XXX Combined Medical Office:
XX village health room is located in XX township (township) XX village XX group, the village room housing use area of XX square meters (not less than 40 square meters), the housing setup, staffing, basic facilities, medical equipment, commonly used medicines, etc., to meet the basic standards of the village health room has been obtained the "Medical Institutions Practice Permit", can diagnose and treat common rural diseases and diseases, and complete the local health center arranged by the epidemic prevention, women's health, health promotion and public **** health services.
The current resident population of my village is XX, and the participation rate in 2012 was 99.5%. In order to facilitate the majority of people in my village reimbursement of medical expenses, to solve the problem of expensive, difficult to see a doctor, so that the new rural cooperative medical care, "the government to the people's hearts, farmers benefit, health development" of the people's policies to be carried out and implemented, especially to the county of the new rural cooperative medical care management office to apply to the village health clinic in rural areas, the village health center into the cooperative medical care designated medical institutions. Cooperative medical care designated medical institutions. I hope that the approval of the hope.
Hereby apply.
XX Township (township) XX Village Health Office Practitioner: XXX
Year and month
The village committee opinion: Township (township) health center opinion:
Township (township) cooperative medical office opinion: