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BRAC - HCMP (Health)

Cox,s Bazar
PO Check List
Date :

Sl. No. Indicator Yes No Why ?


1 All staff signature in Attendence register
2 Patients waiting room
3 Clean Labour room
4 Emergency Tray Ready
5 Clean Labour bed
6 Clean MO room
7 Clean Pharmacy and functioning
8 Clean ANC room
9 All Fan functioning
10 All Light functioning
11 Drinking Water Supply functioning
12 Clean all Toilet and functioning
13 Hand washing functioning
14 EPI centre functioning
15 All CHO functioning
16 ORT Corner functioning
17 Family Planning activities functioning
18 TB, Malaria & HIV activities functioning
19 Nutrition activities functioning
20 Household visit by SK functioning
21 Afron or Vest use all staff
22
23
24
25
26
27

Signature(PO):
Name:

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