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Community Health Volunteer's Training Manual - Population Council

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Figure Fig 2.2.2: 2.2.2 Record Record of of births births and and deaths deaths in in the the community<br />

<strong>Community</strong> Based Surveillance<br />

CBS TALLY SHEET FOR VITAL HEALTH EVENTS & DISEASES<br />

<strong>Community</strong>: .......................... Sub-district: .......................... Month: February Year: 20 .......<br />

BIRTHS:<br />

Male<br />

No______<br />

Female<br />

No______<br />

DEATHS:<br />

Infant<br />

(0–12 Months)<br />

No______<br />

PREGNANCY<br />

RELATED:<br />

No______<br />

OTHER<br />

DEATHS:<br />

No______<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

00000 00000<br />

105

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