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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 05 (MF 8) : REGISTER OF BLOOD SMEARS RECEIVED AND EXAMINED(SUBCENTRE-WISE)Name of Subcentre : _________________________________ Name of PHC : _______________________________Population : ________________________________ Year : ____________ Code No. : ____________________________Date ofreceiptName ofMPW orotheragencyincludingFTD etc.Fevertreatedw/oB.S.M.S.T.doneSl.No.Active (A) Passive (P) FTD Mass & Contact (M&C)TotalB.S.Sl.No.TotalB.S.Sl.No.Period ofcollectionDate ofexamination*Number of B.S.POSITIVE SPECIESExamined-PositiveA P M&C Pv. Pf. Pm. MixedFrom To From To From To R RG1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24TotalB.S.Sl.No. ofpositivecasesDate ofdespatchof reportTotalfor theweek*In col. No. 15, 16, 17 - the no. of B.S. examined from Active (A), Passive (P) and Mass & Contact (M&C) are posted. Below these the positives among them are posted in a circle.Sign: ___________________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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