, Malviya Nagar Colony Hospital, Malviya Nagar, New Delhi DR. B.B. SINHA Rao Tula Ram Memorial Hospital Chest Clinic, Jaffer Pur, Chest clinic LRS INSTITUTE,LRS Institute of TB & Respiratory Diseases, Sri Aurbindo Marg, Meharauli, , rg rg Delhi 140 Delhi 141 Delhi 142 Delhi South West Delhi West Delhi West Delhi Cenl Delhi Damien Foundation India Trust Deen Dayal Upadhyay Hospital Moti Nagar TB Clinic Lok Nayak Hospital Dr.Ramesh Dr.Ashok Kumar Dr.A.K.Vashist Dr.Ashwini Khanna Chest Clinic Incharge CMO IC CMO IC CMO IC Damein Foundation India Trust, Qutab Vihar, Phase - I, Goyala Dairy Main Road Chest & TB Clinic, Deen Dayal Upadhyay Hospital, Hari nagar MCD Chest Clinic,Moti Nagar, Chest Clinic Lok Nayak Hospital,Room No. 5, Jawaharlal Nehru DL_DFIT@rntcp.o rg dtodlddu@rntcp. dtodlmti@rntcp. dtodllnc@rntcp.o rg 28

30 Marg, 143 Delhi 144 Delhi 145 Goa 146 Goa 147 Gujarat 148 Gujarat Cenl Delhi Cenl Delhi North Goa North Goa Ahmeda bad Ahmeda bad Jhandewala n RKMission North Goa South Goa Ahmedaba d (R) Ahmedaba d Municipal Corportatio n Dr.D.K.Garg Dr.Rama Bhatt Dr. Vandana Dhume Dr. Marcia Pacheco Dr Pradip G. Patel Dr RM Leuva 149 Gujarat Amreli Amreli Dr CJ Butani CMO IC Chest Clinic Incharge City TB MCD Chest Clinic, Jhandewalan, Near Delhi Jal Board, Karol Bagh R.K.Mission Free TB Clinic,Arya Samaj Road, Karol Bagh, The Goa State TB Control Society, 18th June Road, Provedoria Bldg, Panaji- Goa C/o. STD Clinic, Hospicio Hospital, Margao - Goa Ahmedabad Rural TB Centre, State TB Training & Demonstion Centre, New Civil Hospital Campus, Asarva, Ahmedabad Ahmedabad City Society -TB, TB Hosp. Compound, Opp. ST Bus Stand, Astodia, Ahmedabad TB Centre, Civil Hospital Campus, , dtodljdw@rntcp. dtodlrkm@rntcp. dtogagon@rntcp. stoga@tbcin+k40 1dia.nic.in stoga@rntcp. dtogagos@rntcp. stoga@tbcindia.n ic.in stoga@rntcp. dtoguamd@tbcin dia.nic.in dtoguamc@tbcin dia.nic.in dtoguaml@tbcin dia.nic.in

31 Amreli Gujarat Anand 151 Gujarat Banas Kantha Anand (Petlad) Banas Kantha 152 Gujarat Bharuch Bharuch 153 Gujarat 154 Gujarat Bhavnag ar Vadodar a Bhavnagar Chhotaude pur Dr Minaxi Chauhan Dr PK Parmar Dr Munira V. Shukala Dr KR Solanki Dr CR Patel 155 Gujarat Dahod Dahod Dr PR Suthar 156 Gujarat 157 Gujarat 158 Gujarat Gandhin agar Jamnag ar Junagad h Gandhinag ar Jamnagar Junagadh Dr MH Solanki Dr Dhiren Pithdiya Dr P A Bhadla TB Centre, Near S.S.Hospital, Petlad TB Centre, Civil Hospital Campus, Palanpur TB Centre, Talim Team Resi. Quatrers, First Floor, Bharuch TB Centre, Sir T. Hospital Compound, Bhavnagar Additional TB Centre,Community Centre Campus,Chhotaudepu r. Dist.Vadodara TB Centre, General Hospital Campus, Dahod TB Centre, Civil Hospital Campus, Sector 12, Gandhinagar TB Centre, TB Hospital Compound, Jamnagar TB Centre, Civil Hospital Campus, dtoguand@tbcin dia.nic.in dtoguban@tbcin dia.nic.in dtogubrh@tbcin dia.nic.in dtogubvn@tbcin dia.nic.in dtogucup@tbcin dia.nic.in dtogudhd@tbcin dia.nic.in dtogugnr@tbcind ia.nic.in dtogujmd@tbcin dia.nic.in dtogujun@tbcind ia.nic.in

32 159 Gujarat Kachchh Kachchh Dr SS Chauhan 160 Gujarat Kheda Kheda Dr KS Naik 161 Gujarat 162 Gujarat Mahesa na Narmad a Mahesana Narmada Dr DC Naik Dr SA Arya 163 Gujarat Navsari Navsari Dr Anil B. Patel 164 Gujarat Panch Mahal Panch Mahal Dr HV Parmar 165 Gujarat Patan Patan Dr AK Patel 166 Gujarat Porband ar Porbandar Dr AM Sadia 167 Gujarat Rajkot Rajkot Dr SG Lakkad Junagadh TB Centre, Near Pavan Chakki, Camp Area, Bhuj- Kutch TB Centre, Civil Hospital Campus, Nadiad, Dist. Kheda TB Centre, Near Bhamariya Nala, TB Road, Mehsana TB Center, Old Jilla Panchayat Building Opp.Parikh Petrol Pump, Rajpipla. TB Centre, MGG Civil Hospital Campus, Station Road, Navsari TB Centre, Civil Hospital Campus, Godhara TB Centre, General Hospital Campus, Patan TB Centre, Nr. Lady Hospital, S.T. Road - Porbandar TB Centre, Near Collector Office, Rajkot dtoguktc@tbcind ia.nic.in dtogukda@tbcin dia.nic.in dtogumsn@tbcin dia.nic.in dtogunmd@tbcin dia.nic.in dtogunvs@tbcin dia.nic.in dtogupml@tbcin dia.nic.in dtogupat@tbcind ia.nic.in dtogupbd@tbcin dia.nic.in dtogurjt@tbcindi a.nic.in

33 168 Gujarat Sabar Kantha 169 Gujarat Surat 170 Gujarat Surat 171 Gujarat 172 Gujarat 173 Gujarat Surende rnagar The Dangs Vadodar a 174 Gujarat Vadodra Sabar Kantha Surat (Rural) Surat Muni. Corp. Surenderna gar The Dangs Vadodara (Rural) Vadodra Muni. Corp. Dr PM Patel Dr Jigna C. Patel Dr KN Sheladia Dr Chetan Mehta Dr Harshad B. Patel Dr Neha A Desai Dr HM Chaudhari City TB City TB TB Centre, Sir Pratap General Hospital Campus,Himatnagar TB Centre, New Civil Hospital Campus, Majura Gate, Surat Surat City Society -TB, Hirabaug Centre, Bh. Doctor House, Varachha Road, Surat TB Center, Talim Building, MGSH Civil Hospital Campus, Surendranagar TB Centre, Near Civil Hospital, Ahawa TB Centre, SSG Hospital, OPD No.19, Vadodara Vadodara City Society -TB, Vadodara Municipal Corporation, Opp. Suryanarayan Baug, Nr. GPO, Raopura, Vadodara dtogusbk@tbcin dia.nic.in dtogusrt@tbcindi a.nic.in dtogusrc@tbcind ia.nic.in dtogusrn@tbcind ia.nic.in dtogudng@tbcin dia.nic.in dtoguvdd@tbcin dia.nic.in dtoguvdc@tbcin dia.nic.in

34 175 Gujarat Valsad Valsad Dr IC Patel 176 Gujarat Vyara Vyara 177 Haryana Ambala Ambala 178 Haryana Bhiwani Bhiwani 179 Haryana 180 Haryana Faridaba d Fatehab ad Faridabad Fatehabad 181 Haryana Gurgaon Gurgaon Dr Hasmukh J. Chaudhari Dr.Vivek Malho Dr. Aditya Savrup Gupta Dr. Bina Sharma Dr. Kuldeep Saini MO, GH Fatehabad Dr. Shashi Kataria 182 Haryana Hisar Hisar Dr. P.K. Gupta 183 Haryana Jhajjar Jhajjar Dr. Pusplata 184 Haryana Jind Jind Dr. Gopal goyal Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Additional TB Centre, State Hosp. Campus, Dharampur, Ta: Dharampur, Dist: Valsad TB Centre, General Hospital Campus, Vyara , Ta-Vyara, Dist.Tapi Distt.T.B. Centre, Near Arya School Chowk Ditt Tb Centre, General Hospital, Bhiwani Distt. T.B. Centre, B.K. Hospital, Nit, Faridabad, Haryana O/O Civil Surgeon, Fatehabad Distt. Tb Centre, General Hospital, Gurgaon TB Centre, Hisar Tb Centre O/O Civil Surgeon, Jhajjar Tb Center, Jind , dtoguvld@tbcind ia.nic.in dtoguvyr@tbcind ia.nic.in dtohramb@rntcp. dtohrbwn@rntcp. dtohrfbd@rntcp. dtohrftb@rntcp. dtohrgur@rntcp. dtohrhsr@rntcp. dtohrjjr@rntcp.o rg dtohrjnd@rntcp

35 185 Haryana Kaithal Kaithal 186 Haryana Karnal Karnal 187 Haryana Kuruksh e Kurukshetr a 188 Haryana Mewat Mewat 189 Haryana 190 Haryana Mahind ergarh Panchku la Mahinderg arh Panchkula 191 Haryana Rohtak Rohtak 192 Haryana Sirsa Sirsa Dr. Neelam Kakkar Dr. Ashwani Ahuja Dr. N.K. Jhamb Dr. Navel Kishore Dr. Ashok Dr. Yeshpal Singhmar Dr. Vimal Sharma Dr. Rohtas (Officiating) 193 Haryana Sonepat Sonepat Dr. J.S. Punia 194 Haryana Yamuna Nagar YamunaNa gar 195 Haryana Panipat Panipat Dr. Hukam Chand Dr. Naveen Suneja Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Dy CMO (TB) Civil Surgeon Office Kaithal. Distt. T.B. Center Civil Hospital Karnal O/O T.B. Centre Kurukshe Gh. Mandikhera ( Mewat) Distt. T.B. Hospital, Narnaul Civil Surgeon Office, Old Hospital Building Sector-6 Panchkula Distt. Tb Centre, Gohana Road, Rohtak Tb Centre, General Hospital, Campus, Sirsa T.B. Centre, Civil Hospital, Delhi Road, Sonepat Distt TB Office, Civil Dispensary HUDA, Sector-17, Jagadhri, Distt Yamunanagar O/O Civil Surgeon, Panipat dtohrktl@rntcp.o rg dtohrknl@rntcp. dtohrkkr@rntcp. dtohrmwt@rntcp. dtohrmhn@rntcp. dtohrpkl@rntcp. dtohrrtk@rntcp. dtohrsrs@rntcp. dtohrsnp@rntcp. dtohrynr@rntcp. dtohrpnp@rntcp