of June 29, 2015 No. 62
About approval of form of the state statistical observation 12 prices (RT-zdrav) of "Data on the prices (rates) for the medical services rendered by the organizations of health care"
Based on the Regulations on National Statistical Committee of the Republic of Belarus approved by the Presidential decree of the Republic of Belarus of August 26, 2008 No. 445 "About some questions of bodies of the state statistics" the National Statistical Committee of the Republic of Belarus DECIDES:
1. Approve the enclosed form of the state statistical observation 12 prices (RT-zdrav) "Data on the prices (rates) for the medical services rendered by the organizations of health care" to monthly frequency.
2. This resolution becomes effective since January 1, 2016.
Chairman
I. V. Medvedev
Approved by the Resolution of National Statistical Committee of the Republic of Belarus of June 29, 2015 No. 62
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STATE STATISTICAL OBSERVATION |
for _______________ 20 ____ years
(month)
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Form 12 of the price (RT-zdrav) | |
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Form code |
0647003 |
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Monthly | |
City ________________________________________
(Minsk, regional center, district center)
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Specialist in registration of the prices ______________ |
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________________________ |
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(signature) |
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(initials, surname) |
Pattern of ownership of the basic organization of health care _________________________
(1 – state, 2 – private)
Name of the service _________________________________________________________
Service ______________ code
Table
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But - |
Name |
Last month |
Month under report | ||||||||
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date |
harakte- |
prick - |
price (rate), rubles |
date |
harakte- |
prick - |
price (rate), rubles | ||||
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on preysku- |
at full cost * |
on preysku- |
at full cost * | ||||||||
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
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