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MONITORING AND EVALUATION PLAN - TBC India

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Name of SR:<br />

Name of State:<br />

Name of District:<br />

No. of Patient Charter brochures printed:<br />

Month Year Stock on first day of<br />

month<br />

January 2011<br />

February 2011<br />

March 2011<br />

April 2011<br />

May 2011<br />

June 2011<br />

July 2011<br />

August 2011<br />

September 2011<br />

October 2011<br />

November 2011<br />

December 2011<br />

January 2012<br />

February 2012<br />

March 2012<br />

Tool 13: Stock Register<br />

Distribution<br />

during month<br />

Stock on last day of<br />

month<br />

SR SSR Total<br />

© World Vision <strong>India</strong>, Axshya <strong>India</strong> Project<br />

Monitoring and Evaluation Plan, October 2010 Page No 94<br />

Year to date<br />

consumption<br />

Signature

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