NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)

SUB-CENTRE MONTHLY REPORTING FORMAT

(ASHA/HEALTH WORKERS SALT TESTING FOR IODINE)

Name of Sub-Centre: Chanmari West Sub - Centre Name of District: Aizawl East

Month April Year : 2023

Salt Iodine Testing Result Iodised Salt hmang Incentive Claimed = No

Sl no Name of Sub-Centres Total Test
lo hmuh zat of Test X Rs .0.5
Above 15ppm Below 15ppm
Chanmari West Sub Centre nil nil nil nil nil

Total nil nil nil nil nil

Total Amount of Incentive Claimed by Asha/HW = Number of test X Rs. 0.5

(HK ROSANGPUII)
Name of Health Worker