11.07.2015 Views

SOP – Malaria Microscopy - NVBDCP

SOP – Malaria Microscopy - NVBDCP

SOP – Malaria Microscopy - NVBDCP

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Quality Assurance of <strong>Malaria</strong> Diagnostic testsReporting form for microscopyForm 06 (MF 9) : EPIDEMIOLOGICAL EVALUATION MASTER REGISTER(SUBCENTRE-WISE, VILLAGE-WISE and MONTH-WISE)Name of State : _______________________________ Name of Distt. : ________________________________Name of PHC : _______________________________ Name of Sub-Centre : _____________________________ Code No : ____SlNoNameofvillagePopulationTarget B.S.FortnightB.S.ActiveMaleACTIVEFemaleAGENCY-WISE, SEX-WISE POSIVITE AGE-WISE POSITIVE Pf.rinPASgsSIV MASS & CONTACT TOTAL Pf. & MIXED Pv. & OTHERSonlEyMaleFemaleMaleFemaleMale Female Under1-Yr.1-4 5-141 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 251 A 12 B 1Total for themonth (Blue ink)(Monthly Report)2215+Under1-Yr.1-45-1415+TotalPositiveAPITotal in the nextmonth (Red ink)(supplementaryreport)*Separate page for each month from columns 5-23 though the list of villages remains common on first page.Sign: ___________________Name :________________________Designation: ________________________<strong>SOP</strong> – <strong>Malaria</strong> <strong>Microscopy</strong> © Copyright to Dte. <strong>NVBDCP</strong> Only. Any modification are prohibited

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!