ACTION PLAN OF VITAMINE - A CAMPAIGN KRISHNA DISTRICT FROM 18.03.13 TO 23.03.

13 Name of the CHNC : Name of the PHC / Institution :

Sl. No.

Date

Name of the Sub Center

Name of the Village / Ward

Location of Vit 'A' administration

Population

No. of Children to be covered 9-12 months 1-5 years

Name of MPHA(F), A.W.W, ASHA

P.Dhana Kumari,M.PH.A (f) 18.03.2 013 Suseela,A.W.W Chandarlapadu - 1 Chandarlapadu - 1 A.W.C(Sc Area) 1002 10 110 B.Bharathi,(Asha)

K.Vimalamma,M.P.H.A (F) 19.03.2 013 M.Anjamma,A.W.W Chandarlapadu - 1 Chandarlapadu - 1 A.W.C(BC Area) 8 109 K.Mariyamma,(Asha) P.Dhana Kumari,M.PH.A (f) 3 20.03.2 013 Chandarlapadu - 1 Chandarlapadu - 1 A.W.C(Sc Area) 10 117 B.Usha,A.W.W K.Nayomi (Asha) P.Dhana Kumari,M.PH.A (f) Ch.Durga,A.W.W

23.03.2 013

102 Chandarlapadu - 1 Chandarlapadu - 1 A.W.C (SC Area) 7

K.Nayomi(Asha) G.Sunanda,M.P.H.A(F)
Padma Kumari(A.W.W)

18.03.2 013

Chandarlapadu - II

Chandarlapadu - II

A.W.C

100

N OF VITAMINE - A CAMPAIGN RISHNA DISTRICT M 18.03.13 TO 23.03.13

Remarks

VITAMINE - A CAMPAIGN (18 TO 23 KRISHNA DISTRICT Sub-Center Report

Name of the Sub - Center Name of the MPHA(F):

TH

RD

March 2013)

Form - 1
Date: Name of the PHC/PPUnit: Vitamin - A beneficiaries Sl. No Anganwadi Center/ Name of the Village Date of Campaign 9-12 Months Male Female Total Male 1 to 5 Years Female Total Total Children Male Female Total

Note: MPHA(F) should send this report to Medical Officer and keep 1 copy as OC

Signature of the MPHA(F)

VITAMINE - A CAMPAIGN (18 TO 23 KRISHNA DISTRICT PHC Report

Name of the PHC Name of the Medical Officer:

TH

RD

March 2013)

Form -2
Date:

Vitamin - A beneficiaries Sl. No Name of the Sub - Center Date of Campaign 9-12 Months Male Female Total Male 1 to 5 Years Female Total Total Children Male Female Total

Note: Medical Officer should send this report to DM&HO and keep 1 Copy as OC ** Daily report should be given to this office by phone (Cell. No. 9291234034 & 9247188033) at 3pm daily

Signature of the Medical Officer