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SOP – Malaria Microscopy - NVBDCP

SOP – Malaria Microscopy - NVBDCP

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Reporting form for microscopyQuality Assurance of <strong>Malaria</strong> Diagnostic testsForm 02 (MF 4) MONTHLY REPORT OF MALARIA PROGRAMME OF PRIMARY HEALTH CENTREName of the State : Name of the Distt. :Total Population :Sl. NoName of PHC/SubcentreTotal populationCollectedActiveMass andcontactBlood Slides Blood Slides Blood Slides Blood SlidesExaminedPositiveCollectedExaminedPositiveCollectedPassive Total Agewise Positives RT DoneExaminedPositiveCollectedExaminedPositiveUnder1 year 1-4 5-15 15 +Under1 year 1-4 5-15 15 +PfMicroscopicallyConfirmedDeath dueto mal.OnlyClinicallyDiagnosed1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Signature :Name : MO I/C:.<strong>SOP</strong> – <strong>Malaria</strong> <strong>Microscopy</strong> © Copyright to Dte. <strong>NVBDCP</strong> Only. Any modification are prohibited

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