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Vaccine Transportation Payment Voucher ( Mission Indradhanu )

Name of the Sub-centre : Godihanjar Month- October-2018


Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisationpoint Point from ILR ( Km. )
1 10.09.18 Lamtaput Godihanjar 17.km Sri Kamalu Pangi
2 11.09.18 Lamtaput Bandhapda 19.km Sri Kamalu Pangi
3 15.09.18 Lamtaput Banguripada 21.km Sri Kamalu Pangi
4 17.09.18 Lamtaput Raipda 20.km Sri Kamalu Pangi
5 18.09.18 Lamtaput Angalaput 18.km Sri Kamalu Pangi
6 20.08.18 Lamtaput Laluput 18.km Sri Kamalu Pangi
7 21.08.18 Lamtaput Godihanjar 17.km Sri Kamalu Pangi

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser


Vaccine Transportation Payment Voucher ( Mission Indradhanu )
Name of the Sub-centre : Mattamput Month- October-2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisationpoint Point from ILR ( Km. )
1 10.09.18 Lamtaput Mattamput 12.km Sri Kamalu Pangi
2 11.09.18 Lamtaput Mattamput 12.km Sri Kamalu Pangi
3 15.09.18 Lamtaput Mattamput 12.km Sri Kamalu Pangi
4 17.09.18 Lamtaput Mattamput 12.km Sri Kamalu Pangi
5 18.09.18 Lamtaput Barlipada 17.km Sri Kamalu Pangi
6 20.08.18 Lamtaput Bangtelbir 14.km Sri Kamalu Pangi
7 21.08.18 Lamtaput Mattamput 12.km Sri Kamalu Pangi

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser


Vaccine Transportation Payment Voucher ( Mission Indradhanu )
Name of the Sub-centre : Ballel Month- October-2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisationpoint Point from ILR ( Km. )
1 10.09.18 Lamtaput Thama 15.km Sri Kamalu Pangi
2 11.09.18 Lamtaput Ballel 16.km Sri Kamalu Pangi
3 15.09.18 Lamtaput Dahadaput 22.km Sri Kamalu Pangi
4 17.09.18 Lamtaput Doraput 17.km Sri Kamalu Pangi
5 18.09.18 Lamtaput Ballel 16.km Sri Kamalu Pangi
6 20.08.18 Lamtaput Chilliba 15.km Sri Kamalu Pangi
7 21.08.18 Lamtaput T.mahada 19.km Sri Kamalu Pangi

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser


Vaccine Transportation Payment Voucher ( Mission Indradhanu )
Name of the Sub-centre : Guneipada Month- october-2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisationpoint Point from ILR ( Km. )
1 10.09.18 Lamtaput Pantgiput 14.km Sri Kamalu Pangi
2 11.09.18 Lamtaput Litiput 14.km Sri Kamalu Pangi
3 15.09.18 Lamtaput Guneipada 11.km Sri Kamalu Pangi
4 17.09.18 Lamtaput Poibeda 13.km Sri Kamalu Pangi
5 18.09.18 Lamtaput Bahiripada 14.km Sri Kamalu Pangi
6 20.08.18 Lamtaput Kantipada 14.km Sri Kamalu Pangi
7 21.08.18 Lamtaput Muchemput 15.km Sri Kamalu Pangi

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser


Vaccine Transportation payment Voucher
Name of the Sub-Centre :- Godihanjar Month :-December- 2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisation point Point from ILR (Km )
1 05.12.18 Lamtaput Bandhapada 19.km Sri Kamalu Pangi
2 12.12.18 Lamtaput Godihanjar 17.km Sri Kamalu Pangi
3 19.12.18 Lamtaput Badakichab 20.km Sri Kamalu Pangi
4 26.12.18 Lamtaput Enugu 25.km Sri Kamalu Pangi

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser

Vaccine Transportation payment Voucher


Name of the Sub-Centre :- Mattamput Month :- December- 2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisation point Point from ILR (Km )
1 05.12.18 Lamtaput Mattamput 12.km Sri Kamalu Pangi
2 12.12.18 Lamtaput Upapada 15.km Sri Kamalu Pangi
3 19.12.18 Lamtaput Mantriput 20.km Sri Kamalu Pangi
4 26.12.18 Lamtaput Kujamba 18.km Sri Kamalu Pangi

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser


Vaccine Transportation payment Voucher
Name of the Sub-Centre :- Guneipada Month :- December- 2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisation point Point from ILR (Km )
1 05.12.18 Lamtaput Poibeda 13.km Sri Kamalu Pangi
2 12.12.18 Lamtaput Soilpada 15.km Sri Kamalu Pangi
3 19.12.18 Lamtaput Guneipada 11.km Sri Kamalu Pangi
4 26.12.18 Lamtaput Bausuguda 13.km Sri Kamalu Pangi
5

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser

Vaccine Transportation payment Voucher


Name of the Sub-Centre :- Ballel Month :- December - 2018
Sl No. Date Name of the ILR Name of the Distance of Immunisation Ammount Name of the Vaccine Transporter
Immunisation point Point from ILR (Km )
1 05.12.18 Lamtaput Ballel 16.km Sri Kamalu Pangi
2 12.12.18 Lamtaput T.mahada 19.km Sri Kamalu Pangi
3 19.12.18 Lamtaput Chilliba 16.km Sri Kamalu Pangi
4 26.12.18 Lamtaput Lugum 10.km Sri Kamalu Pangi
5

Signature of Vaccinator Seal & Signature of H.W (F ) Signature of Superviser

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