Balijan

PHC Holongi PHC Jote

Basarnallo
1.1 Total Number 1 0 0
number of reported
pregnant during the
women month
registered
for ANC

1.1.1 Out of the Number 0 0 0

total ANC reported
registered, during the
number month
registered
within 1st
trimester
(within 12
weeks)

1.2.1 Number of Number 1 0 0

PW reported
given TT1 during the
month

1.2.2 Number of Number 0 0 0

PW reported
given TT2 during the
month

1.2.3 Number of Number 0 0 0

PW reported
given TT during the
Booster month

1.2.4 Number of Number 0 0 0

PW given reported
180 Iron during the
Folic Acid month
(IFA) tablets

1.2.5 Number of Number 0 0 0

PW given reported
360 Calcium during the
tablets month

1.2.6 Number of Number 0 0 0

PW given reported
one during the
Albendazole month
tablet after
1st
trimester

1.2.7 Number of Number 0 0 0

PW reported
received 4 during the
or more month
ANC check
ups
1.2.8 Number of Number 0
PW given reported
ANC during the
Corticostero month
ids in Pre
Term
Labour

1.3.1 New cases Number 0 0 0

of PW with reported
hypertensio during the
n detected month

1.3.1.a Out of the Number 0 0 0

new cases reported
of PW with during the
hypertensio month
n detected,
cases
managed at
institution

1.3.2 Number of Number 0 0

Eclampsia reported
cases during the
managed month
during
delivery

1.4.1 Number of Number 0 0 0

PW tested reported
for during the
Haemoglobi month
n (Hb ) 4 or
more than 4
times for
respective
ANCs

1.4.2 Number of Number 0 0 0

PW having reported
Hb level<11 during the
(tested month
cases)(7.1
to 10.9)

1.4.3 Number of Number 0 0 0

PW having reported
Hb level<7 during the
(tested month
cases)

1.4.4 Number of Number 0 0 0

PW having reported
severe during the
anaemia month
(Hb<7)
treated

1.5.1 Number of Number 0 0

PW tested reported
for blood during the
sugar using month
OGTT (Oral
Glucose
Tolerance
Test)
1.5.2 Number of Number 0
PW tested reported
positive for during the
GDM month

1.5.3 Number of Number 0

PW given reported
insulin out during the
of total month
tested
positive for
GDM

1.6.1.a Number of Number 0 0

pregnant reported
women during the
tested for month
Syphilis

1.6.1.b Number of Number 0

pregnant reported
women during the
tested found month
sero
positive for
Syphilis

1.6.1.c Number of Number

syphilis reported
positive during the
pregnant month
women
treated for
Syphilis

1.6.1.d Number of Number

babies reported
diagnosed during the
with month
Congenital
Syphilis

1.6.1.e Number of Number

babies reported
treated for during the
congenital month
Syphilis

2.1.1.a Number of Number 0 0 0

Home reported
Deliveries during the
attended by month
Skill Birth
Attendant(S
BA)
(Doctor/Nur
se/ANM)
2.1.1.b Number of Number 0 0 0
Home reported
Deliveries during the
attended by month
Non SBA
(Trained
Birth
Attendant(T
BA)
/Relatives/et
c.)

2.1.2 Number of Number 0 0 0

PW given reported
Tablet during the
Misoprostol month
during home
delivery

2.1.3 Number of Number 0

newborns reported
received 7 during the
Home month
Based
Newborn
Care
(HBNC)
visits in
case of
Home
delivery

2.2 Number of Number 0

Institutional reported
Deliveries during the
conducted month
(Including
C-Sections)

2.2.1 Out of total Number 0

institutional reported
deliveries during the
number of month
women
discharged
within 48
hours of
delivery

2.2.2 Number of Number 0

newborns reported
received 6 during the
HBNC visits month
after
Institutional
Delivery

3.1 Total C Number 0

-Section reported
deliveries during the
performed month

3.1.1 C-sections, Number 0

performed reported
at night (8 during the
PM- 8 AM) month
4.1.1.a Live Birth - Number 0 0 0
Male reported
during the
month

4.1.1.b Live Birth - Number 0 0 0

Female reported
during the
month

4.1.2 Number of Number 0 0 0

Pre term reported
newborns during the
( < 37 month
weeks of
pregnancy)

4.1.3 Still Birth Number 0 0 0

reported
during the
month

4.2 Abortion Number 0 0

(spontaneou reported
s) during the
month

4.3.1.a MTP up to Number 0

12 weeks of reported
pregnancy during the
month

4.3.1.b MTP more Number 0

than 12 reported
weeks of during the
pregnancy month

4.3.2.a Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Identified

4.3.2.b Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Treated

4.3.3 Number of Number 0

women reported
provided during the
with post month
abortion/
MTP
contraceptio
n

4.4.1 Number of Number 0 0 0

newborns reported
weighed at during the
birth month

4.4.2 Number of Number 0 0 0

newborns reported
having during the
weight less month
than 2.5 kg
4.4.3 Number of Number 0 0 0
Newborns reported
breast fed during the
within 1 month
hour of
birth

5.1 Number of Number

cases of reported
pregnant during the
women with month
Obstetric
Complicatio
ns attended
(Antepartum
haemorrhag
e (APH),
Post-Partum
Hemorrhage
(PPH),
Sepsis,
Eclampsia
and others)

6.1 Women Number 0 0 0

receiving reported
1st post during the
partum month
checkup
within 48
hours of
home
delivery

6.2 Women Number 0 0 0

receiving reported
1st post during the
partum month
checkup
between 48
hours and
14 days

6.3 Number of Number 0 0 0

mothers reported
provided full during the
course of month
180 IFA
tablets after
delivery

6.4 Number of Number 0 0 0

mothers reported
provided during the
360 Calcium month
tablets after
delivery
7.1.1 New Number
RTI/STI reported
cases during the
identified - month
Male

7.1.2 New Number

RTI/STI reported
cases during the
identified - month
Female

7.2.1 RTI/STI for Number

which reported
treatment during the
initiated - month
Male

7.2.2 RTI/STI for Number

which reported
treatment during the
initiated month
-Female

8.1.1 Number of Number

Non Scalpel reported
Vasectomy during the
(NSV) / month
Convention
al
Vasectomy
conducted

8.2.1 Number of Number

Laparoscopi reported
c during the
sterilizations month
(excluding
post
abortion)
conducted

8.2.2 Number of Number

Interval reported
Mini-lap during the
(other than month
post-partum
and post
abortion)
sterilizations
conducted

8.2.3 Number of Number

Postpartum reported
sterilizations during the
(within 7 month
days of
delivery by
minilap or
concurrent
with
caesarean
section)
conducted
8.2.4 Number of Number
Post reported
Abortion during the
sterilizations month
(within 7
days of
spontaneou
s or surgical
abortion)
conducted

8.3 Number of Number 0

Interval reported
IUCD during the
Insertions month
(excluding
PPIUCD
and
PAIUCD)

8.4 Number of Number 0

Postpartum reported
(within 48 during the
hours of month
delivery)
IUCD
insertions

8.5 Number of Number 0

Post reported
Abortion during the
(within 12 month
days of
spontaneou
s or surgical
abortion)
IUCD
insertions

8.6 Number of Number 0

IUCD reported
Removals during the
month

8.7 Number of Number 0

complication reported
s following during the
IUCD month
Insertion

8.8 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
First Dose

8.9 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Second
Dose
8.10 Injectable Number
Contracepti reported
ve-Antara during the
Program- month
Third Dose

8.11 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Fourth or
more than
fourth

8.12 Number of Number 2 0 0

Combined reported
Oral Pill during the
cycles month
distributed

8.13 Number of Number 1 0 0

Condom reported
pieces during the
distributed month

8.14 Number of Number 0

Centchroma reported
n (weekly) during the
pill strips month
distributed

8.15 Number of Number 0

Emergency reported
Contracepti during the
ve Pills month
(ECP) given

8.16 Number of Number 2 0

Pregnancy reported
Test Kits during the
(PTK) used month

8.17.1 Complicatio Number

ns following reported
male during the
sterilization month

8.17.2 Complicatio Number

ns following reported
female during the
sterilization month

8.17.3 Failures Number

following reported
male during the
sterilization month

8.17.4 Failures Number

following reported
female during the
sterilization month

8.17.5 Deaths Number

following reported
male during the
sterilization month
8.17.6 Deaths Number
following reported
female during the
sterilization month

9.1.1 Child Number

immunisatio reported
n - Vitamin during the
K1 (Birth month
Dose)

9.1.2 Child Number 1 0 0

immunisatio reported
n - BCG during the
month

9.1.3 Child Number 0

immunisatio reported
n - DPT1 during the
month

9.1.4 Child Number 0

immunisatio reported
n - DPT2 during the
month

9.1.5 Child Number 0

immunisatio reported
n - DPT3 during the
month

9.1.6 Child Number 1 0 0

immunisatio reported
n- during the
Pentavalent month
1

9.1.7 Child Number 1 0 0

immunisatio reported
n- during the
Pentavalent month
2

9.1.8 Child Number 0 0 1

immunisatio reported
n- during the
Pentavalent month
3

9.1.9 Child Number 1 0 0

immunisatio reported
n - OPV 0 during the
(Birth Dose) month

9.1.10 Child Number 1 0 0

immunisatio reported
n - OPV1 during the
month

9.1.11 Child Number 1 0 0

immunisatio reported
n - OPV2 during the
month

9.1.12 Child Number 0 0 1

immunisatio reported
n - OPV3 during the
month
9.1.13 Child Number 0 0 0
immunisatio reported
n- during the
Hepatitis-B0 month
(Birth Dose)

9.1.14 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B1 month

9.1.15 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B2 month

9.1.16 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B3 month

9.1.17 Child Number 1 0 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 1
(IPV 1)

9.1.18 Child Number 0 0 1

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 2
(IPV 2)

9.1.19 Child Number

immunisatio reported
n- during the
Rotavirus 1 month

9.1.20 Child Number

immunisatio reported
n- during the
Rotavirus 2 month

9.1.21 Child Number

immunisatio reported
n- during the
Rotavirus 3 month

9.2.1 Child Number 0 0 0

immunisatio reported
n (9- during the
11months) - month
Measles &
Rubella
(MR)- 1st
Dose

9.2.2 Child Number 0 0 3

immunisatio reported
n (9- during the
11months) - month
Measles 1st
dose
9.2.3 Child Number 1 0 1
immunisatio reported
n (9- during the
11months) - month
JE 1st dose

9.2.4.a Children Number 1 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized-
Male

9.2.4.b Children Number 0 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized -
Female

9.3.1 Child Number 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 1st
Dose

9.3.2 Child Number 0 0 0

immunisatio reported
n - Measles- during the
1st dose month

9.3.3 Child Number 0 0 0

immunisatio reported
n - JE 1st during the
dose month

9.4.1 Child Number 1 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 2nd
Dose (16-24
months)

9.4.2 Child Number 0 0 0

immunisatio reported
n - Measles during the
2nd dose month
(More than
16 months)

9.4.3 Child Number 0 0 0

immunisatio reported
n - DPT 1st during the
Booster month

9.4.4 Child Number 0 0 0

immunisatio reported
n - OPV during the
Booster month
9.4.5 Child Number 0 0
immunisatio reported
n- during the
Measles, month
Mumps,
Rubella
(MMR)
Vaccine

9.4.6 Number of Number 0 0 0

children reported
more than during the
16 months month
of age who
received
Japanese
Encephalitis
(JE) vaccine

9.5.1 Child Number

immunisatio reported
n - Typhoid during the
month

9.5.2 Children Number 0 0 0

more than 5 reported
years during the
received month
DPT5 (2nd
Booster)

9.5.3 Children Number 0 0 0

more than reported
10 years during the
received month
TT10

9.5.4 Children Number 0 0 0

more than reported
16 years during the
received month
TT16

9.6.1 Number of Number 0 0

cases of reported
AEFI - during the
Abscess month

9.6.2 Number of Number 0 0

cases of reported
AEFI - during the
Death month

9.6.3 Number of Number 0 0

cases of reported
AEFI - during the
Others month

9.7.1 Immunisatio Number 5 0 4

n sessions reported
planned during the
month

9.7.2 Immunisatio Number 4 0 4

n sessions reported
held during the
month
9.7.3 Number of Number 3 0 0
Immunisatio reported
n sessions during the
where month
ASHAs
were
present

9.8.1 Child Number 0 0 3

immunisatio reported
n - Vitamin A during the
Dose - 1 month

9.8.2 Child Number 1 0 0

immunisatio reported
n - Vitamin A during the
Dose - 5 month

9.8.3 Child Number 0 0 0

immunisatio reported
n - Vitamin A during the
Dose - 9 month

9.9 Number of Number 0 0

children (6- reported
59 months) during the
provided 8- month
10 doses
(1ml) of IFA
syrup (Bi
weekly)

9.10 Number of Number 0 0 0

children (12- reported
59 months) during the
provided month
Albendazole

9.11 Number of Number 0 0

severely reported
underweight during the
children month
provided
Health
Checkup (0-
5 yrs)

10.1 Childhood Number 0 0

Diseases - reported
Pneumonia during the
month

10.2 Childhood Number 0 0

Diseases - reported
Asthma during the
month

10.3 Childhood Number 0 0

Diseases - reported
Sepsis during the
month

10.4 Childhood Number 0 0

Diseases - reported
Diphtheria during the
month
 10.5 Childhood Number 0 0
Diseases - reported
Pertussis during the
month

10.6 Childhood Number 0 0

Diseases - reported
Tetanus during the
Neonatorum month

10.7 Childhood Number 0 0

Diseases - reported
Tuberculosi during the
s (TB) month

10.8 Childhood Number 0 0

Diseases - reported
Acute during the
Flaccid month
Paralysis(A
FP)

10.9 Childhood Number 0 0

Diseases - reported
Measles during the
month

10.10 Childhood Number 0 0

Diseases - reported
Malaria during the
month

10.11 Childhood Number 0 0 0

Diseases - reported
Diarrhoea during the
month

10.12 Childhood Number 0 0

Diseases - reported
Diarrhoea during the
treated in month
Inpatients

10.13 Children Number 0 0

admitted reported
with upper during the
Respiratory month
Infections

10.14 Childhood Number 0 0

Diseases - reported
Severe during the
Acute month
Malnutrition
(SAM)

11.1.1.a Total Blood Number 1 5 2

Smears reported
Examined during the
for Malaria month

11.1.1.b Malaria Number 0 0 1

(Microscopy reported
Tests ) - during the
Plasmodium month
Vivax test
positive
11.1.1.c Malaria Number 0 0 2
(Microscopy reported
Tests ) - during the
Plasmodium month
Falciparum
test positive

11.1.2.a RDT Number 1 0 4

conducted reported
for Malaria during the
month

11.1.2.b Malaria Number 0 0 0

(RDT) - reported
Plasmodium during the
Vivax test month
positive

11.1.2.c Malaria Number 0 0 0

(RDT) - reported
Plamodium during the
Falciparum month
test positive

11.2.1 Kala Azar Number

(RDT) - reported
Tests during the
Conducted month

11.2.2 Kala Azar Number

Positive reported
Cases during the
month

11.2.3 Post Kala Number

Azar Dermal reported
Leishmania during the
sis (PKDL) month
cases

11.3.1 Dengue - Number 0 0

RDT Test reported
Positive during the
month

12.1.1.a Girls Number

registered in reported
AFHC during the
month

12.1.1.b Boys Number

registered in reported
AFHC during the
month

12.1.2.a Out of Number

registered, reported
Girls during the
received month
clinical
services

12.1.2.b Out of Number

registered, reported
Boys during the
received month
clinical
services
12.1.3.a Out of Number
registered, reported
Girls during the
received month
counselling

12.1.3.b Out of Number

registered, reported
Boys during the
received month
counselling

13.1 Number of Number 0

on-going reported
DOTS during the
patients month
registered

13.2 Number of Number 0 0

DOTS reported
cases during the
completed month
successfully

14.1.1 Outpatient - Number 0 0

Diabetes reported
during the
month

14.1.2 Outpatient - Number 4 0 4

Hypertensio reported
n during the
month

14.1.3 Outpatient - Number 0

Stroke reported
(Paralysis) during the
month

14.1.4 Outpatient - Number 0 0

Acute Heart reported
Diseases during the
month

14.1.5 Outpatient - Number 0 0

Mental reported
illness during the
month

14.1.6 Outpatient - Number 0 0

Epilepsy reported
during the
month

14.1.7 Outpatient - Number 0 0

Ophthalmic reported
Related during the
month

14.1.8 Outpatient - Number 0 0

Dental reported
during the
month

14.2.1 Allopathic- Number 184 20 67

Outpatient reported
attendance during the
month
14.2.2 Ayush - Number 0 23
Outpatient reported
attendance during the
month

14.3.1.a Inpatient Number 3 0

(Male)- reported
Children<18 during the
yrs month

14.3.1.b Inpatient Number 2 0

(Male)- reported
Adults during the
month

14.3.2.a Inpatient Number 0 0

(Female)- reported
Children<18 during the
yrs month

14.3.2.b Inpatient Number 0 0

(Female)- reported
Adults during the
month

14.3.3 Number of Number 0 0

Left Against reported
Medical during the
Advice month
(LAMA)
cases

14.4.1 Inpatient - Number 0 0

Malaria reported
during the
month

14.4.2 Inpatient - Number 0 0

Dengue reported
during the
month

14.4.3 Inpatient - Number 0 0

Typhoid reported
during the
month

14.4.4 Inpatient - Number 0 0

Asthma, reported
Chronic during the
Obstructive month
Pulmonary
Disease
(COPD),
Respiratory
infections

14.4.5 Inpatient - Number 0 0

Tuberculosi reported
s during the
month

14.4.6 Inpatient - Number 0 4

Pyrexia of reported
unknown during the
origin (PUO) month
14.4.7 Inpatient - Number 0 0
Diarrhea reported
with during the
dehydration month

14.4.8 Inpatient - Number 0 0

Hepatitis reported
during the
month

14.5.1 Operation Number

major reported
(General during the
and spinal month
anaesthesia
)

14.5.2 Out of Number

Operation reported
major, during the
Gynecology month
-
Hysterectom
y surgeries

14.5.3 Operation Number 0 0 0

minor (No or reported
local during the
anaesthesia month
)

14.5.4 Number of Number

blood units reported
issued during the
month

14.5.5 Number of Number

blood reported
transfusions during the
done month

14.6.1 Inpatient Number 0 0

Deaths - reported
Male during the
month

14.6.2 Inpatient Number 0 0

Deaths - reported
Female during the
month

14.7 In-Patient Number 0 0

Head Count reported
at midnight during the
month

14.8 Number of Number

Admission reported
in NBSU during the
( New Born month
Stabilisation
Unit)

14.9.1 Number of Number

children reported
admitted in during the
NRC month
14.9.2 Number of Number
children reported
discharged during the
with target month
weight gain
from the
NRCs

14.10 Number of Number 1 0

Rogi Kalyan reported
Samiti during the
(RKS) month
meetings
held

14.11 Number of Number 8 4 9

Anganwadi reported
centres/ during the
UPHCs month
reported to
have
conducted
Village
Health &
Nutrition
Day
(VHNDs)/
Urban
Health &
Nutrition
Day
(UHNDs)/
Outreach /
Special
Outreach

15.1 Number of Number 0 0

Lab Tests reported
done during the
month

15.2.1 Number of Number 0 0

Hb tests reported
conducted during the
month

15.2.2 Out of the Number 0 0

total number reported
of Hb tests during the
done, month
Number
having Hb <
7 mg

15.3.1.a Male HIV - Number 0 0

Number reported
Tested during the
month

15.3.1.b Male HIV - Number 0 0

Number reported
Positive during the
month
15.3.2.a Female Non Number 0 0
ANC HIV - reported
Number during the
Tested month

15.3.2.b Female Non Number 0 0

ANC HIV - reported
Number during the
Positive month

15.3.3.a Number of Number 0 0

pregnant reported
women during the
screened for month
HIV

15.3.3.b Out of the Number 0 0

above, reported
number during the
screened month
positive

15.3.3.c Out of the Number 0 0

above reported
number during the
screened month
positive,
number
confirmed
with HIV
infection at
Integrated
Counselling
and Testing
Centre
(ICTC)

15.3.4.a Number of Number

Male reported
STI/RTI during the
attendees month
tested for
syphilis

15.3.4.b Number of Number

Male reported
STI/RTI during the
attendees month
found sero
Positive for
syphilis

15.3.4.c Number of Number

Female reported
(Non during the
ANC)STI/RT month
I attendees
tested for
syphilis

15.3.4.d Number of Number

Female reported
(Non ANC) during the
STI/RTI month
attendees
found sero
Positive for
syphilis
15.4.1 Widal tests - Number 0 0
Number reported
Tested during the
month

15.4.2 Widal tests - Number 0 0

Number reported
Positive during the
month

16.1.1 Last Date of Number 7122017 12112016

Supply of reported
essential during the
drugs month
(DD/MM/YY
YY)

16.1.2.a IFA tablets

Dropdown -
Adequate
Dropdown - 1 1 1
Inadequate
16.1.2.b IFA tablets
(blue) Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.c IFA syrup
with Dropdown -
dispenser Adequate
Dropdown - 1 1
Inadequate
16.1.2.d Vit A syrup
Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.e ORS
packets Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.f Zinc tablets
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.g Inj
Magnesium Dropdown - 1
Sulphate Adequate
Dropdown - 1
Inadequate
16.1.2.h Inj Oxytocin
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.i Misoprostol
tablets Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.j Mifepristone
tablets Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.k Antibiotics
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.l Labelled
emergency Dropdown - 1
tray Adequate
Dropdown - 1
Inadequate
16.1.2.m Drugs for
hypertensio Dropdown - 1 1
n, Diabetes, Adequate
common
ailments e.g Dropdown -
PCM, anti- Inadequate
allergic
16.1.2.n Tab.
Albendazole Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.1 Last Date of Number 25082017 5062017
Supply of reported
essential during the
vaccines month
(DD/MM/YY
YY)

16.2.2.a TT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.b BCG
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.c Hepatitis
Dropdown - 1 1
Adequate
Dropdown - 1
Inadequate
16.2.2.d OPV
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.e DPT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.f Measles
Dropdown - 1
Adequate
16.2.2.f Measles

Dropdown - 1
Inadequate
16.2.2.g Vitamin A
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.1 Last Date of Number 12072017
Supply of reported
essential during the
contraceptiv month
es
(DD/MM/YY
YY)

16.3.2.a IUCD
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.3.2.b Combined
Oral Pills (in Dropdown - 1
cycles) Adequate
Dropdown - 1
Inadequate
16.3.2.c Condom (in
pieces) Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.3.2.d Injectable
Contracepti Dropdown - 1
ve MPA Adequate
(vials)
Dropdown - 1
Inadequate
17.1 Infant Number
deaths reported
within 24 during the
hrs(1 to 23 month
Hrs) of birth

17.2.1 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Sepsis

17.2.2 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Asphyxia

17.2.3 Infant Number

Deaths up reported
to 4 weeks during the
due to Other month
causes
17.3.1 Number of Number
Infant reported
Deaths (1 during the
-12 months) month
due to
Pneumonia

17.3.2 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Diarrhoea

17.3.3 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Fever
related

17.3.4 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Measles

17.3.5 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Others

17.4.1 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to
Pneumonia

17.4.2 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Diarrhoea

17.4.3 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Fever
related

17.4.4 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Measles
17.4.5 Number of Number
Child reported
Deaths (1 -5 during the
years) due month
to Others

17.5.1 Number of Number

Maternal reported
Deaths due during the
to Bleeding month

17.5.2 Number of Number

Maternal reported
Deaths due during the
to High month
fever

17.5.3 Number of Number

Maternal reported
Deaths due during the
to Abortion month

17.5.4 Number of Number

Maternal reported
Deaths due during the
to month
Obstructed/
prolonged
labour

17.5.5 Number of Number

Maternal reported
Deaths due during the
to Severe month
hypertesnio
n/fits

17.5.6 Number of Number

Maternal reported
Deaths due during the
to Other month
Causes
(including
causes Not
Known)

17.6.1 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Diarrhoeal
diseases

17.6.2 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Tuberculosi
s
17.6.3 Number of Number
Adolscent / reported
Adult during the
Deaths due month
to
Respiratory
diseases
including
infections
(other than
TB)

17.6.4 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Other
Fever
Related

17.6.5 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to HIV/AIDS

17.6.6 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Heart
disease/Hyp
ertension
related

17.6.7 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Cancer

17.6.8 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Neurological
disease
including
strokes

17.6.9 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Accidents/B
urn cases

17.6.10 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Suicide
 17.6.11 Number of Number
Adolscent / reported
Adult deaths during the
due to month
Animal bites
and stings

17.6.12 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Acute
Disease

17.6.13 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Chronic
Disease

17.6.14 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Causes Not
Known

17.7.1 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Vivax

17.7.2 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Falciparum

17.7.3 Number of Number

Deaths due reported
to Kala Azar during the
month

17.7.4 Number of Number

Deaths due reported
to Dengue during the
month

17.7.5 Number of Number

Deaths due reported
to Acute during the
Encephelitis month
Syndrome
(AES)

17.7.6 Number of Number

Deaths due reported
to Japanese during the
month
Encephalitis
(JE)

Parameters
Dated: 10-24-2018
Time : 15:19:30
Report Data Item
Name Wise Report

Status Type All

Entry Level Facility

Module MIS
Periodicity M

Proforma / PHC
Format
Report Across
Type Facility
Financial 2018-2019
Year
State All
District All
SubDistrict All

Facility All
Period April
 Arunachal Pradesh
Arunachal Pradesh -> Papum Pare
Balijan Doimukh Kimin Mengio Naharlagun Itanagar capital complex
PHC Lenka PHC Poma PHC chiputa kakoi PHC Itafort UPHC PHC UHC
Tarasso Mengio Rakap Chimpu Karsingsa
0 0 11 4 9 6 8 1

0 0 4 1 4 3 1 1

0 0 9 1 4 4 1 2

0 0 4 2 5 2 3 2

0 0 0 1 0 2

0 0 11 0 5 5 3

0 0 0 0 5 0 3

0 0 0 0 3 0

0 0 3 0 4 0 1
 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0

0 0 11 0 0 0 8

0 0 2 0 0 0 8

0 0 9 0 0 0

0 0 0 0 0 0

11 0 0 0
 0 0 0 0

0 0 0 0

0 0 0 0 5

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0

3 0 0 0

3 0 0 0

3 0 0 0

0
0 0 3 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 3 0 0 0

0 0 3 0 0
0 0 3 0 0 0

0 0 0

0 0 3 0 0 0

0 0 3 0 0 0

0 0 3 0 0 0

0 0 3 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0

0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 1 2

2 0 0 0

0 0 0 0

1 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0 0

0 0 0 0

0 1 13 0 0 8 3 4

0 0 0 0 0 0 15 10

0 0 0 0

0 2 0 0 0

0 0 15 1 0 0 15

0 0

0 0

0 0

0 0

0 0
 0 0

0 0 0

0 3 1 4 0 55 5 4

0 0 1

0 0

0 0

0 0 0 3 1 50 7 10

0 1 0 2 1 3 70 8 8

0 0 1 0 0 0 50 7 15

0 0 3 0 0 0 40 3

0 0 0 0 3 1 50 7 11

0 0 0 2 1 3 70 8 8

0 1 0 0 0 0 50 7 15
0 0 0 0

0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 1 1 40 7

0 0 1 0 1 0 45 7 10

0 0 15

0 0

0 0

0 0 0 2 40 9

0 0 0 0 2
0 0 0 0 2 2 30 9

0 0 0 0 1 0 6

0 0 0 0 1 2 5

0 0 0 0

0 0 0 1 2

0 0 0 0 2 0

0 0 0 1 20 9

0 0 0 1 4

0 1 1 2 2 1 50 4 9

0 1 1 1 2 1 50 4 9
 0 0

0 0 1 0 0 1 20 9

0 0 0 0

0 0 0 0 0 0 15 1 3

0 0 0 0 0 0 8 5

0 0 0 0 0 0 2 4

0 0 0 0

0 0 0 0

0 0 0 0

0 4 0 0 3 2 12 2 4

0 4 0 0 3 2 12 2 4
0 4 0 0 3 0

0 0 0 1 0 2 59 9 4

0 0 0 1 0 1 70 6 5

0 0 0 0 0 0 49 8

0 0 0 0 0 0

0 0 0 0 0 0 48

0 0 0 0 0 0

0 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0

0 0 3 0 0

0 0 0 0 0 0 10

0 0 0 0 0 4

0 0 0 0 0 20

0 0 0 0 0

0 12 0 0 0 1 42

0 0 0 0 0 0
0 0 0 0 0 0

1 5 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
 0 0

0 0

0 0 0 0 8 4

0 0 0 0 1

0 0 0 0

0 3 2 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 59

18 51 435 30 67 236 433 135 300

0 27 0 0 48 10 214

2 0 0 0 3

5 0 0 0

0 0 0 1 1

1 0 0 0

0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0 0

0 0 0 0

0 0 0

0 0 0 0

0 0 0 0 0 32 10

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 1

0 0 0 0

0 0 0 0
 0 0 0 0

0 0 0 0

10 4 9 0 0 13

19 0 0 24 34

11 0 0 6 34

0 0 0 0 3

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 6

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0 11 15

0 0 0 0 3

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1
 1 1

1 1

1 1

1 1 1

1 1 1

18042018

1 1 1

1 1

1 1 1

1 1 1

1 1 1

1 1
 1

1 1 1

18042018

1 1 1

1 1

1 1

1 1

1 1 1

1 1

0
0

0
0

0
0

0
0

0
 Sagalee
PHC PHC PHC Toru
Leporiang Parang
2 0 1

1 0 1

1 0 1

1 0 0

1 0 0

2 0 1

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 0 0
0 0 0

0 0 0

1 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
1 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 0 0

0 0
1 0 0

0 0 0

1 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0

0 0 1
1 0 0

1 2 0

2 1 1

1 0 1

0 0 0

1 2 0

2 1 1

1 0 1
1 2 0

1 1 1

3 1 3

0
3 1 3

2 1 2

1 0 1

0 0 0

0 0 0

2 1 0

2 1 0

2 1 0
 0

2 1 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 1 1

1 1 1
0 0 0

3 1 3

2 1 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

3 0 0

0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

230 68 56
0 0 0

0 0 0

2 0 0

1 0 0

3 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0

0 0 0
 0 0 0

0 0 0

0 0 0

0 0 0

12 12 11

0 0 0

0 0 0

1 0 0

0 0 0

1 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

13 5 16

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0
0 0 0

0 0 0
1
 Balijan
PHC Holongi PHC Jote
Basarnallo
1.1 Total Number 3 0 1
number of reported
pregnant during the
women month
registered
for ANC

1.1.1 Out of the Number 0 0 1

total ANC reported
registered, during the
number month
registered
within 1st
trimester
(within 12
weeks)

1.2.1 Number of Number 1 0 0

PW reported
given TT1 during the
month

1.2.2 Number of Number 0 0 0

PW reported
given TT2 during the
month

1.2.3 Number of Number 0 0 0

PW reported
given TT during the
Booster month

1.2.4 Number of Number 0 0 0

PW given reported
180 Iron during the
Folic Acid month
(IFA) tablets

1.2.5 Number of Number 0 0 0

PW given reported
360 Calcium during the
tablets month

1.2.6 Number of Number 0 0 0

PW given reported
one during the
Albendazole month
tablet after
1st
trimester

1.2.7 Number of Number 0 0 0

PW reported
received 4 during the
or more month
ANC check
ups
1.2.8 Number of Number 0
PW given reported
ANC during the
Corticostero month
ids in Pre
Term
Labour

1.3.1 New cases Number 0 0 0

of PW with reported
hypertensio during the
n detected month

1.3.1.a Out of the Number 0 0 0

new cases reported
of PW with during the
hypertensio month
n detected,
cases
managed at
institution

1.3.2 Number of Number 0 0

Eclampsia reported
cases during the
managed month
during
delivery

1.4.1 Number of Number 0 0 0

PW tested reported
for during the
Haemoglobi month
n (Hb ) 4 or
more than 4
times for
respective
ANCs

1.4.2 Number of Number 0 0 0

PW having reported
Hb level<11 during the
(tested month
cases)(7.1
to 10.9)

1.4.3 Number of Number 0 0 0

PW having reported
Hb level<7 during the
(tested month
cases)

1.4.4 Number of Number 0 0 0

PW having reported
severe during the
anaemia month
(Hb<7)
treated

1.5.1 Number of Number 0 0

PW tested reported
for blood during the
sugar using month
OGTT (Oral
Glucose
Tolerance
Test)
1.5.2 Number of Number 0
PW tested reported
positive for during the
GDM month

1.5.3 Number of Number 0

PW given reported
insulin out during the
of total month
tested
positive for
GDM

1.6.1.a Number of Number 0 0

pregnant reported
women during the
tested for month
Syphilis

1.6.1.b Number of Number 0

pregnant reported
women during the
tested found month
sero
positive for
Syphilis

1.6.1.c Number of Number

syphilis reported
positive during the
pregnant month
women
treated for
Syphilis

1.6.1.d Number of Number

babies reported
diagnosed during the
with month
Congenital
Syphilis

1.6.1.e Number of Number

babies reported
treated for during the
congenital month
Syphilis

2.1.1.a Number of Number 0 0 0

Home reported
Deliveries during the
attended by month
Skill Birth
Attendant(S
BA)
(Doctor/Nur
se/ANM)
2.1.1.b Number of Number 0 0 0
Home reported
Deliveries during the
attended by month
Non SBA
(Trained
Birth
Attendant(T
BA)
/Relatives/et
c.)

2.1.2 Number of Number 0 0 0

PW given reported
Tablet during the
Misoprostol month
during home
delivery

2.1.3 Number of Number 0

newborns reported
received 7 during the
Home month
Based
Newborn
Care
(HBNC)
visits in
case of
Home
delivery

2.2 Number of Number 0

Institutional reported
Deliveries during the
conducted month
(Including
C-Sections)

2.2.1 Out of total Number 0

institutional reported
deliveries during the
number of month
women
discharged
within 48
hours of
delivery

2.2.2 Number of Number 0

newborns reported
received 6 during the
HBNC visits month
after
Institutional
Delivery

3.1 Total C Number 0

-Section reported
deliveries during the
performed month

3.1.1 C-sections, Number 0

performed reported
at night (8 during the
PM- 8 AM) month
4.1.1.a Live Birth - Number 0 0 0
Male reported
during the
month

4.1.1.b Live Birth - Number 0 0 0

Female reported
during the
month

4.1.2 Number of Number 0 0 0

Pre term reported
newborns during the
( < 37 month
weeks of
pregnancy)

4.1.3 Still Birth Number 0 0 0

reported
during the
month

4.2 Abortion Number 0 0

(spontaneou reported
s) during the
month

4.3.1.a MTP up to Number 0

12 weeks of reported
pregnancy during the
month

4.3.1.b MTP more Number 0

than 12 reported
weeks of during the
pregnancy month

4.3.2.a Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Identified

4.3.2.b Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Treated

4.3.3 Number of Number 0

women reported
provided during the
with post month
abortion/
MTP
contraceptio
n

4.4.1 Number of Number 0 0 0

newborns reported
weighed at during the
birth month

4.4.2 Number of Number 0 0 0

newborns reported
having during the
weight less month
than 2.5 kg
4.4.3 Number of Number 0 0 0
Newborns reported
breast fed during the
within 1 month
hour of
birth

5.1 Number of Number

cases of reported
pregnant during the
women with month
Obstetric
Complicatio
ns attended
(Antepartum
haemorrhag
e (APH),
Post-Partum
Hemorrhage
(PPH),
Sepsis,
Eclampsia
and others)

6.1 Women Number 0 0 0

receiving reported
1st post during the
partum month
checkup
within 48
hours of
home
delivery

6.2 Women Number 0 0 0

receiving reported
1st post during the
partum month
checkup
between 48
hours and
14 days

6.3 Number of Number 0 0 0

mothers reported
provided full during the
course of month
180 IFA
tablets after
delivery

6.4 Number of Number 0 0 0

mothers reported
provided during the
360 Calcium month
tablets after
delivery
7.1.1 New Number
RTI/STI reported
cases during the
identified - month
Male

7.1.2 New Number

RTI/STI reported
cases during the
identified - month
Female

7.2.1 RTI/STI for Number

which reported
treatment during the
initiated - month
Male

7.2.2 RTI/STI for Number

which reported
treatment during the
initiated month
-Female

8.1.1 Number of Number

Non Scalpel reported
Vasectomy during the
(NSV) / month
Convention
al
Vasectomy
conducted

8.2.1 Number of Number

Laparoscopi reported
c during the
sterilizations month
(excluding
post
abortion)
conducted

8.2.2 Number of Number

Interval reported
Mini-lap during the
(other than month
post-partum
and post
abortion)
sterilizations
conducted

8.2.3 Number of Number

Postpartum reported
sterilizations during the
(within 7 month
days of
delivery by
minilap or
concurrent
with
caesarean
section)
conducted
8.2.4 Number of Number
Post reported
Abortion during the
sterilizations month
(within 7
days of
spontaneou
s or surgical
abortion)
conducted

8.3 Number of Number 0

Interval reported
IUCD during the
Insertions month
(excluding
PPIUCD
and
PAIUCD)

8.4 Number of Number 0

Postpartum reported
(within 48 during the
hours of month
delivery)
IUCD
insertions

8.5 Number of Number 0

Post reported
Abortion during the
(within 12 month
days of
spontaneou
s or surgical
abortion)
IUCD
insertions

8.6 Number of Number 0

IUCD reported
Removals during the
month

8.7 Number of Number 0

complication reported
s following during the
IUCD month
Insertion

8.8 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
First Dose

8.9 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Second
Dose
8.10 Injectable Number
Contracepti reported
ve-Antara during the
Program- month
Third Dose

8.11 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Fourth or
more than
fourth

8.12 Number of Number 2 0 0

Combined reported
Oral Pill during the
cycles month
distributed

8.13 Number of Number 1 0 0

Condom reported
pieces during the
distributed month

8.14 Number of Number 0

Centchroma reported
n (weekly) during the
pill strips month
distributed

8.15 Number of Number 0

Emergency reported
Contracepti during the
ve Pills month
(ECP) given

8.16 Number of Number 2 0

Pregnancy reported
Test Kits during the
(PTK) used month

8.17.1 Complicatio Number

ns following reported
male during the
sterilization month

8.17.2 Complicatio Number

ns following reported
female during the
sterilization month

8.17.3 Failures Number

following reported
male during the
sterilization month

8.17.4 Failures Number

following reported
female during the
sterilization month

8.17.5 Deaths Number

following reported
male during the
sterilization month
8.17.6 Deaths Number
following reported
female during the
sterilization month

9.1.1 Child Number

immunisatio reported
n - Vitamin during the
K1 (Birth month
Dose)

9.1.2 Child Number 0 0 1

immunisatio reported
n - BCG during the
month

9.1.3 Child Number 0

immunisatio reported
n - DPT1 during the
month

9.1.4 Child Number 0

immunisatio reported
n - DPT2 during the
month

9.1.5 Child Number 0

immunisatio reported
n - DPT3 during the
month

9.1.6 Child Number 3 0 1

immunisatio reported
n- during the
Pentavalent month
1

9.1.7 Child Number 1 0 0

immunisatio reported
n- during the
Pentavalent month
2

9.1.8 Child Number 2 0 0

immunisatio reported
n- during the
Pentavalent month
3

9.1.9 Child Number 0 0 0

immunisatio reported
n - OPV 0 during the
(Birth Dose) month

9.1.10 Child Number 3 0 1

immunisatio reported
n - OPV1 during the
month

9.1.11 Child Number 1 0 0

immunisatio reported
n - OPV2 during the
month

9.1.12 Child Number 2 0 0

immunisatio reported
n - OPV3 during the
month
9.1.13 Child Number 0 0 0
immunisatio reported
n- during the
Hepatitis-B0 month
(Birth Dose)

9.1.14 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B1 month

9.1.15 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B2 month

9.1.16 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B3 month

9.1.17 Child Number 0 0 1

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 1
(IPV 1)

9.1.18 Child Number 0 0 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 2
(IPV 2)

9.1.19 Child Number

immunisatio reported
n- during the
Rotavirus 1 month

9.1.20 Child Number

immunisatio reported
n- during the
Rotavirus 2 month

9.1.21 Child Number

immunisatio reported
n- during the
Rotavirus 3 month

9.2.1 Child Number 0 0 0

immunisatio reported
n (9- during the
11months) - month
Measles &
Rubella
(MR)- 1st
Dose

9.2.2 Child Number 0 0 1

immunisatio reported
n (9- during the
11months) - month
Measles 1st
dose
9.2.3 Child Number 0 0 1
immunisatio reported
n (9- during the
11months) - month
JE 1st dose

9.2.4.a Children Number 0 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized-
Male

9.2.4.b Children Number 0 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized -
Female

9.3.1 Child Number 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 1st
Dose

9.3.2 Child Number 1 0 2

immunisatio reported
n - Measles- during the
1st dose month

9.3.3 Child Number 0 0 0

immunisatio reported
n - JE 1st during the
dose month

9.4.1 Child Number 0 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 2nd
Dose (16-24
months)

9.4.2 Child Number 0 0 0

immunisatio reported
n - Measles during the
2nd dose month
(More than
16 months)

9.4.3 Child Number 0 0 2

immunisatio reported
n - DPT 1st during the
Booster month

9.4.4 Child Number 0 0 2

immunisatio reported
n - OPV during the
Booster month
9.4.5 Child Number 0 0
immunisatio reported
n- during the
Measles, month
Mumps,
Rubella
(MMR)
Vaccine

9.4.6 Number of Number 0 0 2

children reported
more than during the
16 months month
of age who
received
Japanese
Encephalitis
(JE) vaccine

9.5.1 Child Number

immunisatio reported
n - Typhoid during the
month

9.5.2 Children Number 0 0 0

more than 5 reported
years during the
received month
DPT5 (2nd
Booster)

9.5.3 Children Number 0 0 0

more than reported
10 years during the
received month
TT10

9.5.4 Children Number 0 0 0

more than reported
16 years during the
received month
TT16

9.6.1 Number of Number 0 0

cases of reported
AEFI - during the
Abscess month

9.6.2 Number of Number 0 0

cases of reported
AEFI - during the
Death month

9.6.3 Number of Number 0 0

cases of reported
AEFI - during the
Others month

9.7.1 Immunisatio Number 0 0 0

n sessions reported
planned during the
month

9.7.2 Immunisatio Number 0 0 0

n sessions reported
held during the
month
9.7.3 Number of Number 0 0 0
Immunisatio reported
n sessions during the
where month
ASHAs
were
present

9.8.1 Child Number 0 0 1

immunisatio reported
n - Vitamin A during the
Dose - 1 month

9.8.2 Child Number 0 0 2

immunisatio reported
n - Vitamin A during the
Dose - 5 month

9.8.3 Child Number 0 0 0

immunisatio reported
n - Vitamin A during the
Dose - 9 month

9.9 Number of Number 0 0

children (6- reported
59 months) during the
provided 8- month
10 doses
(1ml) of IFA
syrup (Bi
weekly)

9.10 Number of Number 0 0 0

children (12- reported
59 months) during the
provided month
Albendazole

9.11 Number of Number 0 0

severely reported
underweight during the
children month
provided
Health
Checkup (0-
5 yrs)

10.1 Childhood Number 0 0

Diseases - reported
Pneumonia during the
month

10.2 Childhood Number 0 0

Diseases - reported
Asthma during the
month

10.3 Childhood Number 0 0

Diseases - reported
Sepsis during the
month

10.4 Childhood Number 0 0

Diseases - reported
Diphtheria during the
month
 10.5 Childhood Number 0 0
Diseases - reported
Pertussis during the
month

10.6 Childhood Number 0 0

Diseases - reported
Tetanus during the
Neonatorum month

10.7 Childhood Number 0 0

Diseases - reported
Tuberculosi during the
s (TB) month

10.8 Childhood Number 0 0

Diseases - reported
Acute during the
Flaccid month
Paralysis(A
FP)

10.9 Childhood Number 0 0

Diseases - reported
Measles during the
month

10.10 Childhood Number 0 0

Diseases - reported
Malaria during the
month

10.11 Childhood Number 0 0 0

Diseases - reported
Diarrhoea during the
month

10.12 Childhood Number 0 0

Diseases - reported
Diarrhoea during the
treated in month
Inpatients

10.13 Children Number 0 0

admitted reported
with upper during the
Respiratory month
Infections

10.14 Childhood Number 0 0

Diseases - reported
Severe during the
Acute month
Malnutrition
(SAM)

11.1.1.a Total Blood Number 7 0 1

Smears reported
Examined during the
for Malaria month

11.1.1.b Malaria Number 0 0 0

(Microscopy reported
Tests ) - during the
Plasmodium month
Vivax test
positive
11.1.1.c Malaria Number 0 0 0
(Microscopy reported
Tests ) - during the
Plasmodium month
Falciparum
test positive

11.1.2.a RDT Number 7 0 2

conducted reported
for Malaria during the
month

11.1.2.b Malaria Number 0 0 0

(RDT) - reported
Plasmodium during the
Vivax test month
positive

11.1.2.c Malaria Number 0 0 0

(RDT) - reported
Plamodium during the
Falciparum month
test positive

11.2.1 Kala Azar Number

(RDT) - reported
Tests during the
Conducted month

11.2.2 Kala Azar Number

Positive reported
Cases during the
month

11.2.3 Post Kala Number

Azar Dermal reported
Leishmania during the
sis (PKDL) month
cases

11.3.1 Dengue - Number 0 0

RDT Test reported
Positive during the
month

12.1.1.a Girls Number

registered in reported
AFHC during the
month

12.1.1.b Boys Number

registered in reported
AFHC during the
month

12.1.2.a Out of Number

registered, reported
Girls during the
received month
clinical
services

12.1.2.b Out of Number

registered, reported
Boys during the
received month
clinical
services
12.1.3.a Out of Number
registered, reported
Girls during the
received month
counselling

12.1.3.b Out of Number

registered, reported
Boys during the
received month
counselling

13.1 Number of Number 0

on-going reported
DOTS during the
patients month
registered

13.2 Number of Number 0 0

DOTS reported
cases during the
completed month
successfully

14.1.1 Outpatient - Number 0 0

Diabetes reported
during the
month

14.1.2 Outpatient - Number 9 0 6

Hypertensio reported
n during the
month

14.1.3 Outpatient - Number 0 0

Stroke reported
(Paralysis) during the
month

14.1.4 Outpatient - Number 0 0

Acute Heart reported
Diseases during the
month

14.1.5 Outpatient - Number 10 0

Mental reported
illness during the
month

14.1.6 Outpatient - Number 0 0

Epilepsy reported
during the
month

14.1.7 Outpatient - Number 0 1

Ophthalmic reported
Related during the
month

14.1.8 Outpatient - Number 8 0

Dental reported
during the
month

14.2.1 Allopathic- Number 241 11 76

Outpatient reported
attendance during the
month
14.2.2 Ayush - Number 0 27
Outpatient reported
attendance during the
month

14.3.1.a Inpatient Number 10 0

(Male)- reported
Children<18 during the
yrs month

14.3.1.b Inpatient Number 20 0

(Male)- reported
Adults during the
month

14.3.2.a Inpatient Number 5 0

(Female)- reported
Children<18 during the
yrs month

14.3.2.b Inpatient Number 14 0

(Female)- reported
Adults during the
month

14.3.3 Number of Number 0 0

Left Against reported
Medical during the
Advice month
(LAMA)
cases

14.4.1 Inpatient - Number 7 0

Malaria reported
during the
month

14.4.2 Inpatient - Number 0 0

Dengue reported
during the
month

14.4.3 Inpatient - Number 0 0

Typhoid reported
during the
month

14.4.4 Inpatient - Number 0 0

Asthma, reported
Chronic during the
Obstructive month
Pulmonary
Disease
(COPD),
Respiratory
infections

14.4.5 Inpatient - Number 0 0

Tuberculosi reported
s during the
month

14.4.6 Inpatient - Number 8 2

Pyrexia of reported
unknown during the
origin (PUO) month
14.4.7 Inpatient - Number 14 0
Diarrhea reported
with during the
dehydration month

14.4.8 Inpatient - Number 0 0

Hepatitis reported
during the
month

14.5.1 Operation Number

major reported
(General during the
and spinal month
anaesthesia
)

14.5.2 Out of Number

Operation reported
major, during the
Gynecology month
-
Hysterectom
y surgeries

14.5.3 Operation Number 0 0 0

minor (No or reported
local during the
anaesthesia month
)

14.5.4 Number of Number

blood units reported
issued during the
month

14.5.5 Number of Number

blood reported
transfusions during the
done month

14.6.1 Inpatient Number 0 0

Deaths - reported
Male during the
month

14.6.2 Inpatient Number 0 0

Deaths - reported
Female during the
month

14.7 In-Patient Number 0 0

Head Count reported
at midnight during the
month

14.8 Number of Number

Admission reported
in NBSU during the
( New Born month
Stabilisation
Unit)

14.9.1 Number of Number

children reported
admitted in during the
NRC month
14.9.2 Number of Number
children reported
discharged during the
with target month
weight gain
from the
NRCs

14.10 Number of Number 0 0

Rogi Kalyan reported
Samiti during the
(RKS) month
meetings
held

14.11 Number of Number 8 4 9

Anganwadi reported
centres/ during the
UPHCs month
reported to
have
conducted
Village
Health &
Nutrition
Day
(VHNDs)/
Urban
Health &
Nutrition
Day
(UHNDs)/
Outreach /
Special
Outreach

15.1 Number of Number 0 0

Lab Tests reported
done during the
month

15.2.1 Number of Number 0 0

Hb tests reported
conducted during the
month

15.2.2 Out of the Number 0 0

total number reported
of Hb tests during the
done, month
Number
having Hb <
7 mg

15.3.1.a Male HIV - Number 0 0

Number reported
Tested during the
month

15.3.1.b Male HIV - Number 0 0

Number reported
Positive during the
month
15.3.2.a Female Non Number 0 0
ANC HIV - reported
Number during the
Tested month

15.3.2.b Female Non Number 0 0

ANC HIV - reported
Number during the
Positive month

15.3.3.a Number of Number 0 0

pregnant reported
women during the
screened for month
HIV

15.3.3.b Out of the Number 0 0

above, reported
number during the
screened month
positive

15.3.3.c Out of the Number 0 0

above reported
number during the
screened month
positive,
number
confirmed
with HIV
infection at
Integrated
Counselling
and Testing
Centre
(ICTC)

15.3.4.a Number of Number

Male reported
STI/RTI during the
attendees month
tested for
syphilis

15.3.4.b Number of Number

Male reported
STI/RTI during the
attendees month
found sero
Positive for
syphilis

15.3.4.c Number of Number

Female reported
(Non during the
ANC)STI/RT month
I attendees
tested for
syphilis

15.3.4.d Number of Number

Female reported
(Non ANC) during the
STI/RTI month
attendees
found sero
Positive for
syphilis
15.4.1 Widal tests - Number 0 0
Number reported
Tested during the
month

15.4.2 Widal tests - Number 0 0

Number reported
Positive during the
month

16.1.1 Last Date of Number 7122017 12112016

Supply of reported
essential during the
drugs month
(DD/MM/YY
YY)

16.1.2.a IFA tablets

Dropdown -
Adequate
Dropdown - 1 1 1
Inadequate
16.1.2.b IFA tablets
(blue) Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.c IFA syrup
with Dropdown -
dispenser Adequate
Dropdown - 1 1
Inadequate
16.1.2.d Vit A syrup
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.e ORS
packets Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.f Zinc tablets
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.g Inj
Magnesium Dropdown - 1
Sulphate Adequate
Dropdown - 1
Inadequate
16.1.2.h Inj Oxytocin
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.i Misoprostol
tablets Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.j Mifepristone
tablets Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.k Antibiotics
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.l Labelled
emergency Dropdown - 1 1
tray Adequate
Dropdown -
Inadequate
16.1.2.m Drugs for
hypertensio Dropdown - 1
n, Diabetes, Adequate
common
ailments e.g Dropdown - 1
PCM, anti- Inadequate
allergic
16.1.2.n Tab.
Albendazole Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.1 Last Date of Number 25082017 5062017
Supply of reported
essential during the
vaccines month
(DD/MM/YY
YY)

16.2.2.a TT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.b BCG
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.c Hepatitis
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.2.2.d OPV
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.e DPT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.f Measles
Dropdown - 1 1
Adequate
16.2.2.f Measles

Dropdown -
Inadequate
16.2.2.g Vitamin A
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.1 Last Date of Number 12072017
Supply of reported
essential during the
contraceptiv month
es
(DD/MM/YY
YY)

16.3.2.a IUCD
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.3.2.b Combined
Oral Pills (in Dropdown - 1 1
cycles) Adequate
Dropdown -
Inadequate
16.3.2.c Condom (in
pieces) Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.2.d Injectable
Contracepti Dropdown - 1
ve MPA Adequate
(vials)
Dropdown - 1
Inadequate
17.1 Infant Number
deaths reported
within 24 during the
hrs(1 to 23 month
Hrs) of birth

17.2.1 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Sepsis

17.2.2 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Asphyxia

17.2.3 Infant Number

Deaths up reported
to 4 weeks during the
due to Other month
causes
17.3.1 Number of Number
Infant reported
Deaths (1 during the
-12 months) month
due to
Pneumonia

17.3.2 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Diarrhoea

17.3.3 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Fever
related

17.3.4 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Measles

17.3.5 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Others

17.4.1 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to
Pneumonia

17.4.2 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Diarrhoea

17.4.3 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Fever
related

17.4.4 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Measles
17.4.5 Number of Number
Child reported
Deaths (1 -5 during the
years) due month
to Others

17.5.1 Number of Number

Maternal reported
Deaths due during the
to Bleeding month

17.5.2 Number of Number

Maternal reported
Deaths due during the
to High month
fever

17.5.3 Number of Number

Maternal reported
Deaths due during the
to Abortion month

17.5.4 Number of Number

Maternal reported
Deaths due during the
to month
Obstructed/
prolonged
labour

17.5.5 Number of Number

Maternal reported
Deaths due during the
to Severe month
hypertesnio
n/fits

17.5.6 Number of Number

Maternal reported
Deaths due during the
to Other month
Causes
(including
causes Not
Known)

17.6.1 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Diarrhoeal
diseases

17.6.2 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Tuberculosi
s
17.6.3 Number of Number
Adolscent / reported
Adult during the
Deaths due month
to
Respiratory
diseases
including
infections
(other than
TB)

17.6.4 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Other
Fever
Related

17.6.5 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to HIV/AIDS

17.6.6 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Heart
disease/Hyp
ertension
related

17.6.7 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Cancer

17.6.8 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Neurological
disease
including
strokes

17.6.9 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Accidents/B
urn cases

17.6.10 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Suicide
 17.6.11 Number of Number
Adolscent / reported
Adult deaths during the
due to month
Animal bites
and stings

17.6.12 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Acute
Disease

17.6.13 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Chronic
Disease

17.6.14 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Causes Not
Known

17.7.1 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Vivax

17.7.2 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Falciparum

17.7.3 Number of Number

Deaths due reported
to Kala Azar during the
month

17.7.4 Number of Number

Deaths due reported
to Dengue during the
month

17.7.5 Number of Number

Deaths due reported
to Acute during the
Encephelitis month
Syndrome
(AES)

17.7.6 Number of Number

Deaths due reported
to Japanese during the
month
Encephalitis
(JE)

Parameters
Dated: 10-25-2018
Time : 14:22:15
Report Data Item
Name Wise Report

Status Type All

Entry Level Facility

Module MIS
Periodicity M

Proforma / PHC
Format
Report Across
Type Facility
Financial 2018-2019
Year
State All
District All
SubDistrict All

Facility All
Period May
 Arunachal Pradesh
Arunachal Pradesh -> Papum Pare
Balijan Doimukh Kimin Mengio Naharlagun Itanagar capital complex
PHC Lenka PHC Poma PHC chiputa kakoi PHC Itafort UPHC PHC UHC
Tarasso Mengio Rakap Chimpu Karsingsa
5 0 5 7 3 6 10 0 4

0 0 3 2 0 1 2 0 2

0 0 4 0 1 1 2 0 4

0 0 8 7 0 4 8 0 1

0 0 0 0 0 0 0 412

0 0 2 2 0 1 300 0 4

0 0 0 2 0 0 0

0 0 0 0 0 0 0

1 0 1 5 0 0 4 0 1
 0 2 0 0

0 0 0 0 0 0

0 0 1 0 0 0 0

0 0 0 0

0 0 5 5 0 0 5

0 0 0 0 0 1

0 0 5 0 0 0 0

0 0 0 0 0 0 0

5 7 0 0
 0 0 0 0

0 0 0 0

0 0 0 1 1

0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 1 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0

3 0 0 0

3 0 0 0

3 0 0 0

0
0 0 4 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 4 0 0 0

0 0 0 0 0 0
0 0 4 0 0 0

0 0 0 0

0 0 4 0 0 0

0 0 4 0 0 0

0 0 4 0 0 0

0 0 4 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0

0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0 0

0 0 0

0 0 0

1 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

0 1 32 30 0 3 4

4 0 0 50 0 24 5

0 0 0

0 1 0 0

0 0 10 0 1 10

0
 0

0 0 0

0 1 4 2 2 0 50 5 4

0 0 1 1 1 50 7 12

0 0 1 5 1 40 8 13

0 0 1 1 3 1 70 7 9

0 0 4 0 0 0 30 3

0 0 1 1 0 1 50 7 12

0 0 1 5 0 1 40 8 13

0 0 0 1 0 1 70 7 9
0 4 0 0 0

0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 1 0 0 1 50 7 12

0 0 0 0 0 1 70 7 9

0 0 0

0 0 0

0 0 0

0 0 0 0 1 40 9 8

0 1 0 0 0
0 1 0 0 0 3 40 9 8

0 1 0 0 0 3 26 5

0 0 0 0 0 0 14 3

0 0 0 0

0 0 0 0 0

0 0 0 0 0 0

0 0 0 2 13

2 0 0 0 0

2 0 0 0 0 2 20 4 13

2 0 0 0 0 2 20 4 13
 0 0 0

0 0 0 0 0 2 13

0 0 0 0

0 0 0 0 0 5 20 1 4

0 0 0 0 0 0 2 5

0 0 0 0 0 0 1 4

0 0 0 0

0 0 0 0

0 0 0 0

1 4 0 0 4 5 13 2 4

1 4 0 0 4 5 13 2 4
1 3 0 0 0

0 1 0 15 0 3 40 9 8

0 0 0 0 0 2 70 6 13

2 1 0 0 0 0 28 3

0 0 0 0 0 0

0 0 0 0 0 0 32

0 0 0 0 0 0

0 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 2 0 0 5 8 4

0 0 0 0 0 6

0 0 0 0 0 10

0 0 0 0 0

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PHC PHC PHC Toru
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 Balijan
PHC Holongi PHC Jote
Basarnallo
1.1 Total Number 0 0 0
number of reported
pregnant during the
women month
registered
for ANC

1.1.1 Out of the Number 0 0 0

total ANC reported
registered, during the
number month
registered
within 1st
trimester
(within 12
weeks)

1.2.1 Number of Number 0 0 0

PW reported
given TT1 during the
month

1.2.2 Number of Number 0 0 0

PW reported
given TT2 during the
month

1.2.3 Number of Number 0 0 0

PW reported
given TT during the
Booster month

1.2.4 Number of Number 0 0 0

PW given reported
180 Iron during the
Folic Acid month
(IFA) tablets

1.2.5 Number of Number 0 0 0

PW given reported
360 Calcium during the
tablets month

1.2.6 Number of Number 0 0 0

PW given reported
one during the
Albendazole month
tablet after
1st
trimester

1.2.7 Number of Number 0 0 0

PW reported
received 4 during the
or more month
ANC check
ups
1.2.8 Number of Number 0
PW given reported
ANC during the
Corticostero month
ids in Pre
Term
Labour

1.3.1 New cases Number 0 0 0

of PW with reported
hypertensio during the
n detected month

1.3.1.a Out of the Number 0 0 0

new cases reported
of PW with during the
hypertensio month
n detected,
cases
managed at
institution

1.3.2 Number of Number 0 0

Eclampsia reported
cases during the
managed month
during
delivery

1.4.1 Number of Number 0 0 0

PW tested reported
for during the
Haemoglobi month
n (Hb ) 4 or
more than 4
times for
respective
ANCs

1.4.2 Number of Number 0 0 0

PW having reported
Hb level<11 during the
(tested month
cases)(7.1
to 10.9)

1.4.3 Number of Number 0 0 0

PW having reported
Hb level<7 during the
(tested month
cases)

1.4.4 Number of Number 0 0 0

PW having reported
severe during the
anaemia month
(Hb<7)
treated

1.5.1 Number of Number 0 0

PW tested reported
for blood during the
sugar using month
OGTT (Oral
Glucose
Tolerance
Test)
1.5.2 Number of Number 0
PW tested reported
positive for during the
GDM month

1.5.3 Number of Number 0

PW given reported
insulin out during the
of total month
tested
positive for
GDM

1.6.1.a Number of Number 0 0

pregnant reported
women during the
tested for month
Syphilis

1.6.1.b Number of Number 0

pregnant reported
women during the
tested found month
sero
positive for
Syphilis

1.6.1.c Number of Number

syphilis reported
positive during the
pregnant month
women
treated for
Syphilis

1.6.1.d Number of Number

babies reported
diagnosed during the
with month
Congenital
Syphilis

1.6.1.e Number of Number

babies reported
treated for during the
congenital month
Syphilis

2.1.1.a Number of Number 0 0 0

Home reported
Deliveries during the
attended by month
Skill Birth
Attendant(S
BA)
(Doctor/Nur
se/ANM)
2.1.1.b Number of Number 0 0 0
Home reported
Deliveries during the
attended by month
Non SBA
(Trained
Birth
Attendant(T
BA)
/Relatives/et
c.)

2.1.2 Number of Number 0 0 0

PW given reported
Tablet during the
Misoprostol month
during home
delivery

2.1.3 Number of Number 0

newborns reported
received 7 during the
Home month
Based
Newborn
Care
(HBNC)
visits in
case of
Home
delivery

2.2 Number of Number 0

Institutional reported
Deliveries during the
conducted month
(Including
C-Sections)

2.2.1 Out of total Number 0

institutional reported
deliveries during the
number of month
women
discharged
within 48
hours of
delivery

2.2.2 Number of Number 0

newborns reported
received 6 during the
HBNC visits month
after
Institutional
Delivery

3.1 Total C Number 0

-Section reported
deliveries during the
performed month

3.1.1 C-sections, Number 0

performed reported
at night (8 during the
PM- 8 AM) month
4.1.1.a Live Birth - Number 0 0 0
Male reported
during the
month

4.1.1.b Live Birth - Number 0 0 0

Female reported
during the
month

4.1.2 Number of Number 0 0 0

Pre term reported
newborns during the
( < 37 month
weeks of
pregnancy)

4.1.3 Still Birth Number 0 0 0

reported
during the
month

4.2 Abortion Number 0 0

(spontaneou reported
s) during the
month

4.3.1.a MTP up to Number 0

12 weeks of reported
pregnancy during the
month

4.3.1.b MTP more Number 0

than 12 reported
weeks of during the
pregnancy month

4.3.2.a Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Identified

4.3.2.b Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Treated

4.3.3 Number of Number 0

women reported
provided during the
with post month
abortion/
MTP
contraceptio
n

4.4.1 Number of Number 0 0 0

newborns reported
weighed at during the
birth month

4.4.2 Number of Number 0 0 0

newborns reported
having during the
weight less month
than 2.5 kg
4.4.3 Number of Number 0 0 0
Newborns reported
breast fed during the
within 1 month
hour of
birth

5.1 Number of Number

cases of reported
pregnant during the
women with month
Obstetric
Complicatio
ns attended
(Antepartum
haemorrhag
e (APH),
Post-Partum
Hemorrhage
(PPH),
Sepsis,
Eclampsia
and others)

6.1 Women Number 0 0 0

receiving reported
1st post during the
partum month
checkup
within 48
hours of
home
delivery

6.2 Women Number 0 0 0

receiving reported
1st post during the
partum month
checkup
between 48
hours and
14 days

6.3 Number of Number 0 0 0

mothers reported
provided full during the
course of month
180 IFA
tablets after
delivery

6.4 Number of Number 0 0 0

mothers reported
provided during the
360 Calcium month
tablets after
delivery
7.1.1 New Number
RTI/STI reported
cases during the
identified - month
Male

7.1.2 New Number

RTI/STI reported
cases during the
identified - month
Female

7.2.1 RTI/STI for Number

which reported
treatment during the
initiated - month
Male

7.2.2 RTI/STI for Number

which reported
treatment during the
initiated month
-Female

8.1.1 Number of Number

Non Scalpel reported
Vasectomy during the
(NSV) / month
Convention
al
Vasectomy
conducted

8.2.1 Number of Number

Laparoscopi reported
c during the
sterilizations month
(excluding
post
abortion)
conducted

8.2.2 Number of Number

Interval reported
Mini-lap during the
(other than month
post-partum
and post
abortion)
sterilizations
conducted

8.2.3 Number of Number

Postpartum reported
sterilizations during the
(within 7 month
days of
delivery by
minilap or
concurrent
with
caesarean
section)
conducted
8.2.4 Number of Number
Post reported
Abortion during the
sterilizations month
(within 7
days of
spontaneou
s or surgical
abortion)
conducted

8.3 Number of Number 0

Interval reported
IUCD during the
Insertions month
(excluding
PPIUCD
and
PAIUCD)

8.4 Number of Number 0

Postpartum reported
(within 48 during the
hours of month
delivery)
IUCD
insertions

8.5 Number of Number 0

Post reported
Abortion during the
(within 12 month
days of
spontaneou
s or surgical
abortion)
IUCD
insertions

8.6 Number of Number 0

IUCD reported
Removals during the
month

8.7 Number of Number 0

complication reported
s following during the
IUCD month
Insertion

8.8 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
First Dose

8.9 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Second
Dose
8.10 Injectable Number
Contracepti reported
ve-Antara during the
Program- month
Third Dose

8.11 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Fourth or
more than
fourth

8.12 Number of Number 2 0 0

Combined reported
Oral Pill during the
cycles month
distributed

8.13 Number of Number 1 0 0

Condom reported
pieces during the
distributed month

8.14 Number of Number 0

Centchroma reported
n (weekly) during the
pill strips month
distributed

8.15 Number of Number 0

Emergency reported
Contracepti during the
ve Pills month
(ECP) given

8.16 Number of Number 2 0

Pregnancy reported
Test Kits during the
(PTK) used month

8.17.1 Complicatio Number

ns following reported
male during the
sterilization month

8.17.2 Complicatio Number

ns following reported
female during the
sterilization month

8.17.3 Failures Number

following reported
male during the
sterilization month

8.17.4 Failures Number

following reported
female during the
sterilization month

8.17.5 Deaths Number

following reported
male during the
sterilization month
8.17.6 Deaths Number
following reported
female during the
sterilization month

9.1.1 Child Number

immunisatio reported
n - Vitamin during the
K1 (Birth month
Dose)

9.1.2 Child Number 0 0 0

immunisatio reported
n - BCG during the
month

9.1.3 Child Number 0

immunisatio reported
n - DPT1 during the
month

9.1.4 Child Number 0

immunisatio reported
n - DPT2 during the
month

9.1.5 Child Number 0

immunisatio reported
n - DPT3 during the
month

9.1.6 Child Number 3 0 0

immunisatio reported
n- during the
Pentavalent month
1

9.1.7 Child Number 2 0 2

immunisatio reported
n- during the
Pentavalent month
2

9.1.8 Child Number 1 0 0

immunisatio reported
n- during the
Pentavalent month
3

9.1.9 Child Number 0 0 0

immunisatio reported
n - OPV 0 during the
(Birth Dose) month

9.1.10 Child Number 3 0 1

immunisatio reported
n - OPV1 during the
month

9.1.11 Child Number 2 0 2

immunisatio reported
n - OPV2 during the
month

9.1.12 Child Number 1 0 0

immunisatio reported
n - OPV3 during the
month
9.1.13 Child Number 0 0 0
immunisatio reported
n- during the
Hepatitis-B0 month
(Birth Dose)

9.1.14 Child Number 0 0 1

immunisatio reported
n- during the
Hepatitis-B1 month

9.1.15 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B2 month

9.1.16 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B3 month

9.1.17 Child Number 2 0 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 1
(IPV 1)

9.1.18 Child Number 1 0 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 2
(IPV 2)

9.1.19 Child Number

immunisatio reported
n- during the
Rotavirus 1 month

9.1.20 Child Number

immunisatio reported
n- during the
Rotavirus 2 month

9.1.21 Child Number

immunisatio reported
n- during the
Rotavirus 3 month

9.2.1 Child Number 0 0 0

immunisatio reported
n (9- during the
11months) - month
Measles &
Rubella
(MR)- 1st
Dose

9.2.2 Child Number 1 0 3

immunisatio reported
n (9- during the
11months) - month
Measles 1st
dose
9.2.3 Child Number 1 0 5
immunisatio reported
n (9- during the
11months) - month
JE 1st dose

9.2.4.a Children Number 1 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized-
Male

9.2.4.b Children Number 0 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized -
Female

9.3.1 Child Number 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 1st
Dose

9.3.2 Child Number 1 0 0

immunisatio reported
n - Measles- during the
1st dose month

9.3.3 Child Number 0 0 0

immunisatio reported
n - JE 1st during the
dose month

9.4.1 Child Number 0 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 2nd
Dose (16-24
months)

9.4.2 Child Number 0 0 0

immunisatio reported
n - Measles during the
2nd dose month
(More than
16 months)

9.4.3 Child Number 0 0 0

immunisatio reported
n - DPT 1st during the
Booster month

9.4.4 Child Number 0 0 0

immunisatio reported
n - OPV during the
Booster month
9.4.5 Child Number 0 0
immunisatio reported
n- during the
Measles, month
Mumps,
Rubella
(MMR)
Vaccine

9.4.6 Number of Number 0 0 0

children reported
more than during the
16 months month
of age who
received
Japanese
Encephalitis
(JE) vaccine

9.5.1 Child Number

immunisatio reported
n - Typhoid during the
month

9.5.2 Children Number 0 0 0

more than 5 reported
years during the
received month
DPT5 (2nd
Booster)

9.5.3 Children Number 0 0 0

more than reported
10 years during the
received month
TT10

9.5.4 Children Number 0 0 0

more than reported
16 years during the
received month
TT16

9.6.1 Number of Number 0 0

cases of reported
AEFI - during the
Abscess month

9.6.2 Number of Number 0 0

cases of reported
AEFI - during the
Death month

9.6.3 Number of Number 0 0

cases of reported
AEFI - during the
Others month

9.7.1 Immunisatio Number 6 0 4

n sessions reported
planned during the
month

9.7.2 Immunisatio Number 4 0 0

n sessions reported
held during the
month
9.7.3 Number of Number 4 0 0
Immunisatio reported
n sessions during the
where month
ASHAs
were
present

9.8.1 Child Number 0 0 4

immunisatio reported
n - Vitamin A during the
Dose - 1 month

9.8.2 Child Number 0 0 0

immunisatio reported
n - Vitamin A during the
Dose - 5 month

9.8.3 Child Number 0 0 0

immunisatio reported
n - Vitamin A during the
Dose - 9 month

9.9 Number of Number 0 0

children (6- reported
59 months) during the
provided 8- month
10 doses
(1ml) of IFA
syrup (Bi
weekly)

9.10 Number of Number 0 0 0

children (12- reported
59 months) during the
provided month
Albendazole

9.11 Number of Number 0 0

severely reported
underweight during the
children month
provided
Health
Checkup (0-
5 yrs)

10.1 Childhood Number 0 2

Diseases - reported
Pneumonia during the
month

10.2 Childhood Number 0 0

Diseases - reported
Asthma during the
month

10.3 Childhood Number 0 0

Diseases - reported
Sepsis during the
month

10.4 Childhood Number 0 0

Diseases - reported
Diphtheria during the
month
 10.5 Childhood Number 0 0
Diseases - reported
Pertussis during the
month

10.6 Childhood Number 0 0

Diseases - reported
Tetanus during the
Neonatorum month

10.7 Childhood Number 0 0

Diseases - reported
Tuberculosi during the
s (TB) month

10.8 Childhood Number 0 0

Diseases - reported
Acute during the
Flaccid month
Paralysis(A
FP)

10.9 Childhood Number 0 0

Diseases - reported
Measles during the
month

10.10 Childhood Number 0 0

Diseases - reported
Malaria during the
month

10.11 Childhood Number 0 0 3

Diseases - reported
Diarrhoea during the
month

10.12 Childhood Number 0 0

Diseases - reported
Diarrhoea during the
treated in month
Inpatients

10.13 Children Number 0 0

admitted reported
with upper during the
Respiratory month
Infections

10.14 Childhood Number 0 0

Diseases - reported
Severe during the
Acute month
Malnutrition
(SAM)

11.1.1.a Total Blood Number 2 0 0

Smears reported
Examined during the
for Malaria month

11.1.1.b Malaria Number 0 0 0

(Microscopy reported
Tests ) - during the
Plasmodium month
Vivax test
positive
11.1.1.c Malaria Number 0 0 0
(Microscopy reported
Tests ) - during the
Plasmodium month
Falciparum
test positive

11.1.2.a RDT Number 0 0 4

conducted reported
for Malaria during the
month

11.1.2.b Malaria Number 0 0 0

(RDT) - reported
Plasmodium during the
Vivax test month
positive

11.1.2.c Malaria Number 0 0 0

(RDT) - reported
Plamodium during the
Falciparum month
test positive

11.2.1 Kala Azar Number

(RDT) - reported
Tests during the
Conducted month

11.2.2 Kala Azar Number

Positive reported
Cases during the
month

11.2.3 Post Kala Number

Azar Dermal reported
Leishmania during the
sis (PKDL) month
cases

11.3.1 Dengue - Number 0 0

RDT Test reported
Positive during the
month

12.1.1.a Girls Number

registered in reported
AFHC during the
month

12.1.1.b Boys Number

registered in reported
AFHC during the
month

12.1.2.a Out of Number

registered, reported
Girls during the
received month
clinical
services

12.1.2.b Out of Number

registered, reported
Boys during the
received month
clinical
services
12.1.3.a Out of Number
registered, reported
Girls during the
received month
counselling

12.1.3.b Out of Number

registered, reported
Boys during the
received month
counselling

13.1 Number of Number 0

on-going reported
DOTS during the
patients month
registered

13.2 Number of Number 0 0

DOTS reported
cases during the
completed month
successfully

14.1.1 Outpatient - Number 0 0

Diabetes reported
during the
month

14.1.2 Outpatient - Number 3 0 6

Hypertensio reported
n during the
month

14.1.3 Outpatient - Number 0 0

Stroke reported
(Paralysis) during the
month

14.1.4 Outpatient - Number 0 0

Acute Heart reported
Diseases during the
month

14.1.5 Outpatient - Number 10 0

Mental reported
illness during the
month

14.1.6 Outpatient - Number 0 0

Epilepsy reported
during the
month

14.1.7 Outpatient - Number 0 0

Ophthalmic reported
Related during the
month

14.1.8 Outpatient - Number 0 0

Dental reported
during the
month

14.2.1 Allopathic- Number 163 11 94

Outpatient reported
attendance during the
month
14.2.2 Ayush - Number 0 41
Outpatient reported
attendance during the
month

14.3.1.a Inpatient Number 5 0

(Male)- reported
Children<18 during the
yrs month

14.3.1.b Inpatient Number 2 0

(Male)- reported
Adults during the
month

14.3.2.a Inpatient Number 7 0

(Female)- reported
Children<18 during the
yrs month

14.3.2.b Inpatient Number 0 0

(Female)- reported
Adults during the
month

14.3.3 Number of Number 0 0

Left Against reported
Medical during the
Advice month
(LAMA)
cases

14.4.1 Inpatient - Number 0 0

Malaria reported
during the
month

14.4.2 Inpatient - Number 0 0

Dengue reported
during the
month

14.4.3 Inpatient - Number 0 0

Typhoid reported
during the
month

14.4.4 Inpatient - Number 0 0

Asthma, reported
Chronic during the
Obstructive month
Pulmonary
Disease
(COPD),
Respiratory
infections

14.4.5 Inpatient - Number 0 0

Tuberculosi reported
s during the
month

14.4.6 Inpatient - Number 0 0

Pyrexia of reported
unknown during the
origin (PUO) month
14.4.7 Inpatient - Number 0 0
Diarrhea reported
with during the
dehydration month

14.4.8 Inpatient - Number 0 0

Hepatitis reported
during the
month

14.5.1 Operation Number

major reported
(General during the
and spinal month
anaesthesia
)

14.5.2 Out of Number

Operation reported
major, during the
Gynecology month
-
Hysterectom
y surgeries

14.5.3 Operation Number 0 0 0

minor (No or reported
local during the
anaesthesia month
)

14.5.4 Number of Number

blood units reported
issued during the
month

14.5.5 Number of Number

blood reported
transfusions during the
done month

14.6.1 Inpatient Number 0 0

Deaths - reported
Male during the
month

14.6.2 Inpatient Number 0 0

Deaths - reported
Female during the
month

14.7 In-Patient Number 0 0

Head Count reported
at midnight during the
month

14.8 Number of Number

Admission reported
in NBSU during the
( New Born month
Stabilisation
Unit)

14.9.1 Number of Number

children reported
admitted in during the
NRC month
14.9.2 Number of Number
children reported
discharged during the
with target month
weight gain
from the
NRCs

14.10 Number of Number 0 0

Rogi Kalyan reported
Samiti during the
(RKS) month
meetings
held

14.11 Number of Number 8 4 9

Anganwadi reported
centres/ during the
UPHCs month
reported to
have
conducted
Village
Health &
Nutrition
Day
(VHNDs)/
Urban
Health &
Nutrition
Day
(UHNDs)/
Outreach /
Special
Outreach

15.1 Number of Number 0 0

Lab Tests reported
done during the
month

15.2.1 Number of Number 0 0

Hb tests reported
conducted during the
month

15.2.2 Out of the Number 0 0

total number reported
of Hb tests during the
done, month
Number
having Hb <
7 mg

15.3.1.a Male HIV - Number 0 0

Number reported
Tested during the
month

15.3.1.b Male HIV - Number 0 0

Number reported
Positive during the
month
15.3.2.a Female Non Number 0 0
ANC HIV - reported
Number during the
Tested month

15.3.2.b Female Non Number 0 0

ANC HIV - reported
Number during the
Positive month

15.3.3.a Number of Number 0 0

pregnant reported
women during the
screened for month
HIV

15.3.3.b Out of the Number 0 0

above, reported
number during the
screened month
positive

15.3.3.c Out of the Number 0 0

above reported
number during the
screened month
positive,
number
confirmed
with HIV
infection at
Integrated
Counselling
and Testing
Centre
(ICTC)

15.3.4.a Number of Number

Male reported
STI/RTI during the
attendees month
tested for
syphilis

15.3.4.b Number of Number

Male reported
STI/RTI during the
attendees month
found sero
Positive for
syphilis

15.3.4.c Number of Number

Female reported
(Non during the
ANC)STI/RT month
I attendees
tested for
syphilis

15.3.4.d Number of Number

Female reported
(Non ANC) during the
STI/RTI month
attendees
found sero
Positive for
syphilis
15.4.1 Widal tests - Number 2 0
Number reported
Tested during the
month

15.4.2 Widal tests - Number 0 0

Number reported
Positive during the
month

16.1.1 Last Date of Number 7122017 12112016

Supply of reported
essential during the
drugs month
(DD/MM/YY
YY)

16.1.2.a IFA tablets

Dropdown -
Adequate
Dropdown - 1 1 1
Inadequate
16.1.2.b IFA tablets
(blue) Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.c IFA syrup
with Dropdown -
dispenser Adequate
Dropdown - 1 1
Inadequate
16.1.2.d Vit A syrup
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.e ORS
packets Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.f Zinc tablets
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.g Inj
Magnesium Dropdown - 1
Sulphate Adequate
Dropdown - 1
Inadequate
16.1.2.h Inj Oxytocin
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.i Misoprostol
tablets Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.j Mifepristone
tablets Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.k Antibiotics
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.l Labelled
emergency Dropdown - 1 1
tray Adequate
Dropdown -
Inadequate
16.1.2.m Drugs for
hypertensio Dropdown - 1
n, Diabetes, Adequate
common
ailments e.g Dropdown - 1
PCM, anti- Inadequate
allergic
16.1.2.n Tab.
Albendazole Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.1 Last Date of Number 25082017 5062017
Supply of reported
essential during the
vaccines month
(DD/MM/YY
YY)

16.2.2.a TT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.b BCG
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.c Hepatitis
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.2.2.d OPV
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.e DPT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.f Measles
Dropdown - 1 1
Adequate
16.2.2.f Measles

Dropdown -
Inadequate
16.2.2.g Vitamin A
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.1 Last Date of Number 12072017
Supply of reported
essential during the
contraceptiv month
es
(DD/MM/YY
YY)

16.3.2.a IUCD
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.3.2.b Combined
Oral Pills (in Dropdown - 1 1
cycles) Adequate
Dropdown -
Inadequate
16.3.2.c Condom (in
pieces) Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.2.d Injectable
Contracepti Dropdown - 1
ve MPA Adequate
(vials)
Dropdown - 1
Inadequate
17.1 Infant Number
deaths reported
within 24 during the
hrs(1 to 23 month
Hrs) of birth

17.2.1 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Sepsis

17.2.2 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Asphyxia

17.2.3 Infant Number

Deaths up reported
to 4 weeks during the
due to Other month
causes
17.3.1 Number of Number
Infant reported
Deaths (1 during the
-12 months) month
due to
Pneumonia

17.3.2 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Diarrhoea

17.3.3 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Fever
related

17.3.4 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Measles

17.3.5 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Others

17.4.1 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to
Pneumonia

17.4.2 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Diarrhoea

17.4.3 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Fever
related

17.4.4 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Measles
17.4.5 Number of Number
Child reported
Deaths (1 -5 during the
years) due month
to Others

17.5.1 Number of Number

Maternal reported
Deaths due during the
to Bleeding month

17.5.2 Number of Number

Maternal reported
Deaths due during the
to High month
fever

17.5.3 Number of Number

Maternal reported
Deaths due during the
to Abortion month

17.5.4 Number of Number

Maternal reported
Deaths due during the
to month
Obstructed/
prolonged
labour

17.5.5 Number of Number

Maternal reported
Deaths due during the
to Severe month
hypertesnio
n/fits

17.5.6 Number of Number

Maternal reported
Deaths due during the
to Other month
Causes
(including
causes Not
Known)

17.6.1 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Diarrhoeal
diseases

17.6.2 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Tuberculosi
s
17.6.3 Number of Number
Adolscent / reported
Adult during the
Deaths due month
to
Respiratory
diseases
including
infections
(other than
TB)

17.6.4 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Other
Fever
Related

17.6.5 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to HIV/AIDS

17.6.6 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Heart
disease/Hyp
ertension
related

17.6.7 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Cancer

17.6.8 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Neurological
disease
including
strokes

17.6.9 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Accidents/B
urn cases

17.6.10 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Suicide
 17.6.11 Number of Number
Adolscent / reported
Adult deaths during the
due to month
Animal bites
and stings

17.6.12 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Acute
Disease

17.6.13 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Chronic
Disease

17.6.14 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Causes Not
Known

17.7.1 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Vivax

17.7.2 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Falciparum

17.7.3 Number of Number

Deaths due reported
to Kala Azar during the
month

17.7.4 Number of Number

Deaths due reported
to Dengue during the
month

17.7.5 Number of Number

Deaths due reported
to Acute during the
Encephelitis month
Syndrome
(AES)

17.7.6 Number of Number

Deaths due reported
to Japanese during the
month
Encephalitis
(JE)

Parameters
Dated: 10-25-2018
Time : 14:23:45
Report Data Item
Name Wise Report

Status Type All

Entry Level Facility

Module MIS
Periodicity M

Proforma / PHC
Format
Report Across
Type Facility
Financial 2018-2019
Year
State All
District All
SubDistrict All

Facility All
Period June
 Arunachal Pradesh
Arunachal Pradesh -> Papum Pare
Balijan Doimukh Kimin Mengio Naharlagun Itanagar capital complex
PHC Lenka PHC Poma PHC chiputa kakoi PHC Itafort UPHC PHC UHC
Tarasso Mengio Rakap Chimpu Karsingsa
2 0 9 4 2 9 8 3 2

0 0 7 3 2 4 6 0

0 0 7 3 2 4 4 2

0 0 2 1 2 1 4 4

0 0 1 0 0 3 0

0 0 2 0 2 4 2

0 0 2 0 2 4 2

0 0 0 0 0 4 0

0 0 0 0 5 1 8 1
 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0 1 5 0

0 0 7 0 0 0 5 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

3 0 0 0 0
 0 0 0 0 0

0 0 0 0 0

0 0 0 0 4 1 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 2 0 2 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

1 0 0 0 0

2 0 0 1 0

2 0 0 1 0

2 0 0 1 0

0 0

0 0
0 0 0 0 1 0 0

0 0 4 0 1 1 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 4 0 0 1 0

0 0 0 0 0 0 0
0 0 4 0 0 1 0

0 0 0 0 0

0 0 1 0 0 1 0

0 0 2 0 0 0 0

0 0 2 0 0 0

0 0 2 0 0 0
0 1 0 0 0 0

0 0 0 0 0 0

0 1 0 0 0 0

0 0 0 0 0

0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0

0 0 0 1 0

0 0 0 0 0

0 0 0 0 0

1 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
 0 0 0 0 0

0 0 0 0 0

0 2 18 0 0 0 2 6

2 0 10 50 0 6 30 8

0 0 0 0

0 0 0 0 2 7

0 3 13 0 0 4 8

0 0

0 0

0 0

0 0

0 0
 0 0

0 0 0 0

0 0 4 1 0 1 40 6 3

0 0

0 0

0 0

0 1 2 1 1 40 12 16

0 0 1 1 1 1 30 8 18

0 0 0 0 6 1 30 8 11

0 0 3 0 2 1 2

0 0 3 0 1 1 40 12 16

0 0 1 1 1 1 30 18

0 0 0 0 6 1 30 11
0 3 0 0 0

0 0 0

0 0 0 0

0 0 0 0

0 1 1 0 0 1 30 12 16

0 0 0 0 2 1 30 8 11

0 8 0

0 0

0 0

0 0 1 0 1 40 5 9

1 2 0 0 0
3 1 0 1 0 1 40 5 9

0 1 0 0 0 1 17 3 4

1 1 0 0 0 0 23 2 5

0 0 0 0 0

1 0 0 0 0 0 0

3 0 0 0 0 0 0

0 2 0 0 5 9 15

0 0 0 0 0 0

0 1 0 2 0 0 40 12 15

0 0 0 2 0 0 40 11 15
 0 0 0 0

0 0 0 0 0 0 40 5

0 0 0 0 0

1 0 0 0 0 1 20 6

0 0 0 0 0 0 2 9

0 0 0 0 0 0 13

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

1 4 0 4 4 2 14 4

1 4 0 4 4 2 14 4
1 2 0 0 4 2 1 4

1 2 0 1 6 1 49 5 9

0 0 0 2 0 1 50 14 15

0 1 0 0 0 0 54 3

0 0 0 0 0 0

0 0 0 0 0 0 18

0 0 0 0 0 0

0 0 0 0 3 0

0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 3 0

0 0 0 0 0 0

0 0 0 1 0 0 0

0 0 0 0 0 0

0 1 0 5 0 9 1 10

0 0 0 0 0 0 1 4

0 0 0 0 0 1 9

0 0 0 0 0 0

14 18 0 2 0 3 14 39

0 0 0 0 0 0 0
0 0 0 0 0 0 0

5 8 8 15 0 8 4 39

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
 0 0

0 0

0 0 0 3 8

0 0 0 1

8 1 0 0 0 0

0 10 6 0 0 3 3

0 0 0 0 3

1 0 0 1 0

0 0 0 0 0

0 0 0 0 0

0 5 4 0 0 22 0

0 2 0 0 4 165 0

33 212 390 66 115 312 900 78 110

0 0 0 0 91 45 64

2 0 0 0 3 0

3 0 0 0 58 1

0 0 0 0 1 0

3 0 0 1 90 1

2 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 35
 3 0 0 18 1 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0 29 4

0 0 0 0 0

0 0 0 0

0 0 0 1 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0
 0 0 0 0

1 0 0 0 0 1

10 4 9 0 0 5

25 0 0 20 1405 39

8 0 0 4 23 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0

0 0 0 0 0

0 0 0 4 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 1 0

0 0 0 0 0
 3 0 0 0 19 0

0 0 0 0 2 0

19032018 12062018 9052018

1 1 1 1

1 1 1 1

1 1

1 1 1 1

1 1 1

1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1

1 1

1 1 1 1 1 1

1 1

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1 1

1 1
 1 1 1 1

1 1

1 1 1 1 1

1 1 1 1

1 1

1 1 1 1 1 1

1 1 1 1 1

1 1 1

1052018 31052018 25062018

1 1 1 1 1

1 1

1 1 1 1 1

1 1

1 1 1 1 1

1 1 1

1 1 1 1 1

1 1

1 1 1 1 1

1 1

1 1 1 1
 1 1 1

1 1 1 1

2052018 18042018 25062018

1 1 1 1

1 1 1 1

1 1

1 1 1 1 1 1

1 1 1 1

1 1 1 1

1 1 1 1

0
0

0
0

0
0

0
0

0 1

0
 Sagalee
PHC PHC PHC Toru
Leporiang Parang
7 1 0

4 1 0

3 1 0

2 0 0

1 0 0

4 1 0

0 0 0

4 1 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0

0 0 0

0 0 0

0 0 0

0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0

0 0 0

0 0 0
 0 0

0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 3

3 0 3

5 0 0

0 0 0

1 0 0

4 0 0
0 0 0

2 0 0

1 0 0

1 2 0

0 0

2 0 0

1 0 0

1 2 0
2 0 0

1 2 0

2 1 1
2 1 1

1 1 1

1 0 0

0 0 0

0 0 0

2 2 4

2 2 4

2 2 4
2 2 4

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 1 1

1 1 1
0 0 0

2 1 1

2 2 4

0 0 0

0 0 0

0 0 2

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

2 2 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

270 112 107

0 0 0

0 0 0

2 0 0

1 0 0

3 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
6 2 2

0 0 0

0 0 0

0 0 0

5 2 10

0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

11 5 12

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

1062018 1062018 1062018

1 1

1 1 1

1 1 1

1 1

1 1

1 1 1

1 1

1 1

1 1
 1

1 1

1 1

1 1 1

1 1 1

1 1 1

1062018 1062018 1062018

1 1 1

1 1 1

1 1 1

1 1 1

1 1 1
 1 1 1

1 1 1

1052018 1062018 1062018

1 1 1

1 1

1 1

1 1 1
 Balijan
PHC Holongi PHC Jote
Basarnallo
1.1 Total Number 1 1 2
number of reported
pregnant during the
women month
registered
for ANC

1.1.1 Out of the Number 0 1 1

total ANC reported
registered, during the
number month
registered
within 1st
trimester
(within 12
weeks)

1.2.1 Number of Number 1 0 2

PW reported
given TT1 during the
month

1.2.2 Number of Number 0 1 0

PW reported
given TT2 during the
month

1.2.3 Number of Number 0 0 0

PW reported
given TT during the
Booster month

1.2.4 Number of Number 0 0 2

PW given reported
180 Iron during the
Folic Acid month
(IFA) tablets

1.2.5 Number of Number 1 0 2

PW given reported
360 Calcium during the
tablets month

1.2.6 Number of Number 0 0 0

PW given reported
one during the
Albendazole month
tablet after
1st
trimester

1.2.7 Number of Number 0 0 0

PW reported
received 4 during the
or more month
ANC check
ups
1.2.8 Number of Number 0
PW given reported
ANC during the
Corticostero month
ids in Pre
Term
Labour

1.3.1 New cases Number 0 0 0

of PW with reported
hypertensio during the
n detected month

1.3.1.a Out of the Number 0 0 0

new cases reported
of PW with during the
hypertensio month
n detected,
cases
managed at
institution

1.3.2 Number of Number 0 0

Eclampsia reported
cases during the
managed month
during
delivery

1.4.1 Number of Number 0 0 0

PW tested reported
for during the
Haemoglobi month
n (Hb ) 4 or
more than 4
times for
respective
ANCs

1.4.2 Number of Number 0 0 0

PW having reported
Hb level<11 during the
(tested month
cases)(7.1
to 10.9)

1.4.3 Number of Number 0 0 0

PW having reported
Hb level<7 during the
(tested month
cases)

1.4.4 Number of Number 0 0 0

PW having reported
severe during the
anaemia month
(Hb<7)
treated

1.5.1 Number of Number 0 0

PW tested reported
for blood during the
sugar using month
OGTT (Oral
Glucose
Tolerance
Test)
1.5.2 Number of Number 0
PW tested reported
positive for during the
GDM month

1.5.3 Number of Number 0

PW given reported
insulin out during the
of total month
tested
positive for
GDM

1.6.1.a Number of Number 0 0

pregnant reported
women during the
tested for month
Syphilis

1.6.1.b Number of Number 0

pregnant reported
women during the
tested found month
sero
positive for
Syphilis

1.6.1.c Number of Number

syphilis reported
positive during the
pregnant month
women
treated for
Syphilis

1.6.1.d Number of Number

babies reported
diagnosed during the
with month
Congenital
Syphilis

1.6.1.e Number of Number

babies reported
treated for during the
congenital month
Syphilis

2.1.1.a Number of Number 0 0 0

Home reported
Deliveries during the
attended by month
Skill Birth
Attendant(S
BA)
(Doctor/Nur
se/ANM)
2.1.1.b Number of Number 1 0 0
Home reported
Deliveries during the
attended by month
Non SBA
(Trained
Birth
Attendant(T
BA)
/Relatives/et
c.)

2.1.2 Number of Number 0 0 0

PW given reported
Tablet during the
Misoprostol month
during home
delivery

2.1.3 Number of Number 0

newborns reported
received 7 during the
Home month
Based
Newborn
Care
(HBNC)
visits in
case of
Home
delivery

2.2 Number of Number 2

Institutional reported
Deliveries during the
conducted month
(Including
C-Sections)

2.2.1 Out of total Number 2

institutional reported
deliveries during the
number of month
women
discharged
within 48
hours of
delivery

2.2.2 Number of Number 2

newborns reported
received 6 during the
HBNC visits month
after
Institutional
Delivery

3.1 Total C Number 0

-Section reported
deliveries during the
performed month

3.1.1 C-sections, Number 0

performed reported
at night (8 during the
PM- 8 AM) month
4.1.1.a Live Birth - Number 1 0 0
Male reported
during the
month

4.1.1.b Live Birth - Number 1 0 0

Female reported
during the
month

4.1.2 Number of Number 1 0 0

Pre term reported
newborns during the
( < 37 month
weeks of
pregnancy)

4.1.3 Still Birth Number 0 0 0

reported
during the
month

4.2 Abortion Number 0 0

(spontaneou reported
s) during the
month

4.3.1.a MTP up to Number 0

12 weeks of reported
pregnancy during the
month

4.3.1.b MTP more Number 0

than 12 reported
weeks of during the
pregnancy month

4.3.2.a Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Identified

4.3.2.b Post Number 0

Abortion/ reported
MTP during the
Complicatio month
ns Treated

4.3.3 Number of Number 0

women reported
provided during the
with post month
abortion/
MTP
contraceptio
n

4.4.1 Number of Number 0 0 0

newborns reported
weighed at during the
birth month

4.4.2 Number of Number 0 0 0

newborns reported
having during the
weight less month
than 2.5 kg
4.4.3 Number of Number 0 0 0
Newborns reported
breast fed during the
within 1 month
hour of
birth

5.1 Number of Number

cases of reported
pregnant during the
women with month
Obstetric
Complicatio
ns attended
(Antepartum
haemorrhag
e (APH),
Post-Partum
Hemorrhage
(PPH),
Sepsis,
Eclampsia
and others)

6.1 Women Number 3 0 0

receiving reported
1st post during the
partum month
checkup
within 48
hours of
home
delivery

6.2 Women Number 3 0 0

receiving reported
1st post during the
partum month
checkup
between 48
hours and
14 days

6.3 Number of Number 0 0 0

mothers reported
provided full during the
course of month
180 IFA
tablets after
delivery

6.4 Number of Number 3 0 0

mothers reported
provided during the
360 Calcium month
tablets after
delivery
7.1.1 New Number
RTI/STI reported
cases during the
identified - month
Male

7.1.2 New Number

RTI/STI reported
cases during the
identified - month
Female

7.2.1 RTI/STI for Number

which reported
treatment during the
initiated - month
Male

7.2.2 RTI/STI for Number

which reported
treatment during the
initiated month
-Female

8.1.1 Number of Number

Non Scalpel reported
Vasectomy during the
(NSV) / month
Convention
al
Vasectomy
conducted

8.2.1 Number of Number

Laparoscopi reported
c during the
sterilizations month
(excluding
post
abortion)
conducted

8.2.2 Number of Number

Interval reported
Mini-lap during the
(other than month
post-partum
and post
abortion)
sterilizations
conducted

8.2.3 Number of Number

Postpartum reported
sterilizations during the
(within 7 month
days of
delivery by
minilap or
concurrent
with
caesarean
section)
conducted
8.2.4 Number of Number
Post reported
Abortion during the
sterilizations month
(within 7
days of
spontaneou
s or surgical
abortion)
conducted

8.3 Number of Number 0

Interval reported
IUCD during the
Insertions month
(excluding
PPIUCD
and
PAIUCD)

8.4 Number of Number 0

Postpartum reported
(within 48 during the
hours of month
delivery)
IUCD
insertions

8.5 Number of Number 0

Post reported
Abortion during the
(within 12 month
days of
spontaneou
s or surgical
abortion)
IUCD
insertions

8.6 Number of Number 0

IUCD reported
Removals during the
month

8.7 Number of Number 0

complication reported
s following during the
IUCD month
Insertion

8.8 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
First Dose

8.9 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Second
Dose
8.10 Injectable Number
Contracepti reported
ve-Antara during the
Program- month
Third Dose

8.11 Injectable Number

Contracepti reported
ve-Antara during the
Program- month
Fourth or
more than
fourth

8.12 Number of Number 6 0 0

Combined reported
Oral Pill during the
cycles month
distributed

8.13 Number of Number 23 0 0

Condom reported
pieces during the
distributed month

8.14 Number of Number 0

Centchroma reported
n (weekly) during the
pill strips month
distributed

8.15 Number of Number 3

Emergency reported
Contracepti during the
ve Pills month
(ECP) given

8.16 Number of Number 1 0

Pregnancy reported
Test Kits during the
(PTK) used month

8.17.1 Complicatio Number 0

ns following reported
male during the
sterilization month

8.17.2 Complicatio Number 0

ns following reported
female during the
sterilization month

8.17.3 Failures Number 0

following reported
male during the
sterilization month

8.17.4 Failures Number 0

following reported
female during the
sterilization month

8.17.5 Deaths Number 0

following reported
male during the
sterilization month
8.17.6 Deaths Number 0
following reported
female during the
sterilization month

9.1.1 Child Number 0

immunisatio reported
n - Vitamin during the
K1 (Birth month
Dose)

9.1.2 Child Number 0 0 1

immunisatio reported
n - BCG during the
month

9.1.3 Child Number 0

immunisatio reported
n - DPT1 during the
month

9.1.4 Child Number 0

immunisatio reported
n - DPT2 during the
month

9.1.5 Child Number 0

immunisatio reported
n - DPT3 during the
month

9.1.6 Child Number 1 1 0

immunisatio reported
n- during the
Pentavalent month
1

9.1.7 Child Number 0 0 0

immunisatio reported
n- during the
Pentavalent month
2

9.1.8 Child Number 2 0 1

immunisatio reported
n- during the
Pentavalent month
3

9.1.9 Child Number 0 0 0

immunisatio reported
n - OPV 0 during the
(Birth Dose) month

9.1.10 Child Number 1 0 1

immunisatio reported
n - OPV1 during the
month

9.1.11 Child Number 0 0 0

immunisatio reported
n - OPV2 during the
month

9.1.12 Child Number 2 0 1

immunisatio reported
n - OPV3 during the
month
9.1.13 Child Number 0 0 0
immunisatio reported
n- during the
Hepatitis-B0 month
(Birth Dose)

9.1.14 Child Number 0 0 1

immunisatio reported
n- during the
Hepatitis-B1 month

9.1.15 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B2 month

9.1.16 Child Number 0 0 0

immunisatio reported
n- during the
Hepatitis-B3 month

9.1.17 Child Number 0 0 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 1
(IPV 1)

9.1.18 Child Number 2 0 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 2
(IPV 2)

9.1.19 Child Number

immunisatio reported
n- during the
Rotavirus 1 month

9.1.20 Child Number

immunisatio reported
n- during the
Rotavirus 2 month

9.1.21 Child Number

immunisatio reported
n- during the
Rotavirus 3 month

9.2.1 Child Number 3 0 0

immunisatio reported
n (9- during the
11months) - month
Measles &
Rubella
(MR)- 1st
Dose

9.2.2 Child Number 0 0 0

immunisatio reported
n (9- during the
11months) - month
Measles 1st
dose
9.2.3 Child Number 3 0 0
immunisatio reported
n (9- during the
11months) - month
JE 1st dose

9.2.4.a Children Number 0 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized-
Male

9.2.4.b Children Number 3 0 0

aged reported
between 9 during the
and 11 month
months fully
immunized -
Female

9.3.1 Child Number 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 1st
Dose

9.3.2 Child Number 0 0 0

immunisatio reported
n - Measles- during the
1st dose month

9.3.3 Child Number 0 0 0

immunisatio reported
n - JE 1st during the
dose month

9.4.1 Child Number 0 0 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 2nd
Dose (16-24
months)

9.4.2 Child Number 0 0 0

immunisatio reported
n - Measles during the
2nd dose month
(More than
16 months)

9.4.3 Child Number 0 0 0

immunisatio reported
n - DPT 1st during the
Booster month

9.4.4 Child Number 1 0 0

immunisatio reported
n - OPV during the
Booster month
9.4.5 Child Number 1 0
immunisatio reported
n- during the
Measles, month
Mumps,
Rubella
(MMR)
Vaccine

9.4.6 Number of Number 0 0 0

children reported
more than during the
16 months month
of age who
received
Japanese
Encephalitis
(JE) vaccine

9.5.1 Child Number

immunisatio reported
n - Typhoid during the
month

9.5.2 Children Number 0 0 0

more than 5 reported
years during the
received month
DPT5 (2nd
Booster)

9.5.3 Children Number 0 0 0

more than reported
10 years during the
received month
TT10

9.5.4 Children Number 0 0 0

more than reported
16 years during the
received month
TT16

9.6.1 Number of Number 0 0

cases of reported
AEFI - during the
Abscess month

9.6.2 Number of Number 0 0

cases of reported
AEFI - during the
Death month

9.6.3 Number of Number 0 0

cases of reported
AEFI - during the
Others month

9.7.1 Immunisatio Number 3 0 4

n sessions reported
planned during the
month

9.7.2 Immunisatio Number 3 0 4

n sessions reported
held during the
month
9.7.3 Number of Number 3 0 0
Immunisatio reported
n sessions during the
where month
ASHAs
were
present

9.8.1 Child Number 3 0 4

immunisatio reported
n - Vitamin A during the
Dose - 1 month

9.8.2 Child Number 1 0 0

immunisatio reported
n - Vitamin A during the
Dose - 5 month

9.8.3 Child Number 0 0 0

immunisatio reported
n - Vitamin A during the
Dose - 9 month

9.9 Number of Number 0 0

children (6- reported
59 months) during the
provided 8- month
10 doses
(1ml) of IFA
syrup (Bi
weekly)

9.10 Number of Number 0 0 0

children (12- reported
59 months) during the
provided month
Albendazole

9.11 Number of Number 0 0

severely reported
underweight during the
children month
provided
Health
Checkup (0-
5 yrs)

10.1 Childhood Number 0 0 0

Diseases - reported
Pneumonia during the
month

10.2 Childhood Number 0 0 0

Diseases - reported
Asthma during the
month

10.3 Childhood Number 0 0 0

Diseases - reported
Sepsis during the
month

10.4 Childhood Number 0 0 0

Diseases - reported
Diphtheria during the
month
 10.5 Childhood Number 0 0 0
Diseases - reported
Pertussis during the
month

10.6 Childhood Number 0 0 0

Diseases - reported
Tetanus during the
Neonatorum month

10.7 Childhood Number 0 0 0

Diseases - reported
Tuberculosi during the
s (TB) month

10.8 Childhood Number 0 0 0

Diseases - reported
Acute during the
Flaccid month
Paralysis(A
FP)

10.9 Childhood Number 0 0 0

Diseases - reported
Measles during the
month

10.10 Childhood Number 0 0 0

Diseases - reported
Malaria during the
month

10.11 Childhood Number 0 0 4

Diseases - reported
Diarrhoea during the
month

10.12 Childhood Number 0 0 0

Diseases - reported
Diarrhoea during the
treated in month
Inpatients

10.13 Children Number 0 0 0

admitted reported
with upper during the
Respiratory month
Infections

10.14 Childhood Number 0 0 0

Diseases - reported
Severe during the
Acute month
Malnutrition
(SAM)

11.1.1.a Total Blood Number 0 30 0

Smears reported
Examined during the
for Malaria month

11.1.1.b Malaria Number 0 0 0

(Microscopy reported
Tests ) - during the
Plasmodium month
Vivax test
positive
11.1.1.c Malaria Number 0 0 0
(Microscopy reported
Tests ) - during the
Plasmodium month
Falciparum
test positive

11.1.2.a RDT Number 0 0 3

conducted reported
for Malaria during the
month

11.1.2.b Malaria Number 0 0 0

(RDT) - reported
Plasmodium during the
Vivax test month
positive

11.1.2.c Malaria Number 0 0 0

(RDT) - reported
Plamodium during the
Falciparum month
test positive

11.2.1 Kala Azar Number

(RDT) - reported
Tests during the
Conducted month

11.2.2 Kala Azar Number

Positive reported
Cases during the
month

11.2.3 Post Kala Number

Azar Dermal reported
Leishmania during the
sis (PKDL) month
cases

11.3.1 Dengue - Number 0 0

RDT Test reported
Positive during the
month

12.1.1.a Girls Number

registered in reported
AFHC during the
month

12.1.1.b Boys Number

registered in reported
AFHC during the
month

12.1.2.a Out of Number

registered, reported
Girls during the
received month
clinical
services

12.1.2.b Out of Number

registered, reported
Boys during the
received month
clinical
services
12.1.3.a Out of Number
registered, reported
Girls during the
received month
counselling

12.1.3.b Out of Number

registered, reported
Boys during the
received month
counselling

13.1 Number of Number 0

on-going reported
DOTS during the
patients month
registered

13.2 Number of Number 0 0

DOTS reported
cases during the
completed month
successfully

14.1.1 Outpatient - Number 0 0

Diabetes reported
during the
month

14.1.2 Outpatient - Number 2 0 3

Hypertensio reported
n during the
month

14.1.3 Outpatient - Number 0 0

Stroke reported
(Paralysis) during the
month

14.1.4 Outpatient - Number 0 0

Acute Heart reported
Diseases during the
month

14.1.5 Outpatient - Number 0 0

Mental reported
illness during the
month

14.1.6 Outpatient - Number 0 0

Epilepsy reported
during the
month

14.1.7 Outpatient - Number 0 3

Ophthalmic reported
Related during the
month

14.1.8 Outpatient - Number 0 2

Dental reported
during the
month

14.2.1 Allopathic- Number 190 14 140

Outpatient reported
attendance during the
month
14.2.2 Ayush - Number 0 48
Outpatient reported
attendance during the
month

14.3.1.a Inpatient Number 3 0

(Male)- reported
Children<18 during the
yrs month

14.3.1.b Inpatient Number 0 0

(Male)- reported
Adults during the
month

14.3.2.a Inpatient Number 1 0

(Female)- reported
Children<18 during the
yrs month

14.3.2.b Inpatient Number 0 0

(Female)- reported
Adults during the
month

14.3.3 Number of Number 0 0

Left Against reported
Medical during the
Advice month
(LAMA)
cases

14.4.1 Inpatient - Number 0 0

Malaria reported
during the
month

14.4.2 Inpatient - Number 0 0

Dengue reported
during the
month

14.4.3 Inpatient - Number 0 0

Typhoid reported
during the
month

14.4.4 Inpatient - Number 0 0

Asthma, reported
Chronic during the
Obstructive month
Pulmonary
Disease
(COPD),
Respiratory
infections

14.4.5 Inpatient - Number 0 0

Tuberculosi reported
s during the
month

14.4.6 Inpatient - Number 0 0

Pyrexia of reported
unknown during the
origin (PUO) month
14.4.7 Inpatient - Number 0 0
Diarrhea reported
with during the
dehydration month

14.4.8 Inpatient - Number 0 0

Hepatitis reported
during the
month

14.5.1 Operation Number

major reported
(General during the
and spinal month
anaesthesia
)

14.5.2 Out of Number

Operation reported
major, during the
Gynecology month
-
Hysterectom
y surgeries

14.5.3 Operation Number 0 0 0

minor (No or reported
local during the
anaesthesia month
)

14.5.4 Number of Number

blood units reported
issued during the
month

14.5.5 Number of Number

blood reported
transfusions during the
done month

14.6.1 Inpatient Number 0 0

Deaths - reported
Male during the
month

14.6.2 Inpatient Number 0 0

Deaths - reported
Female during the
month

14.7 In-Patient Number 0 0

Head Count reported
at midnight during the
month

14.8 Number of Number

Admission reported
in NBSU during the
( New Born month
Stabilisation
Unit)

14.9.1 Number of Number

children reported
admitted in during the
NRC month
14.9.2 Number of Number
children reported
discharged during the
with target month
weight gain
from the
NRCs

14.10 Number of Number 0 0

Rogi Kalyan reported
Samiti during the
(RKS) month
meetings
held

14.11 Number of Number 8 4 9

Anganwadi reported
centres/ during the
UPHCs month
reported to
have
conducted
Village
Health &
Nutrition
Day
(VHNDs)/
Urban
Health &
Nutrition
Day
(UHNDs)/
Outreach /
Special
Outreach

15.1 Number of Number 0 0

Lab Tests reported
done during the
month

15.2.1 Number of Number 2 0

Hb tests reported
conducted during the
month

15.2.2 Out of the Number 0 0

total number reported
of Hb tests during the
done, month
Number
having Hb <
7 mg

15.3.1.a Male HIV - Number 0 0

Number reported
Tested during the
month

15.3.1.b Male HIV - Number 0 0

Number reported
Positive during the
month
15.3.2.a Female Non Number 0 0
ANC HIV - reported
Number during the
Tested month

15.3.2.b Female Non Number 0 0

ANC HIV - reported
Number during the
Positive month

15.3.3.a Number of Number 0 0

pregnant reported
women during the
screened for month
HIV

15.3.3.b Out of the Number 0 0

above, reported
number during the
screened month
positive

15.3.3.c Out of the Number 0 0

above reported
number during the
screened month
positive,
number
confirmed
with HIV
infection at
Integrated
Counselling
and Testing
Centre
(ICTC)

15.3.4.a Number of Number

Male reported
STI/RTI during the
attendees month
tested for
syphilis

15.3.4.b Number of Number

Male reported
STI/RTI during the
attendees month
found sero
Positive for
syphilis

15.3.4.c Number of Number

Female reported
(Non during the
ANC)STI/RT month
I attendees
tested for
syphilis

15.3.4.d Number of Number

Female reported
(Non ANC) during the
STI/RTI month
attendees
found sero
Positive for
syphilis
15.4.1 Widal tests - Number 0 0
Number reported
Tested during the
month

15.4.2 Widal tests - Number 0 0

Number reported
Positive during the
month

16.1.1 Last Date of Number 7122017 12112016

Supply of reported
essential during the
drugs month
(DD/MM/YY
YY)

16.1.2.a IFA tablets

Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.b IFA tablets
(blue) Dropdown -
Adequate
Dropdown - 1
Inadequate
16.1.2.c IFA syrup
with Dropdown -
dispenser Adequate
Dropdown - 1
Inadequate
16.1.2.d Vit A syrup
Dropdown - 1
Adequate
Dropdown -
Inadequate
16.1.2.e ORS
packets Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.f Zinc tablets
Dropdown - 1
Adequate
Dropdown -
Inadequate
16.1.2.g Inj
Magnesium Dropdown - 1
Sulphate Adequate
Dropdown -
Inadequate
16.1.2.h Inj Oxytocin
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.i Misoprostol
tablets Dropdown - 1
Adequate
Dropdown -
Inadequate
16.1.2.j Mifepristone
tablets Dropdown - 1
Adequate
Dropdown -
Inadequate
16.1.2.k Antibiotics
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.l Labelled
emergency Dropdown - 1 1
tray Adequate
Dropdown -
Inadequate
16.1.2.m Drugs for
hypertensio Dropdown -
n, Diabetes, Adequate
common
ailments e.g Dropdown - 1 1
PCM, anti- Inadequate
allergic
16.1.2.n Tab.
Albendazole Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.1 Last Date of Number 25082017 5062017
Supply of reported
essential during the
vaccines month
(DD/MM/YY
YY)

16.2.2.a TT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.b BCG
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.c Hepatitis
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.2.2.d OPV
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.e DPT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.f Measles
Dropdown - 1 1
Adequate
16.2.2.f Measles

Dropdown -
Inadequate
16.2.2.g Vitamin A
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.1 Last Date of Number 12072017
Supply of reported
essential during the
contraceptiv month
es
(DD/MM/YY
YY)

16.3.2.a IUCD
Dropdown - 1 1 1
Adequate
Dropdown -
Inadequate
16.3.2.b Combined
Oral Pills (in Dropdown - 1 1
cycles) Adequate
Dropdown -
Inadequate
16.3.2.c Condom (in
pieces) Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.2.d Injectable
Contracepti Dropdown - 1
ve MPA Adequate
(vials)
Dropdown - 1
Inadequate
17.1 Infant Number
deaths reported
within 24 during the
hrs(1 to 23 month
Hrs) of birth

17.2.1 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Sepsis

17.2.2 Infant Number

Deaths up reported
to 4 weeks during the
due to month
Asphyxia

17.2.3 Infant Number

Deaths up reported
to 4 weeks during the
due to Other month
causes
17.3.1 Number of Number
Infant reported
Deaths (1 during the
-12 months) month
due to
Pneumonia

17.3.2 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Diarrhoea

17.3.3 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Fever
related

17.3.4 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Measles

17.3.5 Number of Number

Infant reported
Deaths (1 during the
-12 months) month
due to
Others

17.4.1 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to
Pneumonia

17.4.2 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Diarrhoea

17.4.3 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Fever
related

17.4.4 Number of Number

Child reported
Deaths (1 -5 during the
years) due month
to Measles
17.4.5 Number of Number
Child reported
Deaths (1 -5 during the
years) due month
to Others

17.5.1 Number of Number

Maternal reported
Deaths due during the
to Bleeding month

17.5.2 Number of Number

Maternal reported
Deaths due during the
to High month
fever

17.5.3 Number of Number

Maternal reported
Deaths due during the
to Abortion month

17.5.4 Number of Number

Maternal reported
Deaths due during the
to month
Obstructed/
prolonged
labour

17.5.5 Number of Number

Maternal reported
Deaths due during the
to Severe month
hypertesnio
n/fits

17.5.6 Number of Number

Maternal reported
Deaths due during the
to Other month
Causes
(including
causes Not
Known)

17.6.1 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Diarrhoeal
diseases

17.6.2 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Tuberculosi
s
17.6.3 Number of Number
Adolscent / reported
Adult during the
Deaths due month
to
Respiratory
diseases
including
infections
(other than
TB)

17.6.4 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Other
Fever
Related

17.6.5 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to HIV/AIDS

17.6.6 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Heart
disease/Hyp
ertension
related

17.6.7 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Cancer

17.6.8 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Neurological
disease
including
strokes

17.6.9 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to
Accidents/B
urn cases

17.6.10 Number of Number

Adolscent / reported
Adult during the
Deaths due month
to Suicide
 17.6.11 Number of Number
Adolscent / reported
Adult deaths during the
due to month
Animal bites
and stings

17.6.12 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Acute
Disease

17.6.13 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Known
Chronic
Disease

17.6.14 Number of Number

Adolscent / reported
Adult deaths during the
due to month
Causes Not
Known

17.7.1 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Vivax

17.7.2 Number of Number

Deaths due reported
to Malaria- during the
Plasmodium month
Falciparum

17.7.3 Number of Number

Deaths due reported
to Kala Azar during the
month

17.7.4 Number of Number

Deaths due reported
to Dengue during the
month

17.7.5 Number of Number

Deaths due reported
to Acute during the
Encephelitis month
Syndrome
(AES)

17.7.6 Number of Number

Deaths due reported
to Japanese during the
month
Encephalitis
(JE)

Parameters
Dated: 10-25-2018
Time : 14:26:11
Report Data Item
Name Wise Report

Status Type All

Entry Level Facility

Module MIS
Periodicity M

Proforma / PHC
Format
Report Across
Type Facility
Financial 2018-2019
Year
State All
District All
SubDistrict All

Facility All
Period July
 Arunachal Pradesh
Arunachal Pradesh -> Papum Pare
Balijan Doimukh Kimin Mengio Naharlagun Itanagar capital complex
PHC Lenka PHC Poma PHC chiputa kakoi PHC Itafort UPHC PHC UHC
Tarasso Mengio Rakap Chimpu Karsingsa
0 1 5 2 2 3 9 0 0 2

0 0 3 2 1 2 2 0 0

0 1 4 2 1 1 2 0 4

0 0 6 0 2 0 7 0 0

0 0 0 0 0 2 0 0 0

0 0 1 0 0 1 0 0 4

0 0 1 0 0 1 0 0 4

0 0 0 0 0 0 0 0 0

0 0 1 0 2 1 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 5 1 0 0 0

0 0 4 0 0 1 9 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0
 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 3 9 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 1 0 1 1 0 0 0 0
0 0 1 0 0 0 0 0 0

0 0 1 0 0 0 0 0 0

1 1 1 0 0 0

1 0 0 2 0 0 0

1 0 0 0 0 0 0

1 0 0 2 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 1 0 1 1 0 0 0

0 1 1 1 0 1 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 1 2 1 0 2 0 0 0

0 0 2 1 0 0 0 0 0
0 0 2 1 0 0 0 0 0

0 0 0 0 0 0

0 1 0 0 0 0 0 0

0 1 1 0 0 2 0 0

0 0 1 0 0 0 0 0

0 0 1 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

1 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 0

0 2 0 0 2 0 0 50

4 0 52 100 6 3 0 89

0 0 0 0 0 0

0 39 0 0 0 0 8

0 0 4 2 3 7 0 8

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0 0

1 1 2 1 1 2 48 2 5

0 0

0 1

0 0

1 0 6 1 1 38 2 6

0 1 3 1 0 38 12 11

0 0 3 1 3 4 41 5 11

0 0 1 1 1 2 41 1 0

1 0 6 0 1 1 38 2 0

0 1 3 0 1 0 38 12 0

0 0 3 1 3 4 41 5 0
0 1 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0 0

0 0 6 0 1 1 38 2 0

1 0 2 1 3 4 41 6 6

0 0 0 11

0 0 0 0

0 0 0 0

2 0 1 0 2 66 7

0 0 2 0 3 0
0 2 2 1 0 2 68 7 7

0 1 0 1 3 1 33 4

0 0 0 0 1 1 33 3

0 1 0 1 0 0

0 0 3 0 0 0

0 0 3 1 0 1 0 0

1 1 2 0 0 5 7 4 7

1 0 0 0 0 0

1 1 2 2 0 5 0 3 7

1 1 2 2 0 5 0 3 7
0 0 0 2 0 0

0 1 3 2 0 5 44 6 7

0 0 0 0 0

0 0 0 2 0 0 18 3 3

0 0 0 2 0 0 4 1

0 0 0 0 0 0 4 8

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

1 4 2 8 1 2 13 1 4

1 4 2 8 1 2 13 1 4
1 2 6 0 0 2 0

0 2 0 1 3 2 66 5 7

0 0 0 2 0 5 30 1

0 0 0 0 0 0 36 3

0 0 0 0 0 0 0

0 0 0 0 0 0 14

0 0 0 0 0 0 0

0 1 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 1 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 2 7 0 1 2 16

0 0 0 0 0 0 0 10

0 0 0 0 0 0 8 0

0 0 0 0 0 0 0 0

14 14 0 37 11 3 43 76

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

3 20 3 0 11 6 0 76

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0

0 0

0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0

0 0 0 0

0 0 0 10 7

0 0 0 4 0

1 1 0 0 0 0 16

1 4 8 0 0 1 14 11

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 1 0 0

0 0 0 0 0 0

0 7 10 0 0 15 0 15

0 12 0 0 3 165 0 5

25 121 398 125 126 374 520 129 268 156

0 0 0 0 82 0 206

0 0 0 0 8 0 0

2 0 0 5 84 0 0

0 0 0 0 17 0 0

4 0 0 12 85 0 0

1 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 14 0 0 12 0 55
 1 0 0 0 8 0 34

0 0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 15 25 4 19 0 13

0 0 0 0 0 0

0 0 0 0 17 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 1 0 0

0 0 0 0 0

0 0 0 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 2 1 1

10 4 9 0 12 10 12 9 4

13 0 0 20 152 203

4 0 0 9 75 0

0 0 0 0 0 0

0 0 0 0 0

0 0 0 0
0 0 0 2 0

0 0 0 0 0

0 0 0 3 7 0

0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 8 0

0 0 0 0 0 0
 0 0 0 0 35 0

0 0 0 0 18 0

20062018 19072018 20072018 16052018 25052018

1 1

1 1 1 1 1

1 1 1 1 1 1

1 1 1 1 1 1

1 1 1 1 1

1 1

1 1 1 1 1 1 1 1

1 1 1 1 1

1 1 1

1 1 1

1 1 1 1

1 1 1 1

1 1 1

1 1 1 1

1 1 1
 1 1 1 1

1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1

1 1

1 1 1 1 1 1

1 1

1 1 1 1 1 1 1 1

19072018 4072018 23062018

1 1 1 1 1 1

1 1 1 1 1

1 1 1

1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1
 1 1

1 1 1 1 1

19072018 18042018 23062018

1 1

1 1 1

1 1 1 1

1 1 1

1 1 1 1

1 1 1

1 1 1 1

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 Sagalee
PHC PHC PHC Toru
Leporiang Parang
9 1 1

7 1 1

7 1 0

2 0 0

0 0 1

7 1 1

0 0 0

0 1 1

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

1 0 0

1 0 0

0 0 0

0 0

0 0
1 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 0 0

0 0 0
1 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

10 2 10

7 2 12

0 0 0

2 0 7

7 1 1
0 1 0

3 1 0

2 1 1

1 0 0

0 0 0

3 1 0

2 1 1

1 0 0
3 1 0

1 0 0

3 0 0

0
3 0 0

3 0 0

0 0 0

1 1 1

1 1 1

0 1 2

0 1 2

0 1 2
0 1 2

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

1 1 1

1 1 1
0 0 0

3 1 0

2 1 2

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 3

0 0 0

0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 6 0

0 0 0

0 0 0

0
 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

222 140 108

0 0 0

0 0 0

4 0 0

0 0 0

11 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
 2 0 0

0 0 0

0 0 0

0 0 0

14 12 12

0 0 0

0 0 0

0 0 0

0 0 0

2 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

10 5 12

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

1072018 1072018 1072018

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1 1

1
 1 1

1 1

1 1

1 1

1 1

1072018 7072018 1072018

1 1

1 1 1

1 1 1

1 1

1 1 1
 1 1 1

1 1 1

1072018 1072018 1072018

1 1 1

1 1

1 1

1 1 1
 Arunachal Pradesh
Arunachal Pradesh -> Papum
Balijan Doimukh Kimin
PHC Holongi PHC Jote PHC Lenka PHC Poma PHC chiputa
Basarnallo Tarasso
1.1 Total Number 3 2 0 1 1 3 5
number of reported
pregnant during the
women month
registered
for ANC

1.1.1 Out of the Number 0 1 0 0 0 2 5

total ANC reported
registered, during the
number month
registered
within 1st
trimester
(within 12
weeks)

1.2.1 Number of Number 0 2 0 0 0 2 3

PW reported
given TT1 during the
month

1.2.2 Number of Number 3 0 0 0 1 3 2

PW reported
given TT2 during the
month

1.2.3 Number of Number 0 0 0 0 0 1 0

PW reported
given TT during the
Booster month

1.2.4 Number of Number 3 0 0 0 0 1 0

PW given reported
180 Iron during the
Folic Acid month
(IFA) tablets

1.2.5 Number of Number 3 0 0 0 0 1 0

PW given reported
360 Calcium during the
tablets month

1.2.6 Number of Number 0 0 0 0 0 1 0

PW given reported
one during the
Albendazole month
tablet after
1st
trimester

1.2.7 Number of Number 0 0 0 0 0 2 0

PW reported
received 4 during the
or more month
ANC check
ups
1.2.8 Number of Number 0 0 0
PW given reported
ANC during the
Corticostero month
ids in Pre
Term
Labour

1.3.1 New cases Number 0 0 0 0 0 0 0

of PW with reported
hypertensio during the
n detected month

1.3.1.a Out of the Number 0 0 0 0 0 0 0

new cases reported
of PW with during the
hypertensio month
n detected,
cases
managed at
institution

1.3.2 Number of Number 0 0 0 0

Eclampsia reported
cases during the
managed month
during
delivery

1.4.1 Number of Number 0 0 0 0 0 0 0

PW tested reported
for during the
Haemoglobi month
n (Hb ) 4 or
more than 4
times for
respective
ANCs

1.4.2 Number of Number 0 0 0 0 0 6 0

PW having reported
Hb level<11 during the
(tested month
cases)(7.1
to 10.9)

1.4.3 Number of Number 0 0 0 0 0 2 0

PW having reported
Hb level<7 during the
(tested month
cases)

1.4.4 Number of Number 0 0 0 0 0 2 0

PW having reported
severe during the
anaemia month
(Hb<7)
treated

1.5.1 Number of Number 0 0 0 0

PW tested reported
for blood during the
sugar using month
OGTT (Oral
Glucose
Tolerance
Test)
1.5.2 Number of Number 0 0 0
PW tested reported
positive for during the
GDM month

1.5.3 Number of Number 0 0 0

PW given reported
insulin out during the
of total month
tested
positive for
GDM

1.6.1.a Number of Number 0 0 0 3 0

pregnant reported
women during the
tested for month
Syphilis

1.6.1.b Number of Number 0 0 0 0

pregnant reported
women during the
tested found month
sero
positive for
Syphilis

1.6.1.c Number of Number 0 0 0

syphilis reported
positive during the
pregnant month
women
treated for
Syphilis

1.6.1.d Number of Number 0 0 0

babies reported
diagnosed during the
with month
Congenital
Syphilis

1.6.1.e Number of Number 0 0 0

babies reported
treated for during the
congenital month
Syphilis

2.1.1.a Number of Number 0 0 0 0 0 0 0

Home reported
Deliveries during the
attended by month
Skill Birth
Attendant(S
BA)
(Doctor/Nur
se/ANM)
2.1.1.b Number of Number 0 0 0 0 0 1 0
Home reported
Deliveries during the
attended by month
Non SBA
(Trained
Birth
Attendant(T
BA)
/Relatives/et
c.)

2.1.2 Number of Number 0 0 0 0 0 0 0

PW given reported
Tablet during the
Misoprostol month
during home
delivery

2.1.3 Number of Number 0 1 0

newborns reported
received 7 during the
Home month
Based
Newborn
Care
(HBNC)
visits in
case of
Home
delivery

2.2 Number of Number 0 2 0

Institutional reported
Deliveries during the
conducted month
(Including
C-Sections)

2.2.1 Out of total Number 0 2 0

institutional reported
deliveries during the
number of month
women
discharged
within 48
hours of
delivery

2.2.2 Number of Number 0 1 0

newborns reported
received 6 during the
HBNC visits month
after
Institutional
Delivery

3.1 Total C Number 0 0 0 0

-Section reported
deliveries during the
performed month

3.1.1 C-sections, Number 0 0 0 0

performed reported
at night (8 during the
PM- 8 AM) month
4.1.1.a Live Birth - Number 0 0 0 0 0 1 0
Male reported
during the
month

4.1.1.b Live Birth - Number 0 0 0 0 0 2 0

Female reported
during the
month

4.1.2 Number of Number 0 0 0 0 0 0 0

Pre term reported
newborns during the
( < 37 month
weeks of
pregnancy)

4.1.3 Still Birth Number 0 0 0 0 0 0 0

reported
during the
month

4.2 Abortion Number 0 0 0 0 0 0

(spontaneou reported
s) during the
month

4.3.1.a MTP up to Number 0 0 0

12 weeks of reported
pregnancy during the
month

4.3.1.b MTP more Number 0 0 0

than 12 reported
weeks of during the
pregnancy month

4.3.2.a Post Number 0 0 0

Abortion/ reported
MTP during the
Complicatio month
ns Identified

4.3.2.b Post Number 0 0 0

Abortion/ reported
MTP during the
Complicatio month
ns Treated

4.3.3 Number of Number 0 0 0

women reported
provided during the
with post month
abortion/
MTP
contraceptio
n

4.4.1 Number of Number 0 0 0 0 0 3 0

newborns reported
weighed at during the
birth month

4.4.2 Number of Number 0 0 0 0 0 1 0

newborns reported
having during the
weight less month
than 2.5 kg
4.4.3 Number of Number 0 0 0 0 0 3 0
Newborns reported
breast fed during the
within 1 month
hour of
birth

5.1 Number of Number 0 0

cases of reported
pregnant during the
women with month
Obstetric
Complicatio
ns attended
(Antepartum
haemorrhag
e (APH),
Post-Partum
Hemorrhage
(PPH),
Sepsis,
Eclampsia
and others)

6.1 Women Number 0 0 0 0 0 0 0

receiving reported
1st post during the
partum month
checkup
within 48
hours of
home
delivery

6.2 Women Number 0 0 0 0 0 2 0

receiving reported
1st post during the
partum month
checkup
between 48
hours and
14 days

6.3 Number of Number 0 0 0 0 0 3 0

mothers reported
provided full during the
course of month
180 IFA
tablets after
delivery

6.4 Number of Number 0 0 0 0 0 3 0

mothers reported
provided during the
360 Calcium month
tablets after
delivery
7.1.1 New Number 0 0 0
RTI/STI reported
cases during the
identified - month
Male

7.1.2 New Number 0 0 0

RTI/STI reported
cases during the
identified - month
Female

7.2.1 RTI/STI for Number 0 0 0

which reported
treatment during the
initiated - month
Male

7.2.2 RTI/STI for Number 0 0

which reported
treatment during the
initiated month
-Female

8.1.1 Number of Number 0 0

Non Scalpel reported
Vasectomy during the
(NSV) / month
Convention
al
Vasectomy
conducted

8.2.1 Number of Number 0 0

Laparoscopi reported
c during the
sterilizations month
(excluding
post
abortion)
conducted

8.2.2 Number of Number 0 0

Interval reported
Mini-lap during the
(other than month
post-partum
and post
abortion)
sterilizations
conducted

8.2.3 Number of Number 0 0

Postpartum reported
sterilizations during the
(within 7 month
days of
delivery by
minilap or
concurrent
with
caesarean
section)
conducted
8.2.4 Number of Number 0 0
Post reported
Abortion during the
sterilizations month
(within 7
days of
spontaneou
s or surgical
abortion)
conducted

8.3 Number of Number 0 0 0

Interval reported
IUCD during the
Insertions month
(excluding
PPIUCD
and
PAIUCD)

8.4 Number of Number 0 0 0

Postpartum reported
(within 48 during the
hours of month
delivery)
IUCD
insertions

8.5 Number of Number 0 0 0

Post reported
Abortion during the
(within 12 month
days of
spontaneou
s or surgical
abortion)
IUCD
insertions

8.6 Number of Number 0 1 0

IUCD reported
Removals during the
month

8.7 Number of Number 0 0 0

complication reported
s following during the
IUCD month
Insertion

8.8 Injectable Number 0 0

Contracepti reported
ve-Antara during the
Program- month
First Dose

8.9 Injectable Number 0 0

Contracepti reported
ve-Antara during the
Program- month
Second
Dose
8.10 Injectable Number 0 0
Contracepti reported
ve-Antara during the
Program- month
Third Dose

8.11 Injectable Number 0 0

Contracepti reported
ve-Antara during the
Program- month
Fourth or
more than
fourth

8.12 Number of Number 0 0 6 0 3 0 5

Combined reported
Oral Pill during the
cycles month
distributed

8.13 Number of Number 0 0 6 2 0 10 11

Condom reported
pieces during the
distributed month

8.14 Number of Number 0 0 0 0 0

Centchroma reported
n (weekly) during the
pill strips month
distributed

8.15 Number of Number 0 0 0 6 0

Emergency reported
Contracepti during the
ve Pills month
(ECP) given

8.16 Number of Number 0 4 0 0 13 4

Pregnancy reported
Test Kits during the
(PTK) used month

8.17.1 Complicatio Number 0 0

ns following reported
male during the
sterilization month

8.17.2 Complicatio Number 0 0

ns following reported
female during the
sterilization month

8.17.3 Failures Number 0 0

following reported
male during the
sterilization month

8.17.4 Failures Number 0 0

following reported
female during the
sterilization month

8.17.5 Deaths Number 0 0

following reported
male during the
sterilization month
8.17.6 Deaths Number 0 0
following reported
female during the
sterilization month

9.1.1 Child Number 0 0 0 0 0

immunisatio reported
n - Vitamin during the
K1 (Birth month
Dose)

9.1.2 Child Number 0 1 0 0 0 3 0

immunisatio reported
n - BCG during the
month

9.1.3 Child Number 0 1 0

immunisatio reported
n - DPT1 during the
month

9.1.4 Child Number 0 0

immunisatio reported
n - DPT2 during the
month

9.1.5 Child Number 0 0

immunisatio reported
n - DPT3 during the
month

9.1.6 Child Number 0 0 0 2 0 1 0

immunisatio reported
n- during the
Pentavalent month
1

9.1.7 Child Number 1 0 1 1 0 6 1

immunisatio reported
n- during the
Pentavalent month
2

9.1.8 Child Number 1 0 0 0 1 3 0

immunisatio reported
n- during the
Pentavalent month
3

9.1.9 Child Number 0 0 0 0 0 3 0

immunisatio reported
n - OPV 0 during the
(Birth Dose) month

9.1.10 Child Number 0 0 0 2 1 1 0

immunisatio reported
n - OPV1 during the
month

9.1.11 Child Number 1 0 1 1 0 6 1

immunisatio reported
n - OPV2 during the
month

9.1.12 Child Number 1 0 0 0 1 3 0

immunisatio reported
n - OPV3 during the
month
9.1.13 Child Number 0 0 0 0 0 2 0
immunisatio reported
n- during the
Hepatitis-B0 month
(Birth Dose)

9.1.14 Child Number 0 0 0 0 0 0 0

immunisatio reported
n- during the
Hepatitis-B1 month

9.1.15 Child Number 0 0 0 0 0 0 0

immunisatio reported
n- during the
Hepatitis-B2 month

9.1.16 Child Number 0 0 0 0 0 0 0

immunisatio reported
n- during the
Hepatitis-B3 month

9.1.17 Child Number 0 0 0 2 0 1 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 1
(IPV 1)

9.1.18 Child Number 1 0 0 0 1 2 0

immunisatio reported
n- during the
Inactivated month
Polio
Vaccine 2
(IPV 2)

9.1.19 Child Number 0 0

immunisatio reported
n- during the
Rotavirus 1 month

9.1.20 Child Number 0 0

immunisatio reported
n- during the
Rotavirus 2 month

9.1.21 Child Number 0 0

immunisatio reported
n- during the
Rotavirus 3 month

9.2.1 Child Number 2 0 0 3 1 3

immunisatio reported
n (9- during the
11months) - month
Measles &
Rubella
(MR)- 1st
Dose

9.2.2 Child Number 0 0 0 0 0 0 0

immunisatio reported
n (9- during the
11months) - month
Measles 1st
dose
9.2.3 Child Number 2 0 0 0 4 1 3
immunisatio reported
n (9- during the
11months) - month
JE 1st dose

9.2.4.a Children Number 2 0 0 0 2 1 1

aged reported
between 9 during the
and 11 month
months fully
immunized-
Male

9.2.4.b Children Number 2 0 0 0 1 1 2

aged reported
between 9 during the
and 11 month
months fully
immunized -
Female

9.3.1 Child Number 0 0 1 2 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 1st
Dose

9.3.2 Child Number 0 0 0 0 0 0 0

immunisatio reported
n - Measles- during the
1st dose month

9.3.3 Child Number 0 0 0 0 2 1 0

immunisatio reported
n - JE 1st during the
dose month

9.4.1 Child Number 1 0 0 0 8 1 0

immunisatio reported
n - Measles during the
& Rubella month
(MR)- 2nd
Dose (16-24
months)

9.4.2 Child Number 0 0 3 0 0 0 0

immunisatio reported
n - Measles during the
2nd dose month
(More than
16 months)

9.4.3 Child Number 1 0 1 0 5 3 0

immunisatio reported
n - DPT 1st during the
Booster month

9.4.4 Child Number 1 0 1 0 5 3 0

immunisatio reported
n - OPV during the
Booster month
9.4.5 Child Number 0 0 0 0 0 0
immunisatio reported
n- during the
Measles, month
Mumps,
Rubella
(MMR)
Vaccine

9.4.6 Number of Number 1 0 0 2 9 3 0

children reported
more than during the
16 months month
of age who
received
Japanese
Encephalitis
(JE) vaccine

9.5.1 Child Number 0 0

immunisatio reported
n - Typhoid during the
month

9.5.2 Children Number 0 0 0 0 0 0 0

more than 5 reported
years during the
received month
DPT5 (2nd
Booster)

9.5.3 Children Number 0 0 0 0 0 0 0

more than reported
10 years during the
received month
TT10

9.5.4 Children Number 0 0 0 0 0 0 0

more than reported
16 years during the
received month
TT16

9.6.1 Number of Number 0 0 0 0

cases of reported
AEFI - during the
Abscess month

9.6.2 Number of Number 0 0 0 0

cases of reported
AEFI - during the
Death month

9.6.3 Number of Number 0 0 0 0

cases of reported
AEFI - during the
Others month

9.7.1 Immunisatio Number 6 0 0 1 2 0 8

n sessions reported
planned during the
month

9.7.2 Immunisatio Number 5 0 0 1 3 0 8

n sessions reported
held during the
month
9.7.3 Number of Number 5 0 0 1 4 0 0
Immunisatio reported
n sessions during the
where month
ASHAs
were
present

9.8.1 Child Number 2 0 3 0 13 2 3

immunisatio reported
n - Vitamin A during the
Dose - 1 month

9.8.2 Child Number 1 0 0 0 3 0 0

immunisatio reported
n - Vitamin A during the
Dose - 5 month

9.8.3 Child Number 0 0 0 0 1 0 0

immunisatio reported
n - Vitamin A during the
Dose - 9 month

9.9 Number of Number 0 0 0 0 0 0

children (6- reported
59 months) during the
provided 8- month
10 doses
(1ml) of IFA
syrup (Bi
weekly)

9.10 Number of Number 0 0 0 0 0 0 0

children (12- reported
59 months) during the
provided month
Albendazole

9.11 Number of Number 0 0 0 0 0 0

severely reported
underweight during the
children month
provided
Health
Checkup (0-
5 yrs)

10.1 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Pneumonia during the
month

10.2 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Asthma during the
month

10.3 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Sepsis during the
month

10.4 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Diphtheria during the
month
 10.5 Childhood Number 0 0 0 0 0 0 0
Diseases - reported
Pertussis during the
month

10.6 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Tetanus during the
Neonatorum month

10.7 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Tuberculosi during the
s (TB) month

10.8 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Acute during the
Flaccid month
Paralysis(A
FP)

10.9 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Measles during the
month

10.10 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Malaria during the
month

10.11 Childhood Number 0 0 2 0 0 12 3

Diseases - reported
Diarrhoea during the
month

10.12 Childhood Number 0 0 0 0 0 3 0

Diseases - reported
Diarrhoea during the
treated in month
Inpatients

10.13 Children Number 0 0 0 0 0 10 0

admitted reported
with upper during the
Respiratory month
Infections

10.14 Childhood Number 0 0 0 0 0 0 0

Diseases - reported
Severe during the
Acute month
Malnutrition
(SAM)

11.1.1.a Total Blood Number 2 0 0 0 12 0 14

Smears reported
Examined during the
for Malaria month

11.1.1.b Malaria Number 0 0 0 0 0 0 0

(Microscopy reported
Tests ) - during the
Plasmodium month
Vivax test
positive
11.1.1.c Malaria Number 0 0 0 0 0 0 0
(Microscopy reported
Tests ) - during the
Plasmodium month
Falciparum
test positive

11.1.2.a RDT Number 2 0 4 6 3 3 0

conducted reported
for Malaria during the
month

11.1.2.b Malaria Number 0 0 0 0 0 0 0

(RDT) - reported
Plasmodium during the
Vivax test month
positive

11.1.2.c Malaria Number 0 0 0 0 0 0 0

(RDT) - reported
Plamodium during the
Falciparum month
test positive

11.2.1 Kala Azar Number 0

(RDT) - reported
Tests during the
Conducted month

11.2.2 Kala Azar Number 0

Positive reported
Cases during the
month

11.2.3 Post Kala Number 0

Azar Dermal reported
Leishmania during the
sis (PKDL) month
cases

11.3.1 Dengue - Number 0 0 0

RDT Test reported
Positive during the
month

12.1.1.a Girls Number 0 0

registered in reported
AFHC during the
month

12.1.1.b Boys Number 0 0

registered in reported
AFHC during the
month

12.1.2.a Out of Number 0 0

registered, reported
Girls during the
received month
clinical
services

12.1.2.b Out of Number 0 0

registered, reported
Boys during the
received month
clinical
services
12.1.3.a Out of Number 0 0
registered, reported
Girls during the
received month
counselling

12.1.3.b Out of Number 0 0

registered, reported
Boys during the
received month
counselling

13.1 Number of Number 0 0 0 0

on-going reported
DOTS during the
patients month
registered

13.2 Number of Number 0 0 0 0 0

DOTS reported
cases during the
completed month
successfully

14.1.1 Outpatient - Number 0 0 1 0 0

Diabetes reported
during the
month

14.1.2 Outpatient - Number 6 0 4 0 5 3 0

Hypertensio reported
n during the
month

14.1.3 Outpatient - Number 0 0 0 0

Stroke reported
(Paralysis) during the
month

14.1.4 Outpatient - Number 0 0 0 0

Acute Heart reported
Diseases during the
month

14.1.5 Outpatient - Number 0 0 0 0

Mental reported
illness during the
month

14.1.6 Outpatient - Number 0 0 0 0

Epilepsy reported
during the
month

14.1.7 Outpatient - Number 0 1 0 2 0 0

Ophthalmic reported
Related during the
month

14.1.8 Outpatient - Number 0 0 2 10 0

Dental reported
during the
month

14.2.1 Allopathic- Number 190 16 186 38 108 363 112

Outpatient reported
attendance during the
month
14.2.2 Ayush - Number 0 21 0 0
Outpatient reported
attendance during the
month

14.3.1.a Inpatient Number 10 0 2 0

(Male)- reported
Children<18 during the
yrs month

14.3.1.b Inpatient Number 20 0 1 0

(Male)- reported
Adults during the
month

14.3.2.a Inpatient Number 8 0 0 0

(Female)- reported
Children<18 during the
yrs month

14.3.2.b Inpatient Number 12 0 5 0

(Female)- reported
Adults during the
month

14.3.3 Number of Number 0 0 2 0

Left Against reported
Medical during the
Advice month
(LAMA)
cases

14.4.1 Inpatient - Number 0 0 0 0

Malaria reported
during the
month

14.4.2 Inpatient - Number 0 0 0 0

Dengue reported
during the
month

14.4.3 Inpatient - Number 0 0 0 0

Typhoid reported
during the
month

14.4.4 Inpatient - Number 0 0 0 0

Asthma, reported
Chronic during the
Obstructive month
Pulmonary
Disease
(COPD),
Respiratory
infections

14.4.5 Inpatient - Number 0 0 0 0

Tuberculosi reported
s during the
month

14.4.6 Inpatient - Number 18 0 3 0

Pyrexia of reported
unknown during the
origin (PUO) month
14.4.7 Inpatient - Number 15 0 5 0
Diarrhea reported
with during the
dehydration month

14.4.8 Inpatient - Number 0 0 0 0

Hepatitis reported
during the
month

14.5.1 Operation Number 0 0

major reported
(General during the
and spinal month
anaesthesia
)

14.5.2 Out of Number 0 0

Operation reported
major, during the
Gynecology month
-
Hysterectom
y surgeries

14.5.3 Operation Number 0 0 0 0 0 19 6

minor (No or reported
local during the
anaesthesia month
)

14.5.4 Number of Number 0 0

blood units reported
issued during the
month

14.5.5 Number of Number 0 0

blood reported
transfusions during the
done month

14.6.1 Inpatient Number 0 0 0 0

Deaths - reported
Male during the
month

14.6.2 Inpatient Number 0 0 0 0

Deaths - reported
Female during the
month

14.7 In-Patient Number 0 0 6 0

Head Count reported
at midnight during the
month

14.8 Number of Number 0 0

Admission reported
in NBSU during the
( New Born month
Stabilisation
Unit)

14.9.1 Number of Number 0 0

children reported
admitted in during the
NRC month
14.9.2 Number of Number 0 0
children reported
discharged during the
with target month
weight gain
from the
NRCs

14.10 Number of Number 0 0 0 0 0

Rogi Kalyan reported
Samiti during the
(RKS) month
meetings
held

14.11 Number of Number 5 4 9 10 4 9 10

Anganwadi reported
centres/ during the
UPHCs month
reported to
have
conducted
Village
Health &
Nutrition
Day
(VHNDs)/
Urban
Health &
Nutrition
Day
(UHNDs)/
Outreach /
Special
Outreach

15.1 Number of Number 2 0 20 0

Lab Tests reported
done during the
month

15.2.1 Number of Number 0 0 8 0

Hb tests reported
conducted during the
month

15.2.2 Out of the Number 0 0 2 0

total number reported
of Hb tests during the
done, month
Number
having Hb <
7 mg

15.3.1.a Male HIV - Number 0 0 0 0

Number reported
Tested during the
month

15.3.1.b Male HIV - Number 0 0 0 0

Number reported
Positive during the
month
15.3.2.a Female Non Number 0 0 1 0
ANC HIV - reported
Number during the
Tested month

15.3.2.b Female Non Number 0 0 0 0

ANC HIV - reported
Number during the
Positive month

15.3.3.a Number of Number 0 0 4 0

pregnant reported
women during the
screened for month
HIV

15.3.3.b Out of the Number 0 0 0 0

above, reported
number during the
screened month
positive

15.3.3.c Out of the Number 0 0 0 0

above reported
number during the
screened month
positive,
number
confirmed
with HIV
infection at
Integrated
Counselling
and Testing
Centre
(ICTC)

15.3.4.a Number of Number 0 0

Male reported
STI/RTI during the
attendees month
tested for
syphilis

15.3.4.b Number of Number 0 0

Male reported
STI/RTI during the
attendees month
found sero
Positive for
syphilis

15.3.4.c Number of Number 0 0

Female reported
(Non during the
ANC)STI/RT month
I attendees
tested for
syphilis

15.3.4.d Number of Number 0 0

Female reported
(Non ANC) during the
STI/RTI month
attendees
found sero
Positive for
syphilis
15.4.1 Widal tests - Number 2 0 3 0
Number reported
Tested during the
month

15.4.2 Widal tests - Number 0 0 0 0

Number reported
Positive during the
month

16.1.1 Last Date of Number 7122017 12112016 20062018

Supply of reported
essential during the
drugs month
(DD/MM/YY
YY)

16.1.2.a IFA tablets

Dropdown - 1 1
Adequate
Dropdown - 1 1 1
Inadequate
16.1.2.b IFA tablets
(blue) Dropdown - 1
Adequate
Dropdown - 1 1 1 1
Inadequate
16.1.2.c IFA syrup
with Dropdown - 1
dispenser Adequate
Dropdown - 1 1 1 1
Inadequate
16.1.2.d Vit A syrup
Dropdown - 1 1 1
Adequate
Dropdown - 1
Inadequate
16.1.2.e ORS
packets Dropdown - 1 1 1 1 1
Adequate
Dropdown - 1
Inadequate
16.1.2.f Zinc tablets
Dropdown - 1 1 1 1 1
Adequate
Dropdown - 1
Inadequate
16.1.2.g Inj
Magnesium Dropdown - 1 1 1
Sulphate Adequate
Dropdown - 1
Inadequate
16.1.2.h Inj Oxytocin
Dropdown - 1 1 1
Adequate
Dropdown - 1 1
Inadequate
16.1.2.i Misoprostol
tablets Dropdown - 1 1
Adequate
Dropdown - 1 1
Inadequate
16.1.2.j Mifepristone
tablets Dropdown - 1
Adequate
Dropdown - 1 1 1
Inadequate
16.1.2.k Antibiotics
Dropdown - 1 1 1 1 1
Adequate
Dropdown - 1
Inadequate
16.1.2.l Labelled
emergency Dropdown - 1 1 1 1 1
tray Adequate
Dropdown -
Inadequate
16.1.2.m Drugs for
hypertensio Dropdown - 1 1 1 1
n, Diabetes, Adequate
common
ailments e.g Dropdown - 1 1
PCM, anti- Inadequate
allergic
16.1.2.n Tab.
Albendazole Dropdown - 1 1 1 1 1 1
Adequate
Dropdown -
Inadequate
16.2.1 Last Date of Number 25082017 5062017
Supply of reported
essential during the
vaccines month
(DD/MM/YY
YY)

16.2.2.a TT
Dropdown - 1 1 1
Adequate
Dropdown - 1 1
Inadequate
16.2.2.b BCG
Dropdown - 1 1 1 1 1
Adequate
Dropdown -
Inadequate
16.2.2.c Hepatitis
Dropdown - 1 1
Adequate
Dropdown - 1 1 1
Inadequate
16.2.2.d OPV
Dropdown - 1 1 1 1 1
Adequate
Dropdown -
Inadequate
16.2.2.e DPT
Dropdown - 1 1 1 1 1
Adequate
Dropdown -
Inadequate
16.2.2.f Measles
Dropdown - 1 1 1
Adequate
16.2.2.f Measles

Dropdown - 1 1
Inadequate
16.2.2.g Vitamin A
Dropdown - 1 1 1 1 1
Adequate
Dropdown -
Inadequate
16.3.1 Last Date of Number 12072017
Supply of reported
essential during the
contraceptiv month
es
(DD/MM/YY
YY)

16.3.2.a IUCD
Dropdown - 1 1 1 1
Adequate
Dropdown - 1
Inadequate
16.3.2.b Combined
Oral Pills (in Dropdown - 1 1 1 1 1
cycles) Adequate
Dropdown - 1
Inadequate
16.3.2.c Condom (in
pieces) Dropdown - 1 1 1 1 1 1
Adequate
Dropdown -
Inadequate
16.3.2.d Injectable
Contracepti Dropdown -
ve MPA Adequate
(vials)
Dropdown - 1 1 1
Inadequate
17.1 Infant Number 0 0
deaths reported
within 24 during the
hrs(1 to 23 month
Hrs) of birth

17.2.1 Infant Number 0 0

Deaths up reported
to 4 weeks during the
due to month
Sepsis

17.2.2 Infant Number 0 0

Deaths up reported
to 4 weeks during the
due to month
Asphyxia

17.2.3 Infant Number 0 0

Deaths up reported
to 4 weeks during the
due to Other month
causes
17.3.1 Number of Number 0 0
Infant reported
Deaths (1 during the
-12 months) month
due to
Pneumonia

17.3.2 Number of Number 0 0

Infant reported
Deaths (1 during the
-12 months) month
due to
Diarrhoea

17.3.3 Number of Number 0 0

Infant reported
Deaths (1 during the
-12 months) month
due to
Fever
related

17.3.4 Number of Number 0 0

Infant reported
Deaths (1 during the
-12 months) month
due to
Measles

17.3.5 Number of Number 0 0

Infant reported
Deaths (1 during the
-12 months) month
due to
Others

17.4.1 Number of Number 0 0

Child reported
Deaths (1 -5 during the
years) due month
to
Pneumonia

17.4.2 Number of Number 0 0

Child reported
Deaths (1 -5 during the
years) due month
to Diarrhoea

17.4.3 Number of Number 0 0

Child reported
Deaths (1 -5 during the
years) due month
to Fever
related

17.4.4 Number of Number 0 0

Child reported
Deaths (1 -5 during the
years) due month
to Measles
17.4.5 Number of Number 0 0
Child reported
Deaths (1 -5 during the
years) due month
to Others

17.5.1 Number of Number 0 0

Maternal reported
Deaths due during the
to Bleeding month

17.5.2 Number of Number 0 0

Maternal reported
Deaths due during the
to High month
fever

17.5.3 Number of Number 0 0

Maternal reported
Deaths due during the
to Abortion month

17.5.4 Number of Number 0 0

Maternal reported
Deaths due during the
to month
Obstructed/
prolonged
labour

17.5.5 Number of Number 0 0

Maternal reported
Deaths due during the
to Severe month
hypertesnio
n/fits

17.5.6 Number of Number 0 0

Maternal reported
Deaths due during the
to Other month
Causes
(including
causes Not
Known)

17.6.1 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to
Diarrhoeal
diseases

17.6.2 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to
Tuberculosi
s
17.6.3 Number of Number 0 0
Adolscent / reported
Adult during the
Deaths due month
to
Respiratory
diseases
including
infections
(other than
TB)

17.6.4 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to Other
Fever
Related

17.6.5 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to HIV/AIDS

17.6.6 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to Heart
disease/Hyp
ertension
related

17.6.7 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to Cancer

17.6.8 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to
Neurological
disease
including
strokes

17.6.9 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to
Accidents/B
urn cases

17.6.10 Number of Number 0 0

Adolscent / reported
Adult during the
Deaths due month
to Suicide
17.6.11 Number of Number 0 0
Adolscent / reported
Adult deaths during the
due to month
Animal bites
and stings

17.6.12 Number of Number 0 0

Adolscent / reported
Adult deaths during the
due to month
Known
Acute
Disease

17.6.13 Number of Number 0 0

Adolscent / reported
Adult deaths during the
due to month
Known
Chronic
Disease

17.6.14 Number of Number 0 0

Adolscent / reported
Adult deaths during the
due to month
Causes Not
Known

17.7.1 Number of Number 0 0

Deaths due reported
to Malaria- during the
Plasmodium month
Vivax

17.7.2 Number of Number 0 0

Deaths due reported
to Malaria- during the
Plasmodium month
Falciparum

17.7.3 Number of Number 0 0

Deaths due reported
to Kala Azar during the
month

17.7.4 Number of Number 0 0

Deaths due reported
to Dengue during the
month

17.7.5 Number of Number 0 0

Deaths due reported
to Acute during the
Encephelitis month
Syndrome
(AES)

17.7.6 Number of Number 0 0

Deaths due reported
to Japanese during the
month
Encephalitis
(JE)
 Arunachal Pradesh
Arunachal Pradesh -> Papum Pare
Doimukh Kimin Mengio Naharlagun Itanagar capital complex Sagalee
kakoi PHC Itafort UPHC PHC UHC PHC PHC PHC Toru
Mengio Rakap Chimpu Karsingsa Leporiang Parang
1 2 19 0 0 1 6 3 2

1 2 8 0 0 0 2 1 1

1 2 8 0 0 0 2 1 1

0 0 7 0 0 2 3 2 1

0 0 0 0 0 0 1 1 1

1 2 0 0 0 2 3 0 0

1 0 30 0 0 2 0 1 0

0 2 0 0 0 2 0 0

1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 1 0 0 0 0 0 0

0 0 1 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

0 2 0 0 0 0 0

0 2 8 0 0 0 0 0

0 0 2 0 0 0 0

0 0 2 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 2 10 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 2 0 0 0 0 0 0

0 2 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0

0 1 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 2 0 0 0 0 1 0

0 0 0 0 0 0 0 0
0 2 0 0 0 0 1 0

0 0 0 0 0 0 0

0 0 0 0 0 0 1 0

0 2 0 0 0 0 0 0

0 2 0 0 0 0 0 0

0 2 0 0 0 0 0 0
0 0 0 1 0 0 0 0

0 0 0 1 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
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0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
 0 0 0 0 0 0 0

0 0 0 0 0 0 0

6 0 0 0 10 5 0 0

200 60 60 0 5 2 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

1 6 0 0 6 2 1 1

0 0

0 0

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2 0 65 17 2 0 1 1

2 0 39 17 6 2 0 3

3 0 23 6 11 3 1 0

2 0 37 9 7 2 1 0

0 0 57 5 0 0 1 0

2 0 39 18 0 2 0 3

3 0 23 5 0 3 1 0

2 0 37 10 0 2 1 0
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0 0

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2 0 39 17 0 2 0 3

2 0 37 10 6 2 1 0

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0 0 45 14 3 3 1 0

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0 0 31 1 2 1 0

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0 0 0 0 1 0 0

3 0

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0 0

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0 0

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0 0 0 0 0 0

0 0 20 1 1 0 1 0

0 0 4 2 0 1 0

0 0 2 7 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

1 0 13 1 12 1 1 1

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133 0 45 30 3 3 1 0

0 0 36 9 2 4 1 2

0 0 10 4 4 0 0 0

0 0 0 0 0 0

133 0 16 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

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0 0 0 0 0 0 0 0

0 0 0 1 18 4 0 0

0 0 0 0 13 0 0

0 0 0 5 0 0 0 0

0 0 0 0 0 0 0 0

0 5 36 11 90 0 0 0

0 0 0 0 0 0 0
 0 0 0 0 0 0 0

13 2 0 90 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0

0 0

0 0

0 0

0 0
 0

0 0

0 7 0

0 0 0

0 0 1 0 0 0 0 0

0 0 80 14 8 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 2 0 5 0 0 0

0 0 56 0 3 0 0 0

75 335 440 50 275 108 275 118 78

0 0 102 112 220 0 0 0

0 1 3 0 0 1 0 0

0 1 74 0 0 4 0 0

0 1 2 0 0 0 0 0

0 1 99 0 0 7 0 0

0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 1 0 0 0 0 0

0 0 0 3 0 0 0

0 0 0 0 0 0 0

0 0 9 0 67 0 0 0
0 0 0 0 24 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

4 41 7 0 12 15 10 23

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 1 0 0 0 1 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 1 0 1 0 0 0

8 10 18 0 4 10 5 12

0 20 581 166 0 0 0

0 15 239 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 2 10 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 26 0 0 0 0

0 0 16 0 0 0 0

20082018 20072018 16052018 25052018 1082018 1082018 1082018

1 1 1 1

1 1 1 1

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1082018 23062018 1082018 1082018 1082018

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0 0

0 0

0 0

0 0
0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
0 0

0 0

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0 0

0 0

0 0

0 0
0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
 Balijan
PHC Basarnallo Holongi
1.1 Total number of pregnant women registered for ANC Number 0 3
reported during
the month
1.1.1 Out of the total ANC registered, number registered Number 0 3
within 1st trimester (within 12 weeks) reported during
the month
1.2.1 Number of PW given TT1 Number 0 1
reported during
the month
1.2.2 Number of PW given TT2 Number 0 2
reported during
the month
1.2.3 Number of PW given TT Booster Number 0 0
reported during
the month
1.2.4 Number of PW given 180 Iron Folic Acid (IFA) tablets Number 0 0
reported during
the month
1.2.5 Number of PW given 360 Calcium tablets Number 0 0
reported during
the month
1.2.6 Number of PW given one Albendazole tablet after 1st Number 0 0
trimester reported during
the month
1.2.7 Number of PW received 4 or more ANC check ups Number 0 0
reported during
the month
1.2.8 Number of PW given ANC Corticosteroids in Pre Term Number 0
Labour reported during
the month
1.3.1 New cases of PW with hypertension detected Number 0 0
reported during
the month
1.3.1.a Out of the new cases of PW with hypertension Number 0 0
detected, cases managed at institution reported during
the month
1.3.2 Number of Eclampsia cases managed during delivery Number 0
reported during
the month
1.4.1 Number of PW tested for Haemoglobin (Hb ) 4 or more Number 0 0
than 4 times for respective ANCs reported during
the month
1.4.2 Number of PW having Hb level<11 (tested cases)(7.1 Number 0 0
to 10.9) reported during
the month
1.4.3 Number of PW having Hb level<7 (tested cases) Number 0 0
reported during
the month
1.4.4 Number of PW having severe anaemia (Hb<7) treated Number 0 0
reported during
the month
1.5.1 Number of PW tested for blood sugar using OGTT Number 0
(Oral Glucose Tolerance Test) reported during
the month
1.5.2 Number of PW tested positive for GDM Number 0
reported during
the month
1.5.3 Number of PW given insulin out of total tested positive Number 0
for GDM reported during
the month
1.6.1.a Number of pregnant women tested for Syphilis Number 0
reported during
the month
1.6.1.b Number of pregnant women tested found sero positive Number 0
for Syphilis reported during
the month
1.6.1.c Number of syphilis positive pregnant women treated Number
for Syphilis reported during
the month
1.6.1.d Number of babies diagnosed with Congenital Syphilis Number
reported during
the month
1.6.1.e Number of babies treated for congenital Syphilis Number
reported during
the month
2.1.1.a Number of Home Deliveries attended by Skill Birth Number 0 0
Attendant(SBA) (Doctor/Nurse/ANM) reported during
the month
2.1.1.b Number of Home Deliveries attended by Non SBA Number 0 0
(Trained Birth Attendant(TBA) /Relatives/etc.) reported during
the month
2.1.2 Number of PW given Tablet Misoprostol during home Number 0 0
delivery reported during
the month
2.1.3 Number of newborns received 7 Home Based Number 0
Newborn Care (HBNC) visits in case of Home delivery reported during
the month
2.2 Number of Institutional Deliveries conducted (Including Number 0
C-Sections) reported during
the month
2.2.1 Out of total institutional deliveries number of women Number 0
discharged within 48 hours of delivery reported during
the month
2.2.2 Number of newborns received 6 HBNC visits after Number 0
Institutional Delivery reported during
the month
3.1 Total C -Section deliveries performed Number 0
reported during
the month
3.1.1 C-sections, performed at night (8 PM- 8 AM) Number 0
reported during
the month
4.1.1.a Live Birth - Male Number 0 0
reported during
the month
4.1.1.b Live Birth - Female Number 0 0
reported during
the month
4.1.2 Number of Pre term newborns ( < 37 weeks of Number 0 0
pregnancy) reported during
the month
4.1.3 Still Birth Number 0 0
reported during
the month
4.2 Abortion (spontaneous) Number 0 0
reported during
the month
4.3.1.a MTP up to 12 weeks of pregnancy Number 0
reported during
the month
4.3.1.b MTP more than 12 weeks of pregnancy Number 0
reported during
the month
4.3.2.a Post Abortion/ MTP Complications Identified Number 0
reported during
the month
4.3.2.b Post Abortion/ MTP Complications Treated Number 0
reported during
the month
4.3.3 Number of women provided with post abortion/ MTP Number 0
contraception reported during
the month
4.4.1 Number of newborns weighed at birth Number 0 0
reported during
the month
4.4.2 Number of newborns having weight less than 2.5 kg Number 0 0
reported during
the month
4.4.3 Number of Newborns breast fed within 1 hour of birth Number 0 0
reported during
the month
5.1 Number of cases of pregnant women with Obstetric Number
Complications attended (Antepartum haemorrhage reported during
(APH), Post-Partum Hemorrhage (PPH), Sepsis, the month
Eclampsia and others)

6.1 Women receiving 1st post partum checkup within 48 Number 0 0

hours of home delivery reported during
the month
6.2 Women receiving 1st post partum checkup between Number 0 0
48 hours and 14 days reported during
the month
6.3 Number of mothers provided full course of 180 IFA Number 0 0
tablets after delivery reported during
the month
 6.4 Number of mothers provided 360 Calcium tablets after Number 0 0
delivery reported during
the month
7.1.1 New RTI/STI cases identified - Male Number
reported during
the month
7.1.2 New RTI/STI cases identified - Female Number
reported during
the month
7.2.1 RTI/STI for which treatment initiated - Male Number
reported during
the month
7.2.2 RTI/STI for which treatment initiated -Female Number
reported during
the month
8.1.1 Number of Non Scalpel Vasectomy (NSV) / Number
Conventional Vasectomy conducted reported during
the month
8.2.1 Number of Laparoscopic sterilizations (excluding post Number
abortion) conducted reported during
the month
8.2.2 Number of Interval Mini-lap (other than post-partum Number
and post abortion) sterilizations conducted reported during
the month
8.2.3 Number of Postpartum sterilizations (within 7 days of Number
delivery by minilap or concurrent with caesarean reported during
section) conducted the month

8.2.4 Number of Post Abortion sterilizations (within 7 days of Number

spontaneous or surgical abortion) conducted reported during
the month
8.3 Number of Interval IUCD Insertions (excluding Number 0
PPIUCD and PAIUCD) reported during
the month
8.4 Number of Postpartum (within 48 hours of delivery) Number 0
IUCD insertions reported during
the month
8.5 Number of Post Abortion (within 12 days of Number 0
spontaneous or surgical abortion) IUCD insertions reported during
the month
8.6 Number of IUCD Removals Number 0
reported during
the month
8.7 Number of complications following IUCD Insertion Number 0
reported during
the month
8.8 Injectable Contraceptive-Antara Program- First Dose Number
reported during
the month
8.9 Injectable Contraceptive-Antara Program- Second Number
Dose reported during
the month
8.10 Injectable Contraceptive-Antara Program- Third Dose Number
reported during
the month
8.11 Injectable Contraceptive-Antara Program- Fourth or Number
more than fourth reported during
the month
8.12 Number of Combined Oral Pill cycles distributed Number 0 0
reported during
the month
8.13 Number of Condom pieces distributed Number 0 0
reported during
the month
8.14 Number of Centchroman (weekly) pill strips distributed Number 0
reported during
the month
8.15 Number of Emergency Contraceptive Pills (ECP) given Number 0
reported during
the month
8.16 Number of Pregnancy Test Kits (PTK) used Number 0
reported during
the month
8.17.1 Complications following male sterilization Number
reported during
the month
8.17.2 Complications following female sterilization Number
reported during
the month
8.17.3 Failures following male sterilization Number
reported during
the month
8.17.4 Failures following female sterilization Number
reported during
the month
8.17.5 Deaths following male sterilization Number
reported during
the month
8.17.6 Deaths following female sterilization Number
reported during
the month
9.1.1 Child immunisation - Vitamin K1 (Birth Dose) Number
reported during
the month
9.1.2 Child immunisation - BCG Number 0 0
reported during
the month
9.1.3 Child immunisation - DPT1 Number 0
reported during
the month
9.1.4 Child immunisation - DPT2 Number 0
reported during
the month
9.1.5 Child immunisation - DPT3 Number 0
reported during
the month
9.1.6 Child immunisation - Pentavalent 1 Number 0 0
reported during
the month
9.1.7 Child immunisation - Pentavalent 2 Number 0 0
reported during
the month
9.1.8 Child immunisation - Pentavalent 3 Number 0 0
reported during
the month
9.1.9 Child immunisation - OPV 0 (Birth Dose) Number 0 0
reported during
the month
9.1.10 Child immunisation - OPV1 Number 0 0
reported during
the month
9.1.11 Child immunisation - OPV2 Number 0 0
reported during
the month
9.1.12 Child immunisation - OPV3 Number 0 0
reported during
the month
9.1.13 Child immunisation - Hepatitis-B0 (Birth Dose) Number 0 0
reported during
the month
9.1.14 Child immunisation - Hepatitis-B1 Number 0 0
reported during
the month
9.1.15 Child immunisation - Hepatitis-B2 Number 0 0
reported during
the month
9.1.16 Child immunisation - Hepatitis-B3 Number 0 0
reported during
the month
9.1.17 Child immunisation - Inactivated Polio Vaccine 1 (IPV Number 0 0
1) reported during
the month
9.1.18 Child immunisation - Inactivated Polio Vaccine 2 (IPV Number 0 0
2) reported during
the month
9.1.19 Child immunisation - Rotavirus 1 Number
reported during
the month
9.1.20 Child immunisation - Rotavirus 2 Number
reported during
the month
9.1.21 Child immunisation - Rotavirus 3 Number
reported during
the month
9.2.1 Child immunisation (9-11months) - Measles & Rubella Number 0 0
(MR)- 1st Dose reported during
the month
9.2.2 Child immunisation (9-11months) - Measles 1st dose Number 0 0
reported during
the month
9.2.3 Child immunisation (9-11months) - JE 1st dose Number 0 0
reported during
the month
9.2.4.a Children aged between 9 and 11 months fully Number 0 0
immunized- Male reported during
the month
9.2.4.b Children aged between 9 and 11 months fully Number 0 0
immunized - Female reported during
the month
9.3.1 Child immunisation - Measles & Rubella (MR)- 1st Number 0 1
Dose reported during
the month
9.3.2 Child immunisation - Measles-1st dose Number 0 1
reported during
the month
9.3.3 Child immunisation - JE 1st dose Number 0 1
reported during
the month
9.4.1 Child immunisation - Measles & Rubella (MR)- 2nd Number 4 0
Dose (16-24 months) reported during
the month
9.4.2 Child immunisation - Measles 2nd dose (More than 16 Number 2 0
months) reported during
the month
9.4.3 Child immunisation - DPT 1st Booster Number 4 0
reported during
the month
9.4.4 Child immunisation - OPV Booster Number 4 0
reported during
the month
9.4.5 Child immunisation - Measles, Mumps, Rubella Number 0
(MMR) Vaccine reported during
the month
9.4.6 Number of children more than 16 months of age who Number 4 0
received Japanese Encephalitis (JE) vaccine reported during
the month
9.5.1 Child immunisation - Typhoid Number
reported during
the month
9.5.2 Children more than 5 years received DPT5 (2nd Number 0 0
Booster) reported during
the month
9.5.3 Children more than 10 years received TT10 Number 0 0
reported during
the month
9.5.4 Children more than 16 years received TT16 Number 0 0
reported during
the month
9.6.1 Number of cases of AEFI - Abscess Number 0
reported during
the month
9.6.2 Number of cases of AEFI - Death Number 0
reported during
the month
9.6.3 Number of cases of AEFI - Others Number 0
reported during
the month
9.7.1 Immunisation sessions planned Number 1 0
reported during
the month
9.7.2 Immunisation sessions held Number 5 0
reported during
the month
9.7.3 Number of Immunisation sessions where ASHAs were Number 5 0
present reported during
the month
9.8.1 Child immunisation - Vitamin A Dose - 1 Number 0 0
reported during
the month
9.8.2 Child immunisation - Vitamin A Dose - 5 Number 4 0
reported during
the month
9.8.3 Child immunisation - Vitamin A Dose - 9 Number 0 0
reported during
the month
9.9 Number of children (6-59 months) provided 8-10 Number 0 0
doses (1ml) of IFA syrup (Bi weekly) reported during
the month
9.10 Number of children (12-59 months) provided Number 0 0
Albendazole reported during
the month
9.11 Number of severely underweight children provided Number 0 0
Health Checkup (0-5 yrs) reported during
the month
10.1 Childhood Diseases - Pneumonia Number 0 0
reported during
the month
10.2 Childhood Diseases - Asthma Number 0 0
reported during
the month
10.3 Childhood Diseases - Sepsis Number 0 0
reported during
the month
 10.4 Childhood Diseases - Diphtheria Number 0 0
reported during
the month
10.5 Childhood Diseases - Pertussis Number 0 0
reported during
the month
10.6 Childhood Diseases - Tetanus Neonatorum Number 0 0
reported during
the month
10.7 Childhood Diseases - Tuberculosis (TB) Number 0 0
reported during
the month
10.8 Childhood Diseases - Acute Flaccid Paralysis(AFP) Number 0 0
reported during
the month
10.9 Childhood Diseases - Measles Number 0 0
reported during
the month
10.10 Childhood Diseases - Malaria Number 0 0
reported during
the month
10.11 Childhood Diseases - Diarrhoea Number 10 0
reported during
the month
10.12 Childhood Diseases - Diarrhoea treated in Inpatients Number 0 0
reported during
the month
10.13 Children admitted with upper Respiratory Infections Number 4 0
reported during
the month
10.14 Childhood Diseases - Severe Acute Malnutrition Number 0 0
(SAM) reported during
the month
11.1.1.a Total Blood Smears Examined for Malaria Number 0 15
reported during
the month
11.1.1.b Malaria (Microscopy Tests ) - Plasmodium Vivax test Number 0 0
positive reported during
the month
11.1.1.c Malaria (Microscopy Tests ) - Plasmodium Falciparum Number 0 0
test positive reported during
the month
11.1.2.a RDT conducted for Malaria Number 3 8
reported during
the month
11.1.2.b Malaria (RDT) - Plasmodium Vivax test positive Number 0 0
reported during
the month
11.1.2.c Malaria (RDT) - Plamodium Falciparum test positive Number 0 0
reported during
the month
11.2.1 Kala Azar (RDT) - Tests Conducted Number
reported during
the month
11.2.2 Kala Azar Positive Cases Number
reported during
the month
11.2.3 Post Kala Azar Dermal Leishmaniasis (PKDL) cases Number
reported during
the month
11.3.1 Dengue - RDT Test Positive Number 0
reported during
the month
12.1.1.a Girls registered in AFHC Number
reported during
the month
12.1.1.b Boys registered in AFHC Number
reported during
the month
12.1.2.a Out of registered, Girls received clinical services Number
reported during
the month
12.1.2.b Out of registered, Boys received clinical services Number
reported during
the month
12.1.3.a Out of registered, Girls received counselling Number
reported during
the month
12.1.3.b Out of registered, Boys received counselling Number
reported during
the month
13.1 Number of on-going DOTS patients registered Number
reported during
the month
 13.2 Number of DOTS cases completed successfully Number 0
reported during
the month
14.1.1 Outpatient - Diabetes Number 0
reported during
the month
14.1.2 Outpatient - Hypertension Number 3 0
reported during
the month
14.1.3 Outpatient - Stroke (Paralysis) Number 0
reported during
the month
14.1.4 Outpatient - Acute Heart Diseases Number 0
reported during
the month
14.1.5 Outpatient - Mental illness Number 0
reported during
the month
14.1.6 Outpatient - Epilepsy Number 0
reported during
the month
14.1.7 Outpatient - Ophthalmic Related Number 0
reported during
the month
14.1.8 Outpatient - Dental Number 0
reported during
the month
14.2.1 Allopathic- Outpatient attendance Number 185 0
reported during
the month
14.2.2 Ayush - Outpatient attendance Number 0
reported during
the month
14.3.1.a Inpatient (Male)- Children<18yrs Number 3
reported during
the month
14.3.1.b Inpatient (Male)- Adults Number 0
reported during
the month
14.3.2.a Inpatient (Female)- Children<18yrs Number 2
reported during
the month
14.3.2.b Inpatient (Female)- Adults Number 0
reported during
the month
14.3.3 Number of Left Against Medical Advice (LAMA) cases Number 0
reported during
the month
14.4.1 Inpatient - Malaria Number 0
reported during
the month
14.4.2 Inpatient - Dengue Number 0
reported during
the month
14.4.3 Inpatient - Typhoid Number 0
reported during
the month
14.4.4 Inpatient - Asthma, Chronic Obstructive Pulmonary Number 0
Disease (COPD), Respiratory infections reported during
the month
14.4.5 Inpatient - Tuberculosis Number 0
reported during
the month
14.4.6 Inpatient - Pyrexia of unknown origin (PUO) Number 0
reported during
the month
14.4.7 Inpatient - Diarrhea with dehydration Number 0
reported during
the month
14.4.8 Inpatient - Hepatitis Number 0
reported during
the month
14.5.1 Operation major (General and spinal anaesthesia) Number
reported during
the month
14.5.2 Out of Operation major, Gynecology- Hysterectomy Number
surgeries reported during
the month
14.5.3 Operation minor (No or local anaesthesia) Number 0 0
reported during
the month
14.5.4 Number of blood units issued Number
reported during
the month
14.5.5 Number of blood transfusions done Number
reported during
the month
14.6.1 Inpatient Deaths - Male Number 0
reported during
the month
14.6.2 Inpatient Deaths - Female Number 0
reported during
the month
14.7 In-Patient Head Count at midnight Number 0
reported during
the month
14.8 Number of Admission in NBSU ( New Born Number
Stabilisation Unit) reported during
the month
14.9.1 Number of children admitted in NRC Number
reported during
the month
14.9.2 Number of children discharged with target weight gain Number
from the NRCs reported during
the month
14.10 Number of Rogi Kalyan Samiti (RKS) meetings held Number 0
reported during
the month
14.11 Number of Anganwadi centres/ UPHCs reported to Number 5 4
have conducted Village Health & Nutrition Day reported during
(VHNDs)/ Urban Health & Nutrition Day (UHNDs)/ the month
Outreach / Special Outreach

15.1 Number of Lab Tests done Number 2

reported during
the month
15.2.1 Number of Hb tests conducted Number 0
reported during
the month
15.2.2 Out of the total number of Hb tests done, Number Number 0
having Hb < 7 mg reported during
the month
15.3.1.a Male HIV - Number Tested Number 0
reported during
the month
15.3.1.b Male HIV - Number Positive Number 0
reported during
the month
15.3.2.a Female Non ANC HIV - Number Tested Number 0
reported during
the month
15.3.2.b Female Non ANC HIV - Number Positive Number 0
reported during
the month
15.3.3.a Number of pregnant women screened for HIV Number 0
reported during
the month
15.3.3.b Out of the above, number screened positive Number 0
reported during
the month
15.3.3.c Out of the above number screened positive, number Number 0
confirmed with HIV infection at Integrated Counselling reported during
and Testing Centre (ICTC) the month
15.3.4.a Number of Male STI/RTI attendees tested for syphilis Number
reported during
the month
15.3.4.b Number of Male STI/RTI attendees found sero Positive Number
for syphilis reported during
the month
15.3.4.c Number of Female (Non ANC)STI/RTI attendees Number
tested for syphilis reported during
the month
15.3.4.d Number of Female (Non ANC) STI/RTI attendees Number
found sero Positive for syphilis reported during
the month
15.4.1 Widal tests - Number Tested Number 2
reported during
the month
15.4.2 Widal tests - Number Positive Number 0
reported during
the month
16.1.1 Last Date of Supply of essential drugs (DD/MM/YYYY) Number 7122017
reported during
the month
16.1.2.a IFA tablets
Dropdown - 1
Adequate
16.1.2.a IFA tablets

Dropdown - 1
Inadequate
16.1.2.b IFA tablets (blue)
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.c IFA syrup with dispenser
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.d Vit A syrup
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.1.2.e ORS packets
Dropdown - 1 1
Adequate -
Dropdown
Inadequate
16.1.2.f Zinc tablets
Dropdown - 1
Adequate -
Dropdown 1
Inadequate
16.1.2.g Inj Magnesium Sulphate
Dropdown -
Adequate -
Dropdown 1 1
Inadequate
16.1.2.h Inj Oxytocin
Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.i Misoprostol tablets
Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.j Mifepristone tablets
Dropdown -
Adequate
Dropdown - 1 1
Inadequate
16.1.2.k Antibiotics
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.l Labelled emergency tray
Dropdown -
Adequate
Dropdown - 1
Inadequate
16.1.2.m Drugs for hypertension, Diabetes, common ailments
e.g PCM, anti-allergic drugs etc. Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.1.2.n Tab. Albendazole
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.2.1 Last Date of Supply of essential vaccines Number 25082017
(DD/MM/YYYY) reported during
the month
16.2.2.a TT
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.b BCG
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.c Hepatitis
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.2.2.d OPV
Dropdown - 1 1
Adequate -
Dropdown
Inadequate
16.2.2.e DPT
Dropdown - 1 1
Adequate -
Dropdown
Inadequate
16.2.2.f Measles
Dropdown - 1 1
Adequate -
Dropdown
Inadequate
16.2.2.g Vitamin A
Dropdown - 1 1
Adequate
Dropdown -
Inadequate
16.3.1 Last Date of Supply of essential contraceptives Number 12072017
(DD/MM/YYYY) reported during
the month
16.3.2.a IUCD
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.3.2.b Combined Oral Pills (in cycles)
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.3.2.c Condom (in pieces)
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
16.3.2.d Injectable Contraceptive MPA (vials)
Dropdown - 1
Adequate
Dropdown - 1
Inadequate
17.1 Infant deaths within 24 hrs(1 to 23 Hrs) of birth Number
reported during
the month
17.2.1 Infant Deaths up to 4 weeks due to Sepsis Number
reported during
the month
17.2.2 Infant Deaths up to 4 weeks due to Asphyxia Number
reported during
the month
17.2.3 Infant Deaths up to 4 weeks due to Other causes Number
reported during
the month
17.3.1 Number of Infant Deaths (1 -12 months) due to Number
Pneumonia reported during
the month
17.3.2 Number of Infant Deaths (1 -12 months) due to Number
Diarrhoea reported during
the month
17.3.3 Number of Infant Deaths (1 -12 months) due to Fever Number
related reported during
the month
17.3.4 Number of Infant Deaths (1 -12 months) due to Number
Measles reported during
the month
17.3.5 Number of Infant Deaths (1 -12 months) due to Others Number
reported during
the month
17.4.1 Number of Child Deaths (1 -5 years) due to Number
Pneumonia reported during
the month
17.4.2 Number of Child Deaths (1 -5 years) due to Diarrhoea Number
reported during
the month
17.4.3 Number of Child Deaths (1 -5 years) due to Fever Number
related reported during
the month
17.4.4 Number of Child Deaths (1 -5 years) due to Measles Number
reported during
the month
17.4.5 Number of Child Deaths (1 -5 years) due to Others Number
reported during
the month
17.5.1 Number of Maternal Deaths due to Bleeding Number
reported during
the month
17.5.2 Number of Maternal Deaths due to High fever Number
reported during
the month
17.5.3 Number of Maternal Deaths due to Abortion Number
reported during
the month
17.5.4 Number of Maternal Deaths due to Number
Obstructed/prolonged labour reported during
the month
17.5.5 Number of Maternal Deaths due to Severe Number
hypertesnion/fits reported during
the month
17.5.6 Number of Maternal Deaths due to Other Causes Number
(including causes Not Known) reported during
the month
17.6.1 Number of Adolscent / Adult Deaths due to Diarrhoeal Number
diseases reported during
the month
17.6.2 Number of Adolscent / Adult Deaths due to Number
Tuberculosis reported during
the month
17.6.3 Number of Adolscent / Adult Deaths due to Respiratory Number
diseases including infections (other than TB) reported during
the month
17.6.4 Number of Adolscent / Adult Deaths due to Other Number
Fever Related reported during
the month
17.6.5 Number of Adolscent / Adult Deaths due to HIV/AIDS Number
reported during
the month
17.6.6 Number of Adolscent / Adult Deaths due to Heart Number
disease/Hypertension related reported during
the month
17.6.7 Number of Adolscent / Adult Deaths due to Cancer Number
reported during
the month
17.6.8 Number of Adolscent / Adult Deaths due to Number
Neurological disease including strokes reported during
the month
17.6.9 Number of Adolscent / Adult Deaths due to Number
Accidents/Burn cases reported during
the month
17.6.10 Number of Adolscent / Adult Deaths due to Suicide Number
reported during
the month
17.6.11 Number of Adolscent / Adult deaths due to Animal Number
bites and stings reported during
the month
17.6.12 Number of Adolscent / Adult deaths due to Known Number
Acute Disease reported during
the month
17.6.13 Number of Adolscent / Adult deaths due to Known Number
Chronic Disease reported during
the month
17.6.14 Number of Adolscent / Adult deaths due to Causes Not Number
Known reported during
the month
17.7.1 Number of Deaths due to Malaria- Plasmodium Vivax Number
reported during
the month
17.7.2 Number of Deaths due to Malaria- Plasmodium Number
Falciparum reported during
the month
17.7.3 Number of Deaths due to Kala Azar Number
reported during
the month
17.7.4 Number of Deaths due to Dengue Number
reported during
the month
17.7.5 Number of Deaths due to Acute Encephelitis Number
Syndrome (AES) reported during
the month
17.7.6 Number of Deaths due to Japanese Encephalitis (JE) Number
reported during
the month
 Arunachal Pradesh

Arunachal Pradesh -> Papum Pare

Balijan Doimukh Kimin Mengio

PHC Jote PHC Lenka PHC Poma PHC Tarasso chiputa kakoi PHC Mengio
1 0 0 5 4 2 0

1 0 0 2 0 2 0

1 0 0 5 1 1 0

0 0 0 1 1 1 0

0 0 0 0 0 0 0

0 0 0 3 0 1 0

0 0 0 3 0 1 0

0 0 0 2 0 0 0

0 0 0 2 0 1 0

0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 10 0 0 0

0 0 0 3 0 0 0

0 0 0 3 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 12 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0
 0 0 0 0 0

0 0 0 2 0 0 1

0 0 0 2 0 0 0

0 0 0 2 0 0 0

1 0 0 0

7 0 0 2

2 0 0 2

1 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 6 0 0 1

0 0 0 5 0 0 1

0 0 0 1 0 0 0

0 0 0 0 0 0 1

0 0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 10 0 0 2

0 0 0 0 0 0

0 0 0 10 0 0 2

0 0 0 0

0 0 0 2 0 0 0

0 0 0 5 0 0 2

0 0 0 7 0 0 0
0 0 0 7 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

1 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 2 0 0

0 4 0 6 7 120 5

0 0 0 0 0 0

0 0 13 0 0 0

0 0 0 5 2 2 0

0 0

0 0

0 0

0 0
0 0

0 0

0 0 0 0 0 0

1 0 0 11 0 0 3

0 0

1 0

0 2 1 4 0 0 3

1 1 0 2 1 2 3

0 0 0 5 0 3 0

0 0 0 9 0 0 2

0 2 1 4 1 0 3

1 1 1 2 0 2 3

0 0 0 5 0 3 0

0 0 0 5 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 2 1 5 1 0 3

0 0 0 5 0 3 0

0 0 0

0 0 0

0 0 0

1 0 0 1 3 5

0 0 0 0 0 3

0 0 0 0 1 3 5

0 0 0 0 0 1 4

0 0 0 0 0 1 1
 0 2 0 0 0

0 0 0 0 0 3

2 0 0 3 0 3 0

0 0 0 5 0 0 1

0 0 0 0 0 3

2 0 0 6 0 2 1

2 0 0 5 0 2 1

0 0 0 0 0 0

0 2 3 4 0 0 1

0 0 0 0

0 0 0 0 0 1 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 1 2 0 0 0 4

0 1 2 0 0 0 2

0 1 4 0 0 1 2

1 0 1 2 1 26 5

0 0 1 0 0 0 1

0 0 0 0 0 0 2

0 0 0 0 0 0

0 0 44 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0 8 3 0 2

0 0 0 1 0 0 0

0 0 0 0 0 0 2

0 0 0 0 0 0 0

0 0 13 0 12 0 4

0 0 0 0 0 0 0

3 0 0 0 0 0 0

0 4 10 7 0 30 2

0 0 0 0 0 0 0

0 0 0 0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0 0
 0 0 0 0 0

0 8 0 0 0 0

3 0 8 2 0 0 1

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 1 0 0 0 2

0 0 3 0 0 2

122 56 152 342 82 83 415

0 0 0 0 0

0 1 0 0 0

0 5 0 0 3

0 0 0 0 0

0 11 0 0 5

0 1 0 0

0 0 0 0 0

0 0 0 0 0

0 2 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 2 0 0 3

0 0 0 0 0

0 0 0

0 0 0

0 0 0 8 2 2 20

0 0 0 0
 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0 0

9 9 4 9 10 9 10

0 32 0 0 4

0 17 0 0 4

0 4 0 0 0

0 12 0 0 0

0 0 0 0 0

0 1 0 0 0

0 0 0 0 0

0 12 0 0 0

0 0 0 0 0

0 0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 5 0 0 0

0 1 0 0 0

12112016 20062018 1092018

1 1
1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1
1 1

1 1 1 1 1 1 1

1 1 1 1 1 1
1

1 1 1
1 1

1 1 1
1 1

1 1 1
1 1

1 1
1 1 1

1 1 1 1 1
1

1 1 1 1 1 1
1

1 1 1 1 1
1 1

1 1 1 1 1 1 1
5062017 1092018

1 1 1
1 1 1

1 1 1 1 1
1

1 1 1
1 1 1

1 1 1 1 1
1

1 1 1 1
1 1

1 1
1 1 1 1

1 1 1 1
1 1

1092018

1 1
1 1

1 1 1 1
1 1 1

1 1 1 1 1 1 1

1 1 1 1

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
achal Pradesh

adesh -> Papum Pare

Naharlagun Itanagar capital complex Sagalee

Itafort UPHC Rakap PHC UHC Karsingsa PHC Leporiang PHC Parang PHC Toru
10 Chimpu14 5 0 1

3 3 2 0 1

10 12 2 0 1

5 1 2 0 0

0 1 0 0

0 2 0 2

0 0 0 0

0 0 0 0

2 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

9 0 0 0

9 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

6 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 1 0 0

0 1 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 1 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 1 0 0

0 0 0 0

0 1 0 0

0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

1 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 4 0 0

0 3 0 0

0 0 0 0

0 0 0 0

0 2 0 0

0
 0

63 8 1 1 2

48 8 1 0 1

33 6 2 1 3

27 5 4 1 0

28 5 1 0 0

48 8 1 0 1

33 6 2 1 3

27 5 4 1 0

49 8 1 0 1

27 5 4 1 0

50 7 2 0 0

27 8 2 0 0

25 1 0 0

25 1 0 0
 0 1 0 0

0 1 0 0

27 2 0 0

28 2 0 0

28 2 0 0

42 2 0 0

0 0 0

21 3 0 0 0

5 0 0 0

1 0 0 0

0 0 0

0 0 0

0 0 0

13 1 2 1 1

13 1 1 1 1

0 0 0 1

50 8 2 0 0

37 1 2 0 0

23 1 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

6 0 0 0

0 0 0

0 0 0

0 0

19 0 0 0

0 0 0 0

1 0 0 0

18 0 0 0

0 0 0 0

0 0 0 0

2
 3

0 0 0

0 0 6

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

48 0 0 3

293 275 370 96 120

15 15 0 0 0

0 1 1 0 0

29 3 5 0 0

2 0 0 0

48 3 6 0 0

0 0

0 0 0 0

0 0 0 0

2 0 0 0

0 0 0

77 0 0 0

21 0 0 0

2 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

8 28 12 10

0 0 0 0
 0 0 0 0

0 0 0 0

0 0 0 0

0 2 0 0

0 0 0 0

0 0 0 0

0 0 0 0

1 0 0 0

15 7 7 12

260 0 0 0

89 0 0 0

0 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

6 0 0 0

0 0 0 0

0 0 0 0

0 0

0 0 0

0 0 0

0 0 0

34 0 0 0

14 0 0 0

20072018 1092018 1092018 1092018

1 1 1
 1

1
1 1 1

1
1 1 1

1
1 1 1

1 1 1 1

1 1
1 1

1
1 1 1

1
1 1 1

1
1 1 1

1 1
1 1

1 1
1 1

1 1
1 1

1 1
1 1

1 1 1
1
18092018 1092018 1092018 1092018

1
1 1 1

1
1 1 1

1 1
1 1

1 1
1 1

1
1 1 1

1 1 1 1

1
1 1 1

18042018 1092018 1092018 1092018

1
1 1 1

1
1 1 1

1 1
1 1

1
1 1 1