S. NO.

14
Name of the ICTC

Thiruthuraipoondi GH
a) Total no. of clients who attended
ICTC in the month (excluding

175
PPTCT clients)

0
HIV positive

0
a) No. of persons suspected
to have TB referred to
RNTCP diagnostic services
0
Report for the Month of NOVEMBER- 2022

0
0
Sputum +ve TB

0
having

0
Sputum -ve TB
Name of the District: Thiruvarur

0
0
b) Of the referred TB suspects, No. diagnosed as

Extra-Pul. TB

c) Out of above (b),

diagnosed TB patients,
number receiving DOTS
0
HIV +veHIV -ve HIV +ve HIV -ve HIV +ve HIV -ve HIV +ve HIV -ve HIV +ve HIV -ve

a) No. of RNTCP registered TB

Reporting Month of JANUARY-2023

patients tested for HIV

b) Out of above (a), No. detected to

0

be HIV Positive

No.of TB suapects referred for HIV

0

testing under PITC

Out of tested No.of HIV Positive

0

cases
Nil
arks
Rem
 ICTC TB/HIV REPORT
REPORT FOR THE MONTH SEPTEMPER 2023
Name of the ICTC: Thiruthuraipoondi GH District: Thiruvarur
I.TOTAL NUMBER OF GENERAL CLIENTS ATTENDING ICTC:

a) Total no. of clients who attended ICTC in the month 175

II.REFERRAL OF SUSPECTED TUBERCULOSIS CASES FROM ICTC TO RNTCP

HIV Positive HIV Negative

a) No. of persons suspected to have TB referred to RNTCP 0 19
diagnostic services

b) Of the referred TB suspects, No. diagnosed as having:

(i) Sputum-positive TB 0 0
(ii) Sputum-negative TB 0 0

(iii) Extra-Pulmonary TB 0 0
c) Out of above (b), diagnosed TB patients, number

III. REFERRAL OF DIAGNOSED TB PATIENTS FROM RNTCP TO ICTC

a) No. of RNTCP registered TB patients tested for HIV 57
b) Out of above (a), No. detected to be HIV Positive 0

IV. PROVIDER INITIATED TESTING AND COUNSELLING

c) No. of TB suspects tested for HIV 0
d) Out of above (c), No. detected to be HIV Positive 0

No.already tested for HIV within 6 months 0

No.already tested for TB within I month 0

Signature of Medical Officer – In charge ICTC

 Name of the District :Thiruvarur
Reporting Month SEPETEMBER 2023
To be completed by ICTC counsellor Tobe completed by sts
1 2 3 4 5 6 8 9 10 12 13 14 15 16 17 18 19

Has person reached RNTCP Unit (

Sputum result- (Sputum Positive /

Is patient receiving DOTS or Non-

Date and Investigation Report for

Is patient diagnosed aas TB Yes

positive TB, sputum negative TB

Name of RNTCP unit referred to

sputum examinations are done)

sputum examination (Yes / No)
Complete Name and Complete

Has patient undergone three

Date of sputum examintion

If diagnosed as TB, specify

Spututm negative)(I) three

whether patient is sputum

Date of starting treatment

New or follow up patient

or Extra-pulmonary TB

Treatment category
Extrapulmonary TB
Name of the ICTC

Date of referral
DistrictS.NO

Address

Yes/ No)
PID No

TB No.
DOTS
or No
Sl.No

Age
Sex
SOMASUNDRAM S/O
Thiruthuraip GCSAICTCTNTVR0 SAMINATHAN SIVAN TTP
1 62 M New 4 Oct 2023 Yes Yes 4/10/2023 Negative NO NO NO NO NO NO NO
oondi GH 1101601 KOIL ST THOLOCHERY GH
1 TTP T K

Thiruthuraip GCASICTCTNTVR0 MUTHULAKSHMI W/O TTP

oondi GH
2
1101609 SANTHANKRISHANAN
45 F New 5 Oct 2023
GH
Yes Yes 5/10/2023 Negative NO No No No No No No
SABATHIPURAM SOUTH
2 STREET KOTTOUR TTP T K

Thiruthuraip GCSAICTCTNTVR0 RAVICHANDRAN S/O TTP

3 59 M NEW 7 Oct 2023 Yes Yes 7/10/2023 Negative NO NO NO NO NO NO NO
oondi GH 11001630 ALAGIRISAMY GH
THALAIKADDU
3 KEELATHRERU TTP T K

Thiruthuraip GCSAICTCTNTVR0 DURUGA DEVI D/O TTP

oondi GH
4
1101653 KANANAN EAST STREET
19 F New 9/10/223
GH
Yes Yes 9 Oct 2023 Negative NO NO NO NO NO NO NO
DESINGURAJAPURAM TTP
4 TK

KALAISELVI W/O
Thiruthuraip GCSAICTCTNTVR0 RANJATHKUMAR TTP
5 32 F New 10 Oct 2023 Yes Yes 10 Oct 2023 Negative no NO NO NO NO NO NO
oondi GH 1101654 ULAVACHIKADDU GH
5 KORUKKAI TTP T K

Thiruthuraip GCSAICTCTNTVR0 MURIYAGAIN S/O TTP

oondi GH
6
1101664 MARREY MARIYAMMAN
60 F New 11 Oct 2023
GH
Yes Yes 11/10/2023 Negative NO NO NO NO NO NO 23
KOIL STREET KORUKAI
6 TTP T K

SITHIRAISELVI W/O
Thiruthuraip GCSAICTCTNTVR AKASH SOUTH STREET TTP
7 24 F new 11 Oct 2023 Yes Yes 11/10/2023 Negative NO NO NO NO NO NO M
oondi GH 01101667 SENTHAMARAIKANNU GH
7 MANNAI T K

Thiruthuraip GCAICTCTNTVR01 MOHANASUNDARI W/O TTP

oondi GH
8
101676 KUNJU MAIN ROAD 52 M New 9/92023
GH
Yes Yes 9/9/2023 Negative NO NO NO NO NO NO NO
8 KALLIKUDI TTP T K

Thiruthuraip GCSAICTCTNTVR0 GUNASUNDRAM S/O TTP

oondi GH
9
1101678 THIYAGARAJAN
49 M new 12 Oct 2023
GH
Yes Yes 12/10/2023 Negative no No No No NO NO NO
THANDLAICERY SOUTH
9 STREET TTP T K
 Thiruthuraip GCSAICTCTNTVR0 JOTHY S/O TTP
oondi GH
10
1101681 KARUNANEETHY MELA
50 M new 12 Oct 2023
GH
Yes Yes 12/10/2023 Negative no NO NO NO NO NO NO
PRANTHIYANKARAI
10 VADHAI T K
MATHAVAN S/O
thiruthuraipo GCSAICTCTNTVR0 GOVINTHARAJ SIVAN TTP
ondi GH
11
1101694 KOIL STREET VELLORE
42 M new 14 Oct 2023
GH
yes yes 14/10/2023 negative NO NO NO NO NO NO NO
11 TTP T K

Thiruthuraip GCSAICTCTNTVR0 KATHAN S/O ARUMUGAM TTP

oondi GH
12
1101683 ROKKA KUTHAKAI TTP T
32 M Nenew 12 Oct 2023
GH
YES YES 12/10/20232 negative NO NO NO NO NO NO NO
12 K
SHARMILLA W/O
THANIKODI M K
Thiruthur GCSAICTCTNT NAGAR MANALI TTP NE negativ
13 aipoondi ### VR 01101685 TK ### M W 10/12/2023 TTP YES YES ### e NO NO NO NO NO NO NO
KARUNANEETHY
THIRUTH S/O
URAIPO GCSAICTCTNT KASINATHANKALUV negativ
14 ONDI T K ### VR01101697 ANKADDU M P T T K ### M new 10/14/2023 TTP yes yes 9/13/2023 e NO NO NO NO NO NO NO

Thiruthuraip GCSAICTCTNTVR0 VEERIYAN S/O TTP

15 60 M NEW 14 Oct 2023 Yes Yes 14/10/2023 Negative NO NO NO NO NO NO NO
oondi GH 1101698 NAGAMUTHU GH
15 NACHIKULLAM M P T T K

Thiruthuraip GCSAICTCTNTVR0 SUKUMAR S/O VADIVEL TTP

oondi GH
16
1101712 ROAD STREET PONNIRAI T 55 M New 18 Oct 2023
GH
Yes Yes 18 Oct 2023 Negative NO NO NO NO NO NO NO
16 K

Thiruthuraip GCSAICTCTNTVR0 TAMIL SELVAN S/O TTP

17 35 M New 19 Oct 2023 Yes Yes 19 Oct 2023 Negative no NO NO NO NO NO NO
oondi GH 1101725 NAGOORAN BHARATHIAR GH
17 STREET PAMANI TTP T K

Thiruthuraip GCSAICTCTNTVR0 RAJANDRAN S/O TTP

oondi GH
18
11001727
45 M New 19 Oct 2023
GH
Yes Yes 9/10/2013 Negative NO NO NO NO NO NO 23
AIYYADURAI
18 METTUPALIYAM TTP T K

Thiruthuraip GCSAICTCTNTVR BALATHNDAUTHAM S/O TTP

19 24 F new 11 Oct 2023 Yes Yes 11/10/2023 Negative NO NO NO NO NO NO M
oondi GH 01101743 GURUSAMY NORTH GH
19 MARTHUVANAM TTP T K
Signature of STS:

Signature of
Counselor Signature of MO ICTC:
Signature of DTO/CT:
Date of Completion: Date of Completion: