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SOP – Malaria Microscopy - NVBDCP

SOP – Malaria Microscopy - NVBDCP

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Quality Assurance of <strong>Malaria</strong> Diagnostic testsReporting form for microscopyForm 04 (M F 7): DETAILS OF POSITIVES AND REMEDIAL MEASURESSubcentre: __________________________________ District/PHC: _________________________Population: ________________________________ Code No.: _________________________Sl.No.P.C.No.SourceGroupNo.VillageNameof HeadoffamilyNameofPatientAgeGenderCodeB.S.No.Date ofCollectionDate ofexaminationSpeciesDate ofreceiptofresultsbyMPWRadicalTreatmentFrom ToIf dieddate ofdeath andspecies1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17B.S. Collected FOCAL SPRAY TIMELAG BETWEEN Follow-up smearContact Mass Date Targeted Sprayed % of coverage Rooms Collection Collection and focal number and dateNo Result No. ResultRooms Rooms& RTspray18 19 20 21 22 23 24 25 26 27 28Sign:___________________Name :________________________Designation: _________________________<strong>SOP</strong> – <strong>Malaria</strong> <strong>Microscopy</strong> © Copyright to Dte. <strong>NVBDCP</strong> Only. Any modification are prohibited

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