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MICRO PLAN FORMAT

NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram (RBSK)


ACTION PLAN OF YEAR - 2019-20.

STATE ASSAM DISTRICT KAMRUP Name of Block PHC CHHAYGAON

Education Department Social Welfare Department


Name of B.E.E.O.: NITYA MAHANTA Name of CDPO.: SAYED AHIDUL RAHMAN
Mob. No. / E-mail Id 86380-84573 Mob. No. / E-mail Id 98540-80014
Details of Dedicated team Staff
RBSK Team -01 Unique Id RBSK Team -02 Unique Id
Name of Employee Designation Contact No. E-mail Id Name of Employee Designation Contact No. E-mail Id
DR. MANOJ KUMAR KALITA MO 91012-52305 dr.manojkalita@gmail.com SUKUMAR DAS MO 88129-05535
DR. SUHMITA DEKA Dental Surgeon 76369-68420 DR. NILIMA SARKAR MO 90859-62481
SANJOY DAS Pharmacist 86382-26756 HIREN THAKURIA Pharmacist 70028-66247 hirenmagzine@gmail.com
NIPALI DAS ANM 94013-55269 FILOMINA MUSAHARI ANM 78968-32744
Office Mob. No. / E-mail Id

NOTE: Before filling up the format please read the following instructions carefully.
1. Plan for a daily average screening of 110/120 children per team at school or AWC or both at AWC and School. Thus more than one day visit to the Institution may be required if the enrolment to the AWC /
School is beyond 110/120.
2. Advance plan to be developed for Six months.
3. Block should be divided into two parts.
4. First part will be visited by one team and Second part will be visited by another team.
5. Microplan should be done in a manner that both the team will start screening in the morning session at AWC and then at School everyday.
6. Date of screening to be informed to parents through AWC / School/ ASHAs.
7. Don’t plan for clinic or screening on Sunday/ holiday.
8. On School holidays Anganawdi visit plan is to be made.
9. Microplanning should be done in a manner that Routine Immunization ( Wednesday of week) days in a particular village are not affected.
10. Saturday will be working day.
11. Carry Forward AWC or School should be visited in the next month.
12. DO NOT USE COPY AND PASTE FEATURES FOR FILLING UP THE FORMAT

(Academic calendar of Education department is to be followed in preparation of the Micro plan)


MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram (RBSK)
ACTION PLAN OF YEAR - 2019-20

Plan of the Month Apr-19


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Nirola Choudhury 9435540148


1 Team 1 TOKRADIA -1 AWC Anganwadi 27 29 23 52 90855-13690 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 1/Apr/19 CAR
Nirola Choudhury 9435540148
2 Team 1 CHANDIKA CHAMPAK NAGAR GIRLS School 18060305204 UP 37 27 64 88128-98746 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 1/Apr/19 CAR
Nirola Choudhury 9435540148
3 Team 1 TOKRADIA-2 AWC Anganwadi 259 14 11 25 78963-30879 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 2/Apr/19 CAR
Nirola Choudhury 9435540148
4 Team 1 GHATANAGAR MES School 305401 UP 22 21 43 98590-29317 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 2/Apr/19 CAR
Nirola Choudhury 9435540148
5 Team 1 PACHIMDHULI AWC Anganwadi 291 24 18 42 78963-51375 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 3/Apr/19 CAR
Nirola Choudhury 9435540148
6 Team 1 CHANDIKA BALIKA LPS School 18060305205 LP 24 26 50 93651-19856 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 3/Apr/19 CAR
Swarna Kalita 9854637587
7 Team 1 Anganwadi 138 Madina Begam 9854508468 Ajifa Khanom 9864574701 4/Apr/19 CAR
UTTAR BARBHITHA AWC 56 71 67 81358-57325 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
8 Team 1 School LP 127 Madina Begam 9854508468 Ajifa Khanom 9864574701 4/Apr/19 CAR
MADHYA GHORAMARAGAON LP EGS 18060304303 68 59 96133-82127 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
9 Team 1 Anganwadi 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 5/Apr/19 CAR
UTTAR BARBHITHA AWC 56 81358-57325 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
10 Team 1 School LP 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 5/Apr/19 CAR
MADHYA GHORAMARAGAON LP EGS 18060304303 96133-82127 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
11 Team 1 Anganwadi 109 Madina Begam 9854508468 Ajifa Khanom 9864574701 6/Apr/19 CAR
BARBHITHA MERGANDHA AWC 57 55 54 96783-33892 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
12 Team 1 School LP 88 Madina Begam 9854508468 Ajifa Khanom 9864574701 6/Apr/19 CAR
ALIKASH BARBHITTA LP EGS 18060310603 39 49 82548-22892 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
13 Team 1 Anganwadi 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 8/Apr/19 CAR
BARBHITHA MERGANDHA AWC 57 96783-33892 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
14 Team 1 School LP 80 Madina Begam 9854508468 Ajifa Khanom 9864574701 8/Apr/19 CAR
CHOUTARA MADHYAPARA LPS 18060310103 42 38 97062-71618 TUKRAPARA SC Guljan Begam 9859484044
Nirola Choudhury 9435540148
15 Team 1 PITPARA AWC Anganwadi 12 16 14 30 98644-10508 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 9/Apr/19 CAR
Nirola Choudhury 9435540148
16 Team 1 MATHPARA SANKAR LPS School 306003 LP 13 13 26 94353-04154 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 9/Apr/19 CAR
Nirola Choudhury 9435540148
17 Team 1 HOHOWAPARA AWC Anganwadi 45 16 13 29 69009-65092 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 10/Apr/19 CAR
Nirola Choudhury 9435540148
18 Team 1 MILANPUR LPS School 305404 LP 20 29 49 98592-75142 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 10/Apr/19 CAR
Nirola Choudhury 9435540148
19 Team 1 SATGHORIA GANAKPARA AWC Anganwadi 18291080704 9 25 34 95311-93552 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 11/Apr/19 CAR
Nirola Choudhury 9435540148
20 Team 1 KRISHNAPUR TOKRADIA LPS School 305402 LP 38 23 61 97061-53059 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 11/Apr/19 CAR
Swarna Kalita 9854637587
21 Team 1 Anganwadi 149 Madina Begam 9854508468 Ajifa Khanom 9864574701 12/Apr/19 CAR
1NO. HATIPARA AWC 302917 68 81 80112-33921 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
22 Team 1 School LP 38 Madina Begam 9854508468 Ajifa Khanom 9864574701 12/Apr/19 CAR
UTTAR GHORAMARA LPS 18060304308 17 21 91018-65433 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
23 Team 1 Anganwadi 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 13/Apr/19 CAR
1NO. HATIPARA AWC 302917 80112-33921 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
24 Team 1 School LP 51 Madina Begam 9854508468 Ajifa Khanom 9864574701 13/Apr/19 CAR
UTTAR BHITORDUAR CHOUTARA LP 18060314607 26 25 73994-68498 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
25 Team 1 Anganwadi 111 Madina Begam 9854508468 Ajifa Khanom 9864574701 17/Apr/19 CAR
2NO. DAKHIN HATIPARA ,AWC 59 57 54 84728-78187 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
26 Team 1 School LP 110 Madina Begam 9854508468 Ajifa Khanom 9864574701 17/Apr/19 CAR
BK SEKH GORIBULLAH LPS 18060314915 56 54 98547-87155 TUKRAPARA SC Guljan Begam 9859484044
Nirola Choudhury 9435540148
27 Team 1 BHATIPARA AWC Anganwadi 29 12 23 35 98590-23929 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 18/Apr/19 CAR
Nirola Choudhury 9435540148
28 Team 1 355 NO TOKRADIA LPS School 18060305403 LP 13 15 28 83999-41041 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 18/Apr/19 CAR
Nirola Choudhury 9435540148
29 Team 1 DUBJENI MAJPARA AWC Anganwadi 28 16 13 29 98599-47243 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 20/Apr/19 CAR
Nirola Choudhury 9435540148
30 Team 1 BHATIPARA LPS School 304601 LP 34 22 56 84038-35672 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 20/Apr/19 CAR
Nirola Choudhury 9435540148
31 Team 1 HARKHOWAPARA AWC Anganwadi 14 12 12 24 97061-51258 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 22/Apr/19 CAR
Nirola Choudhury 9435540148
32 Team 1 BARPITH ADARSA LPS School 305405 LP 8 9 17 81360-07221 TOKRADIA SC Sabita Das 9864431308
Nirmala Kalita 8752877429 22/Apr/19 CAR
Swarna Kalita 9854637587
33 Team 1 Anganwadi 77 Madina Begam 9854508468 Ajifa Khanom 9864574701 23/Apr/19 CAR
GHORAMARA GAON AWC 90 38 39 98592-60337 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
34 Team 1 School HIGH 244 Madina Begam 9854508468 Ajifa Khanom 9864574701 23/Apr/19 CAR
GHORAMARA HIGH SCHOOL 18060304307 111 133 98540-46469 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
35 Team 1 Anganwadi 134 Madina Begam 9854508468 Ajifa Khanom 9864574701 24/Apr/19 CAR
TUKRAPARA RESERVE AWC 140 62 72 99574-35793 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
36 Team 1 School HIGH 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 24/Apr/19 CAR
GHORAMARA HIGH SCHOOL 18060304307 98540-46469 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
37 Team 1 Anganwadi 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 25/Apr/19 CAR
TUKRAPARA RESERVE AWC 140 99574-35793 TUKRAPARA SC Guljan Begam 9859484044

Signature of MO (MHT) Pages 2 of 26 Signature of SDM HO with seal


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Swarna Kalita 9854637587


38 Team 1 School HIGH 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 25/Apr/19 CAR
GHORAMARA HIGH SCHOOL 18060304307 98540-46469 TUKRAPARA SC Guljan Begam 9859484044
39 Team 1 LANKHAR AWC Anganwadi 168 32 34 66 36232-96592 VERVERY SC Suchila Das 9401450059 Namita Rabha 9864840774 26/Apr/19 CAR
40 Team 1 LANGKHAR LPS School 18060308001 16 7 23 73997-43502 VERVERY SC Suchila Das 9401450059 Namita Rabha 9864840774 26/Apr/19 CAR
41 Team 1 KUSHALPARA AWC Anganwadi 167 31 23 54 95776-52712 VERVERY SC Suchila Das 9401450059 Namita Rabha 9864840774 27/Apr/19 CAR
42 Team 1 BOGBAHA LPS School 18060306401 25 21 46 99574-68826 VERVERY SC Suchila Das 9401450059 Namita Rabha 9864840774 27/Apr/19 CAR
Swarna Kalita 9854637587
43 Team 1 Anganwadi 90 Madina Begam 9854508468 Ajifa Khanom 9864574701 29/Apr/19 CAR
GOROIMARI GAON AWC 134 51 39 95776-14336 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
44 Team 1 School 208 Madina Begam 9854508468 Ajifa Khanom 9864574701 29/Apr/19 CAR
GHORAMARA ME MAD. 18060304301 98 110 98598-79076 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
45 Team 1 Anganwadi 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 30/Apr/19 CAR
GOROIMARI GAON AWC 134 95776-14336 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
46 Team 1 School 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 30/Apr/19 CAR
GHORAMARA ME MAD. 18060304301 98598-79076 TUKRAPARA SC Guljan Begam 9859484044
47 Team 2 KAIBARTAPARA AWC Anganwadi 18291080814 30 29 59
86383-83451 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 1/Apr/19 CAR
48 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 478 412 890 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 1/Apr/19 CAR
49 Team 2 SAPORTARI AWC Anganwadi 18291080816 18 12 30 70352-02528 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 2/Apr/19 CAR
50 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 2/Apr/19 CAR
51 Team 2 KALITAPARA AWC Anganwadi 18291080815 7 8 15 96134-60196 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 3/Apr/19 CAR
52 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 3/Apr/19 CAR
53 Team 2 KANDHAPARA AWC Anganwadi 254 15 20 35 78969-88708 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 4/Apr/19 CAR
54 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 4/Apr/19 CAR
55 Team 2 AGGUMI PARITOLA AWC Anganwadi 18291080820 24 26 50 84861-30745 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 5/Apr/19 CAR
56 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 5/Apr/19 CAR
57 Team 2 NATUN JARABARI-II AWC Anganwadi 2 13 14 27 87230-07912 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 6/Apr/19 CAR
58 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 6/Apr/19 CAR
59 Team 2 BIHIDIA MAJPARA-III (KA) AWC Anganwadi 18291080819 11 15 26 97063-54890 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 8/Apr/19 CAR
60 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 8/Apr/19 CAR
61 Team 2 SIMOLUBARI AWC Anganwadi 18291080810 16 18 34 80111-10420 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 9/Apr/19 CAR
62 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 9/Apr/19 CAR
63 Team 2 UTTAR SIMOLUBARI AWC Anganwadi 188 12 15 27 98541-54876 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 10/Apr/19 CAR
64 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 10/Apr/19 CAR
65 Team 2 BIHIDIA BAISHYAPARA AWC Anganwadi 18291080811 13 14 27 91013-90404 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 11/Apr/19 CAR
66 Team 2 GUMI HIGH SCHOOL School 18060308607 HS 0 96788-33439 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 11/Apr/19 CAR
Anima Kalita
67 Team 2 KHARIDOL EGS AWC Anganwadi 64 66 65 131 91018-37883 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 12/Apr/19 CAR
Anima Kalita
68 Team 2 BIHAPARA LPS School 18060309502 LP 41 87 128 80113-72768 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 12/Apr/19 CAR
Anima Kalita
69 Team 2 KHARIDOL EGS AWC Anganwadi 64 0 91018-37883 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 13/Apr/19 CAR
Anima Kalita
70 Team 2 BIHAPARA LPS School 18060309502 LP 0 80113-72768 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 13/Apr/19 CAR
Anima Kalita
71 Team 2 PUB JAHIRPUR AWC Anganwadi 65 30 34 64 75768-54688 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 17/Apr/19 CAR
Anima Kalita
72 Team 2 FAKIRPARA NATUN LPS School 18060309602 LP 28 32 60 99578-25897 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 17/Apr/19 CAR
Anima Kalita
73 Team 2 BHAKUAMARI MOKTAB JAHIRP Anganwadi 22 37 37 74 96139-04509 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 18/Apr/19 CAR
Anima Kalita
74 Team 2 NATUN SIMNAPARA LPS School 18060309604 LP 41 59 100 87520-09247 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 18/Apr/19 CAR
75 Team 2 BIHIDIA NO-1 AWC Anganwadi 8 20 17 37 76370-80756 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 20/Apr/19 CAR
76 Team 2 GUMI PRE SR. ME MAD. School 18060308606 UP 43 47 90 88764-30514 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 20/Apr/19 CAR
77 Team 2 MAKELI AWC Anganwadi 5 17 12 29 78960-06103 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 22/Apr/19 CAR
78 Team 2 BANIAPARA MV School 18060302601 UP 48 43 91 99549-75849 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 22/Apr/19 CAR
79 Team 2 MAKELI KACHARIPARA AWC Anganwadi 6 21 15 36 91012-09126 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 23/Apr/19 CAR
80 Team 2 SAPORTARI SATGORIA LP School 18060313601 LP 11 9 20 94010-85103 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 23/Apr/19 CAR
Anima Kalita
81 Team 2 RANGADAKUA AWC Anganwadi 67 31 28 59 88762-38764 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 24/Apr/19 CAR
Anima Kalita
82 Team 2 SINGMARI HABI LPS School 18060315802 LP 37 52 89 93651-70551 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 24/Apr/19 CAR
Anima Kalita
83 Team 2 CHARKHOLA AWC Anganwadi 2 91 83 174 83990-03425 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 25/Apr/19 CAR
Anima Kalita
84 Team 2 SINGMARI BAGHANIA LPS School 18060315804 LP 32 34 66 99578-08899 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 25/Apr/19 CAR
Anima Kalita
85 Team 2 CHARKHOLA AWC Anganwadi 2 0 83990-03425 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 26/Apr/19 CAR
Anima Kalita
86 Team 2 FAKIRPARA EGS School 18060309608 UP 80 96 176 90858-75626 PUKHURIPAR SC Gitanjali Kalita
9854630234 Malati Sarkar 8822137312 26/Apr/19 CAR
87 Team 2 NATUN SAPORTARI AWC Anganwadi 121 10 15 25 96138-48801 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 27/Apr/19 CAR
88 Team 2 1162 NO.JARABARI LPS School 18060313001 LP 23 20 43 70021-55909 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 27/Apr/19 CAR
89 Team 2 SAPORTARI SATGHORIAPARA A Anganwadi 122 16 9 25 97063-52007 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 29/Apr/19 CAR
90 Team 2 UTTAR SAPORTARI LPS School 18060313603 LP 11 16 27 97069-82293 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 29/Apr/19 CAR
91 Team 2 UTTAR SAPORTARI AWC Anganwadi 155 15 21 36 87499-30434 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 30/Apr/19 CAR
92 Team 2 1285 NO. NATUN SAPORTARI LPS School 18060313602 LP 15 13 28 86385-00565 SAPORTARI SC Anamika Malakar 9401154370 Malati Kalita 9613381889 30/Apr/19 CAR
93 0

Signature of MO (MHT) Pages 3 of 26 Signature of SDM HO with seal


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0

Signature of MO (MHT) Pages 4 of 26 Signature of SDM HO with seal


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

158 0
159 0
160 0
Total 92 2721 2744 5465
Team 1 46 Anganwadi 46
Team 2 46 School 46

Signature of MO (MHT) Pages 5 of 26 Signature of SDM HO with seal


MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram
(RBSK)
ACTION PLAN OF YEAR - 2019-20

Plan of the Month May-19


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)

1 Team 1 JAHIPUR KOCHPARA AWC Anganwadi 359 3 1 4 84869-95608 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 2/May/19 CAR
2 Team 1 JAHIRPUR SASTER BALIKA LPS School 318302 LP 3 3 6 80113-90330 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 2/May/19 CAR
3 Team 1 NATHPARA AWC Anganwadi 353 7 7 14 88768-35010 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 3/May/19 CAR
4 Team 1 49 NO. KHA SATHGARAIA LPS School 301402 LP 23 24 47 98591-26347 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 3/May/19 CAR
5 Team 1 GANAKPARA (MINI) AWC Anganwadi 354 19 12 31 95777-97409 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 4/May/19 CAR
6 Team 1 BELGURI NEPALIPARA LPS School 301401 LP 20 15 35 98644-71127 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 4/May/19 CAR
Swarna Kalita 9854637587
7 Team 1 100 Madina Begam 9854508468 Ajifa Khanom 9864574701 5/May/19 CAR
DAKHIN MADHYA TUKRAPARA Anganwadi 29 55 45 78960-13350 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
8 Team 1 School UP 72 Madina Begam 9854508468 Ajifa Khanom 9864574701 5/May/19 CAR
OMAR SARKAR MV 18060314905 29 43 82550-89738 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
9 Team 1 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 6/May/19 CAR
DAKHIN MADHYA TUKRAPARA Anganwadi 29 78960-13350 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
10 Team 1 School UP 307 Madina Begam 9854508468 Ajifa Khanom 9864574701 6/May/19 CAR
TUKRAPARA AN. GIRLS ME MAD. 18060315304 0 307 98592-64193 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
11 Team 1 46 Madina Begam 9854508468 Ajifa Khanom 9864574701 7/May/19 CAR
DAKSHIN PACHIM BHITORDUAR Anganwadi 111 29 17 97077-46648 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
12 Team 1 School UP 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 7/May/19 CAR
TUKRAPARA AN. GIRLS ME MAD. 18060315304 98592-64193 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
13 Team 1 119 Madina Begam 9854508468 Ajifa Khanom 9864574701 8/May/19 CAR
SOUTH BIHAPARA AWC Anganwadi 61 55 64 87230-62386 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
14 Team 1 School UP 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 8/May/19 CAR
TUKRAPARA AN. GIRLS ME MAD. 18060315304 98592-64193 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
15 Team 1 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 9/May/19 CAR
SOUTH BIHAPARA AWC Anganwadi 61 87230-62386 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
16 Team 1 School UP 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 9/May/19 CAR
TUKRAPARA AN. GIRLS ME MAD. 18060315304 98592-64193 TUKRAPARA SC Guljan Begam 9859484044
17 Team 1 HOLONGJULI BAKARAPARA AWC Anganwadi O6/9 32 60 98540-90927
28 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 10/May/19 CAR
18 Team 1 636NO. CHOUDHURIKHAT LPS School 311603 LP 59 63 122 98592-59892 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 10/May/19 CAR
19 Team 1 FULDUBI AWC Anganwadi O6/13 12 4 16 98598-22835 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 11/May/19 CAR
20 Team 1 2NO VERVERI LPS School 18060322201 LP 36 21 57 98542-47869 VERVERY SC Suchila Das 9401450059 Marzina Begum 9577280437 11/May/19 CAR
Swarna Kalita 9854637587
21 Team 1 80 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 13/May/19 CAR
PACHIM MERGANDHA EGS CENT Anganwadi 110 41 39 91012-86506 Guljan Begam 9859484044
Swarna Kalita 9854637587
22 Team 1 School UP 187 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 13/May/19 CAR
MAJORTOP ME MAD 18060310702 87 100 90701-83425 Guljan Begam 9859484044
Swarna Kalita 9854637587
23 Team 1 33 45 78 Madina Begam 9854508468 Ajifa Khanom 9864574701 14/May/19 CAR
UTTAR PACHIM BATAHIDIA AWC Anganwadi 68 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
24 Team 1 School UP 0 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 14/May/19 CAR
MAJORTOP ME MAD 18060310702 90701-83425 Guljan Begam 9859484044
Swarna Kalita 9854637587
25 Team 1 0 Madina Begam 9854508468 Ajifa Khanom 9864574701 15/May/19 CAR
UTTAR PACHIM BATAHIDIA AWC Anganwadi 68 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
26 Team 1 School UP 51 Madina Begam 9854508468 Ajifa Khanom 9864574701 15/May/19 CAR
GHORAMARA HAHCHARI CHOUTARA 18060310105 12 39 87529-42048 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
27 Team 1 21 20 41 Madina Begam 9854508468 Ajifa Khanom 9864574701 16/May/19 CAR
KATHALGURI AWC Anganwadi 70 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
28 Team 1 School UP 66 Madina Begam 9854508468 Ajifa Khanom 9864574701 16/May/19 CAR
GHORAMARA GIRLS MEM 18060304306 33 33 90856-18146 TUKRAPARA SC Guljan Begam 9859484044
Malati Devi 9401450051
29 Team 1 BAHATPUR AWC Anganwadi 73 37 27 64 94351-58561 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 17/May/19 CAR
Malati Devi 9401450051
30 Team 1 GOBARDHAN AN MES School 18060311601 UP 49 43 92 98641-20326 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 17/May/19 CAR
Malati Devi 9401450051
31 Team 1 BHERBHERI AWC Anganwadi 639 24 41 65 82540-57441 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 20/May/19 CAR
Malati Devi 9401450051
32 Team 1 1161 NO. GOBARDHAN LPS School 311602 LP 50 60 110 98540-63879 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 20/May/19 CAR
Malati Devi 9401450051
33 Team 1 GOBORDHAN BHAURIAPARA AW Anganwadi 216 5 6 11 99574-68951 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 21/May/19 CAR
Malati Devi 9401450051
34 Team 1 1161 NO. GOBARDHAN LPS School 311602 LP 0 98540-63879 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 21/May/19 CAR
Malati Devi 9401450051
35 Team 1 KHATIRA DHANIA AWC Anganwadi 18291080(29) 20 27 47 76360-05004 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 22/May/19 CAR
Malati Devi 9401450051
36 Team 1 CHHAYGAON AN. LPS School 18060311802 LP 147 109 256 98647-54579 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 22/May/19 CAR
Malati Devi 9401450051
37 Team 1 GOBARDHAN KADAMGURI AWC Anganwadi 1829108061O3 13 15 28 97065-84429 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 23/May/19 CAR
Malati Devi 9401450051
38 Team 1 CHHAYGAON AN. LPS School 18060311802 LP 0 98647-54579 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 23/May/19 CAR
Malati Devi 9401450051
39 Team 1 NAMAL CHOUDHURIPARA AWC Anganwadi 172 9 10 19 69009-72004 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 24/May/19 CAR
Malati Devi 9401450051
40 Team 1 CHHAYGAON AN. LPS School 18060311802 LP 0 98647-54579 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 24/May/19 CAR
Malati Devi 9401450051
41 Team 1 FULGURI AWC Anganwadi 12 4 2 6 91016-39755 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 25/May/19 CAR

Pages 6 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Malati Devi 9401450051
42 Team 1 CHHAYGAON AN. LPS School 18060311802 LP 0 98647-54579 PATGAON SC Sutila Boro Rabha 9854572430
Rina Rabha 8577797454 25/May/19 CAR
Swarna Kalita 9854637587
43 Team 1 121 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 27/May/19 CAR
PASCHIM MERGANDHA AWC Anganwadi 63 52 69 96136-19955 Guljan Begam 9859484044
Swarna Kalita 9854637587
44 Team 1 School UP 55 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 27/May/19 CAR
H.M. HS SARKAR MEM. GIRLS PRE 314914 0 55 90855-94312 Guljan Begam 9859484044
Swarna Kalita 9854637587
45 Team 1 0 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 28/May/19 CAR
PASCHIM MERGANDHA AWC Anganwadi 63 96136-19955 Guljan Begam 9859484044
Swarna Kalita 9854637587
46 Team 1 School LP 71 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 28/May/19 CAR
932NO. MAJORTOP LPS 18060310708 40 31 98549-55280 Guljan Begam 9859484044
Swarna Kalita 9854637587
47 Team 1 75 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 29/May/19 CAR
PACHIM JAHIPUR AWC Anganwadi 18291080220 41 34 98549-02692 Guljan Begam 9859484044
Swarna Kalita 9854637587
48 Team 1 School LP 66 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 29/May/19 CAR
KANHARA BHITORDUAR LPS 18060314916 34 32 69007-38709 Guljan Begam 9859484044
Swarna Kalita 9854637587
49 Team 1 58 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 30/May/19 CAR
DAKSHIN BHITORDUAR AWC Anganwadi 109 26 32 96139-15191 Guljan Begam 9859484044
Swarna Kalita 9854637587
50 Team 1 School LP 65 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 30/May/19 CAR
PUB GHORAMARA LPS 18060317301 30 35 Guljan Begam 9859484044
Swarna Kalita 9854637587
51 Team 1 44 41 85 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 31/May/19 CAR
MONJURIBILL AWC Anganwadi 390 Guljan Begam 9859484044
Swarna Kalita 9854637587
52 Team 1 School LP 126 TUKRAPARA SC Madina Begam 9854508468 Ajifa Khanom 9864574701 31/May/19 CAR
MADHYA KANHARA LPS 18060314907 69 57 99579-58467 Guljan Begam 9859484044
Anima Kalita
53 Team 2 MAJORTOP SATRA AWC Anganwadi 55 40 40 80 95089-63563 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 2/May/19 CAR
Anima Kalita
54 Team 2 HATIPARA LPS School 18060309603 LP 77 85 162 98544-62971 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 2/May/19 CAR
Anima Kalita
55 Team 2 HATIPARA SIMINAPARA AWC Anganwadi 210 55 40 95 86383-39259 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 3/May/19 CAR
Anima Kalita
56 Team 2 HATIPARA LPS School 18060309603 LP 0 98544-62971 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 3/May/19 CAR
Anima Kalita
57 Team 2 MADHYA MERGANDHA AWC Anganwadi 62 81 143 78966-70648 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 4/May/19 CAR
Anima Kalita
58 Team 2 DAKSHIN BIHARAPA EGS School 302503 LP 74 68 142 99576-88830 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 4/May/19 CAR
Anima Kalita
59 Team 2 MADHYA MERGANDHA AWC Anganwadi 0 78966-70648 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 5/May/19 CAR
Anima Kalita
60 Team 2 DAKSHIN BIHARAPA EGS School 302503 LP 0 99576-88830 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 5/May/19 CAR
Anima Kalita
61 Team 2 SINGMARI BHOGANIA AWC Anganwadi 18291081019 38 48 86 99578-34940 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 6/May/19 CAR
Anima Kalita
62 Team 2 UTTAR HATIPARA LPS School 309012 LP 25 36 61 91018-03813 PUKHURIPAR SC Gitanjali Kalita
9854630234 Manjuara Khatun 9854288663 6/May/19 CAR
63 Team 2 BARBAKARA AWC Anganwadi 18291080305 31 44 75 98546-46147 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 7/May/19 CAR
64 Team 2 IMKAMPARA LPS School 18060307501 LP 22 20 42 73996-29958 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 7/May/19 CAR
65 Team 2 JALUKBARI AWC Anganwadi 18291080103 27 28 55 78967-74425 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 8/May/19 CAR
66 Team 2 DIGALBIL LPS(ASSAMESE MEDIUM) School 18060307201 LP 11 12 23 94011-67842 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 8/May/19 CAR
67 Team 2 PATGAON AWC Anganwadi 18291080302 22 27 49 78966-02153 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 9/May/19 CAR
68 Team 2 DIGHALBILL LPS (GARO MEDIUM) School 18060307202 LP 23 26 49 98544-11925 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 9/May/19 CAR
69 Team 2 KAREKURA AWC Anganwadi 302825 19 20 39 95310-96403 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 10/May/19 CAR
70 Team 2 BORGHULI LPS (GARO MEDIUM) School 60307001 LP 21 12 33 98547-84467 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 10/May/19 CAR
Anima Kalita
71 Team 2 UTTAR MOHIMARI AWC Anganwadi 135 87 60 147 99570-27447 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 11/May/19 CAR
Anima Kalita
72 Team 2 SINGMARI BHAGANIA EGS (LPS) School 315803 LP 28 21 49 99543-96980 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 11/May/19 CAR
Anima Kalita
73 Team 2 UTTAR MOHIMARI AWC Anganwadi 135 0 99570-27447 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 13/May/19 CAR
Anima Kalita
74 Team 2 PASCHIM HATIPARA LPS School 18060309611 LP 45 51 96 70025-44160 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 13/May/19 CAR
Anima Kalita
75 Team 2 DAKSHIN MOHIMARI AWC Anganwadi 125 101 90 191 70865-02157 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 14/May/19 CAR
Anima Kalita
76 Team 2 SINGMARI HABI EGS School 18060315805 LP 14 23 37 91014-74651 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 14/May/19 CAR
Anima Kalita
77 Team 2 DAKSHIN MOHIMARI AWC Anganwadi 125 0 70865-02157 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 15/May/19 CAR
Anima Kalita
78 Team 2 PUB HATIPARA LPS School 309610 LP 27 24 51 98542-74999 PUKHURIPAR SC Gitanjali Kalita
9854630234 Maina Barhoi 7399715445 15/May/19 CAR
79 Team 2 KARDOIGURI AWC Anganwadi 203 19 20 39 95774-43907 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 16/May/19 CAR
80 Team 2 BORGHULI LPS School 18060307002 LP 29 25 54 73996-20058 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 16/May/19 CAR
81 Team 2 BORJHAR PATGAON AWC Anganwadi 18291080303 12 8 20 94015-35690 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 17/May/19 CAR
82 Team 2 BORJHAR LPS (UKIUM) School 307101 LP 41 31 72 99572-76676 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 17/May/19 CAR
83 Team 2 RIHABARI AWC Anganwadi 18291080311 14 18 32 78964-27512 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 20/May/19 CAR
84 Team 2 KRISHNAPUR LPS School 18060307901 LP 11 12 23 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 20/May/19 CAR
Sona Khatun
85 Team 2 CHAMPUPARA GAON AWC Anganwadi 18291153O2914 78 63 141 99547-43187 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 21/May/19 CAR
Sona Khatun
86 Team 2 CHAMPOPARA PATHAR AN MEM School 18060317406 UP 31 42 73 73991-44223 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 21/May/19 CAR
Sona Khatun
87 Team 2 CHAMPUPARA GAON AWC Anganwadi 18291153O2914 0 99547-43187 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 22/May/19 CAR
Sona Khatun
88 Team 2 CHAMPOPARA PATHAR LPS School 18060317402 LP 50 81 131 96785-01804 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 22/May/19 CAR
Sona Khatun
89 Team 2 CHAMPUPARA PATHAR UTTAR Anganwadi 18291081119 104 91 195 69005-22377 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 23/May/19 CAR
Sona Khatun
90 Team 2 CHAMPOPARA PATHAR LPS School 18060317402 LP 0 96785-01804 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 23/May/19 CAR
Sona Khatun
91 Team 2 CHAMPUPARA PATHAR UTTAR Anganwadi 18291081119 0 69005-22377 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 24/May/19 CAR

Pages 7 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Sona Khatun
92 Team 2 BABUL FLOWARA LPS School 18060311403 LP 66 65 131 70354-66568 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 24/May/19 CAR
Sona Khatun
93 Team 2 CHAMPUPARA PATHAR UTTAR Anganwadi 18291081119 0 69005-22377 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 25/May/19 CAR
Sona Khatun
94 Team 2 BABUL FLOWARA LPS School 18060311403 LP 0 70354-66568 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 25/May/19 CAR
95 Team 2 HATIGARH OUGURI AWC Anganwadi 18291080314 15 19 34 99542-49379 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 27/May/19 CAR
96 Team 2 KUSHALPARA LPS School 306402 LP 25 22 47 98542-86741 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 27/May/19 CAR
97 Team 2 OUGURI -1 AWC Anganwadi 18291080312 19 8 27 70865-41787 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 28/May/19 CAR
98 Team 2 KAPALIKHOJ LPS School 18060320002 LP 20 21 41 98547-35660 JALUKBARI SC Susila Rabha 9859065955 Rambha Rabha 7896774424 28/May/19 CAR
Sona Khatun
99 Team 2 CHAMPUPARA PATHAR DAKHIN Anganwadi 18291081120 72 85 157 99577-54878 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 29/May/19 CAR
Sona Khatun
100 Team 2 UTTAR CHAMPOPARA PATHAR LPS School 18060317403 LP 50 71 121 98590-67965 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 29/May/19 CAR
Sona Khatun
101 Team 2 CHAMPUPARA PATHAR DAKHIN Anganwadi 18291081120 0 99577-54878 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 30/May/19 CAR
Sona Khatun
102 Team 2 UTTAR CHAMPOPARA PATHAR LPS School 18060317403 LP 0 98590-67965 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 30/May/19 CAR
Sona Khatun
103 Team 2 PUB BHAURIABHITHA AWC Anganwadi 89 52 52 104 93656-18146 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 31/May/19 CAR
Sona Khatun
104 Team 2 CHAMPOPARA PATHAR LP EGS School 18060317404 LP 64 71 135 82539-17851 CHAMPOPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 31/May/19 CAR
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0

Pages 8 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)

156 0
157 0
158 0
159 0
160 0
Total 104 2924 3317 6241
Team 1 52 Anganwadi 52
Team 2 52 School 52

Pages 9 of 26
MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram
(RBSK)
ACTION PLAN OF YEAR - 2019-20

Plan of the Month Jun-19


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Malati Devi 9401450051
1 Team 1 SAINASHI KHRISTANBASTI AWC Anganwadi 202 32 22 54 94016-55595 PATGAON SC Sutila Boro Rabha 9854572430
Jayanti Boro 8011687181 1/Jun/19 CAR
Malati Devi 9401450051
2 Team 1 HATIGARH LPS School 307301 LP 22 30 52 80115-68592 PATGAON SC Sutila Boro Rabha 9854572430
Jayanti Boro 8011687181 1/Jun/19 CAR
Malati Devi 9401450051
3 Team 1 SIDILAPARA AWC Anganwadi 18291080317 32 26 58 93653-27033 PATGAON SC Sutila Boro Rabha 9854572430
Jayanti Boro 8011687181 3/Jun/19 CAR
Malati Devi 9401450051
4 Team 1 PATGAON BARJHAR LPS School 18060308204 LP 20 12 32 98597-37193 PATGAON SC Sutila Boro Rabha 9854572430
Jayanti Boro 8011687181 3/Jun/19 CAR
Malati Devi 9401450051
5 Team 1 OUGURI -2 AWC Anganwadi 18291080313 11 12 23 94014-49733 PATGAON SC Sutila Boro Rabha 9854572430
Jayanti Boro 8011687181 4/Jun/19 CAR
Malati Devi 9401450051
6 Team 1 MOINAPARA LPS School 320201 LP 12 18 30 96789-79136 PATGAON SC Sutila Boro Rabha 9854572430
Jayanti Boro 8011687181 4/Jun/19 CAR
Suriya Sultana
7 Team 1 Anganwadi 100 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 6/Jun/19 CAR
PACHIM KANHARA AWC 24 51 49 94351-59678 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
8 Team 1 School LP 95 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 6/Jun/19 CAR
GHORAMARA PATHAR LPS 18060317302 35 60 98547-73913 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
9 Team 1 Anganwadi 0 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 7/Jun/19 CAR
PACHIM KANHARA AWC 24 94351-59678 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
10 Team 1 School LP 106 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 7/Jun/19 CAR
GHORAMARA PATHAR LP EGS 18060317306 40 66 70358-61875 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
11 Team 1 Anganwadi 60 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 8/Jun/19 CAR
DAKHIN MANJURIBILL -A AWC 25 26 34 84040-05265 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
12 Team 1 School LP 0 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 8/Jun/19 CAR
GHORAMARA PATHAR LP EGS 18060317306 70358-61875 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
13 Team 1 Anganwadi 74 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 10/Jun/19 CAR
MANJURIBILL AWC 18291081103 36 38 98595-89329 MOHIMARI SC Rukmini Malakar 9864452227
Suriya Sultana
14 Team 1 School LP 50 Jitumoni Kalita 9864351714 Jamiron Nessa 9854723537 10/Jun/19 CAR
MADHYA MANJURIBILL LPS 18060315204 25 25 88225-06789 MOHIMARI SC Rukmini Malakar 9864452227
Haridevi Kalita 9859553710
15 Team 1 1NO. BEZORTARI AWC Anganwadi 107 30 27 57 98591-29601 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 11/Jun/19 CAR
Haridevi Kalita 9859553710
16 Team 1 BARTARI ANCHALIK HIGH SCHOOL School 18060303503 HIGH 55 73 128 98540-23652 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 11/Jun/19 CAR
Haridevi Kalita 9859553710
17 Team 1 2NO. BEZORTARI AWC Anganwadi 151 10 17 27 99574-57840 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 12/Jun/19 CAR
Haridevi Kalita 9859553710
18 Team 1 BARTARI ANCHALIK HIGH SCHOOL School 18060303503 HIGH 0 98540-23652 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 12/Jun/19 CAR
Haridevi Kalita 9859553710
19 Team 1 BEJORTARI MUSLIM CHUBA -MI Anganwadi 17 9 7 16 94351-22751 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 13/Jun/19 CAR
Haridevi Kalita 9859553710
20 Team 1 293 NO.BHATIJIAKUR LPS School 313402 LP 31 36 67 84860-70741 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 13/Jun/19 CAR
Haridevi Kalita 9859553710
21 Team 1 1NO. JIAKUR A AWC Anganwadi 10 19 9 28 94351-02452 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 14/Jun/19 CAR
Haridevi Kalita 9859553710
22 Team 1 JAIKUR JEJABARI LPS School 18060301003 LP 12 9 21 70353-79268 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 14/Jun/19 CAR
Parthana Choudhury 9859008917
23 Team 1 UTTAR BARBHITHA AWC Anganwadi 56 72 72 144 60012-18552 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 15/Jun/19 CAR
Parthana Choudhury 9859008917
24 Team 1 2NO. BAKHUAMARI LPS School 18060309801 LP 65 65 130 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 15/Jun/19 CAR
Parthana Choudhury 9859008917
25 Team 1 UTTAR BARBHITHA AWC Anganwadi 56 0 60012-18552 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 17/Jun/19 CAR
Parthana Choudhury 9859008917
26 Team 1 CHARAIMARI LPS School 309703 LP 53 45 98 99549-26606 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 17/Jun/19 CAR
Parthana Choudhury 9859008917
27 Team 1 CHARAIMARI MERGANDHA AWCAnganwadi 62 39 37 76 99576-32555 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 18/Jun/19 CAR
Parthana Choudhury 9859008917
28 Team 1 HATIPARA MERGANDA LPS School 390606 LP 41 32 73 98594-39716 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 18/Jun/19 CAR
Parthana Choudhury 9859008917
29 Team 1 CHARAIMARI MERGANDHA AWCAnganwadi 62 0 99576-32555 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 19/Jun/19 CAR
Parthana Choudhury 9859008917
30 Team 1 933NO.BHAKUAMARI MOKTAB LPS School 309901 LP 24 22 46 96788-30176 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 19/Jun/19 CAR
Haridevi Kalita 9859553710
31 Team 1 1NO. JIAKUR B AWC Anganwadi 119 12 6 18 93651-47831 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 20/Jun/19 CAR
Haridevi Kalita 9859553710
32 Team 1 GOBARDIA LPS School 303602 LP 55 29 84 95774-43354 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 20/Jun/19 CAR
Haridevi Kalita 9859553710
33 Team 1 1NO. JIAKUR C AWC Anganwadi 120 9 4 13 95311-99283 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 21/Jun/19 CAR
Haridevi Kalita 9859553710
34 Team 1 NATUN BARTARI LPS School 18060303501 LP 21 23 44 98545-15274 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 21/Jun/19 CAR
Haridevi Kalita 9859553710
35 Team 1 AMTOLA RANGAMATI AWC Anganwadi 148 15 8 23 84863-73294 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 22/Jun/19 CAR
Haridevi Kalita 9859553710
36 Team 1 46NO. BARTARI LPS School 18060303502 LP 17 12 29 99572-73498 S.S.B. SC Rajumoni Barman 8486456392
Rejina Bibi 9859302357 22/Jun/19 CAR
Parthana Choudhury 9859008917
37 Team 1 21NO. GOROIMARI BAZAR DAKSAnganwadi 21 54 57 111 60008-91337 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 24/Jun/19 CAR
Parthana Choudhury 9859008917
38 Team 1 MADHYA JAHIRPUR EGS School 309904 LP 36 51 87 98541-54184 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 24/Jun/19 CAR
Parthana Choudhury 9859008917
39 Team 1 21NO. GOROIMARI BAZAR DAKSAnganwadi 21 0 60008-91337 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 25/Jun/19 CAR
Parthana Choudhury 9859008917
40 Team 1 DAKSHIN CHARAIMARI LP EGS School 1806039708 LP 102 79 181 84866-51333 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 25/Jun/19 CAR
Parthana Choudhury 9859008917
41 Team 1 UTTAR BHITARDUAR AWC Anganwadi 31 48 57 105 98547-61502 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 26/Jun/19 CAR
Parthana Choudhury 9859008917
42 Team 1 DAKSHIN CHARAIMARI LP EGS School 1806039708 LP 0 84866-51333 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 26/Jun/19 CAR
Parthana Choudhury 9859008917
43 Team 1 UTTAR BHITARDUAR AWC Anganwadi 31 0 98547-61502 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 27/Jun/19 CAR
Parthana Choudhury 9859008917
44 Team 1 DAKSHIN CHARAIMARI LP EGS School 1806039708 LP 0 84866-51333 CHARAIMARI SC Lalita Kalita 9859891032
Rezina Begam 9678262064 27/Jun/19 CAR

Pages 10 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Jitumayee Kalita
45 Team 1 DHOBERGAON AWC Anganwadi 13 11 12 23 97073-39651 DHOBARGAON SC Sewali Das
9401154370 Arati Kalita 9859022149 28/Jun/19 CAR
Jitumayee Kalita
46 Team 1 103 NO. DHOBERGAON LPS School 314001 LP 33 33 66 75780-22805 DHOBARGAON SC Sewali Das
9401154370 Arati Kalita 9859022149 28/Jun/19 CAR
Jitumayee Kalita
47 Team 1 UTTAR BANKAKATA AWC Anganwadi 15 11 14 25 95772-37883 DHOBARGAON SC Sewali Das
9401154370 Arati Kalita 9859022149 29/Jun/19 CAR
Jitumayee Kalita
48 Team 1 1033 NO.UTTAR BANKATA LPS School 314301 LP 39 23 62 99549-70090 DHOBARGAON SC Sewali Das
9401154370 Arati Kalita 9859022149 29/Jun/19 CAR
Bijuli Das 9401450046
49 Team 2 JARUAGAON KUSHALPARA AWCAnganwadi 18291080307 11 19 30 95310-69353 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 1/Jun/19 CAR
Bijuli Das 9401450046
50 Team 2 876 NO. BHEREBERY LPS School 306901 LP 39 28 67 99542-49776 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 1/Jun/19 CAR
Bijuli Das 9401450046
51 Team 2 BORGHULI DOLEDONGA AWC Anganwadi 74 28 40 68 96133-62337 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 3/Jun/19 CAR
Bijuli Das 9401450046
52 Team 2 KAHUA LPS School 307801 LP 22 19 41 96783-75209 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 3/Jun/19 CAR
Bijuli Das 9401450046
53 Team 2 BORJHAR AWC Anganwadi 75 12 23 35 94768-46873 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 4/Jun/19 CAR
Bijuli Das 9401450046
54 Team 2 BAHATPUR LPS School 306501 LP 17 14 31 99579-37811 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 4/Jun/19 CAR
Bijuli Das 9401450046
55 Team 2 RATANPUR AWC Anganwadi 302/37 14 15 29 93658-30616 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 6/Jun/19 CAR
Bijuli Das 9401450046
56 Team 2 2NO. BHERBHERY LPS School 307702 LP 22 22 44 KAHUA SC INDU BORUAH 8404062730
Nirmala Rabha 9957917007 6/Jun/19 CAR
Sona Khatun
57 Team 2 PACHIM BHAURIABHITHA AWC Anganwadi 1829115302966 56 64 120 60260-13961 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 7/Jun/19 CAR
Sona Khatun
58 Team 2 ABUL KALAM AZAD LPS School 311409 LP 67 80 147 98591-25681 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 7/Jun/19 CAR
Sona Khatun
59 Team 2 PACHIM BHAURIABHITHA AWC Anganwadi 1829115302966 0 60260-13961 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 8/Jun/19 CAR
Sona Khatun
60 Team 2 ABUL KALAM AZAD LPS School 311409 LP 0 98591-25681 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 8/Jun/19 CAR
Sona Khatun
61 Team 2 GHORAMARA PATHAR AWC Anganwadi 85 62 64 126 95089-19257 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 10/Jun/19 CAR
Sona Khatun
62 Team 2 KATHALGURI LPS School 317401 LP 111 93 204 98594-48679 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 10/Jun/19 CAR
Sona Khatun
63 Team 2 GHORAMARA PATHAR AWC Anganwadi 85 0 95089-19257 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 11/Jun/19 CAR
Sona Khatun
64 Team 2 KATHALGURI LPS School 317401 LP 0 98594-48679 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 11/Jun/19 CAR
Sona Khatun
65 Team 2 UTTAR BHAGHMARA AWC Anganwadi 60 30 30 60 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 12/Jun/19 CAR
Sona Khatun
66 Team 2 KATHALGURI LPS School 317401 LP 0 98594-48679 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 12/Jun/19 CAR
Sona Khatun
67 Team 2 MADHYA GHORAMARA PATHARAnganwadi 41 50 48 98 90853-86886 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 13/Jun/19 CAR
Sona Khatun
68 Team 2 AINAL HOQ CHOUDHURY LPS School 18060311408 LP 51 40 91 96137-56091 CHAMPOPARA SC Namita Das 9859519489
BILKIS RAHMAN 9577324812 13/Jun/19 CAR
69 Team 2 PALASARTARI AWC Anganwadi 182 11 26 37 94013-99818 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 14/Jun/19 CAR
70 Team 2 BAMUNIGAON MES School 301301 UP 178 250 428 81360-88291 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 14/Jun/19 CAR
71 Team 2 HOLONGJULI PUKHURIPARA AWAnganwadi 608 12 15 27 95774-44048 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 15/Jun/19 CAR
72 Team 2 BAMUNIGAON MES School 301301 UP 0 81360-88291 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 15/Jun/19 CAR
73 Team 2 NATHBASTI MINI AWC Anganwadi 4 7 10 17 97061-52597 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 17/Jun/19 CAR
74 Team 2 BAMUNIGAON MES School 301301 UP 0 81360-88291 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 17/Jun/19 CAR
75 Team 2 BAMUNIGAON MINI AWC Anganwadi 602 19 19 38 98542-87701 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 18/Jun/19 CAR
76 Team 2 BAMUNIGAON MES School 301301 UP 0 81360-88291 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 18/Jun/19 CAR
77 Team 2 BELORTAL AWC Anganwadi 226 9 5 14 93652-15252 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 19/Jun/19 CAR
78 Team 2 BAMUNIGAON MES School 301301 UP 0 81360-88291 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 19/Jun/19 CAR
79 Team 2 JAHIPUR SASTAR AWC Anganwadi 18291080219 10 16 26 95311-93148 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 20/Jun/19 CAR
80 Team 2 BAMUNIGAON MES School 301301 UP 0 81360-88291 HOLONGJULI SC Binima Kalita 9401450043 Narmada Rabha 9859963122 20/Jun/19 CAR
Sabita Kalita
9957099602
81 Team 2 Anganwadi 24 25 49 Ainessa Begam
7399700732
Hafiza Begum 9613236764 21/Jun/19 CAR
DAKHIN JORSIMULU AWC 93 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
82 Team 2 School HIGH 213 Ainessa Begam
7399700732
Hafiza Begum 9613236764 21/Jun/19 CAR
DR. JAKIR HUSSAIN HIGH SCHOOL 18060322113 128 85 98595-51849 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
83 Team 2 Anganwadi 106 Ainessa Begam
7399700732
Hafiza Begum 9613236764 22/Jun/19 CAR
JORSIMULLI GARMDAN AWC- (B 94 48 58 73992-23810 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
84 Team 2 School HIGH 0 Ainessa Begam
7399700732
Hafiza Begum 9613236764 22/Jun/19 CAR
DR. JAKIR HUSSAIN HIGH SCHOOL 18060322113 98595-51849 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
85 Team 2 Anganwadi 136 Ainessa Begam
7399700732
Hafiza Begum 9613236764 24/Jun/19 CAR
DAKHIN CHOUDHURIPAM AWC 96 68 68 95772-39491 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
86 Team 2 School HIGH 0 Ainessa Begam
7399700732
Hafiza Begum 9613236764 24/Jun/19 CAR
DR. JAKIR HUSSAIN HIGH SCHOOL 18060322113 98595-51849 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
87 Team 2 Anganwadi 0 Ainessa Begam
7399700732
Hafiza Begum 9613236764 25/Jun/19 CAR
DAKHIN CHOUDHURIPAM AWC 96 95772-39491 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
88 Team 2 School HIGH 262 Ainessa Begam
7399700732
Hafiza Begum 9613236764 25/Jun/19 CAR
JORSIMULI HIGH SCHOOL 18060315411 143 119 95772-42968 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
89 Team 2 Anganwadi 64 Ainessa Begam
7399700732
Hafiza Begum 9613236764 26/Jun/19 CAR
AGRADOOT KRISHI PAM -B AWC 98 46 18 96130-89834 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
90 Team 2 School HIGH 0 Ainessa Begam
7399700732
Hafiza Begum 9613236764 26/Jun/19 CAR
JORSIMULI HIGH SCHOOL 18060315411 95772-42968 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
91 Team 2 Anganwadi 44 Ainessa Begam
7399700732
Hafiza Begum 9613236764 27/Jun/19 CAR
MAHABIR PATHAR AWC 104 10 34 96137-50930 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
92 Team 2 School HIGH 0 Ainessa Begam
7399700732
Hafiza Begum 9613236764 27/Jun/19 CAR
JORSIMULI HIGH SCHOOL 18060315411 95772-42968 JORSIMOLU SC Meghali Sharma

Pages 11 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Makan Nath 9435933437
93 Team 2 UTTAR KANDULIMARI AWC Anganwadi 157 22 28 50 70350-71293 KANDULIMARI SC Rukiya Rahman 9864178739
Jaherbi Khatun 9859431373 28/Jun/19 CAR
Makan Nath 9435933437
94 Team 2 2NO. PANIKHAITY LPS School 313505 LP 21 24 45 76620-85873 KANDULIMARI SC Rukiya Rahman 9864178739
Jaherbi Khatun 9859431373 28/Jun/19 CAR
Makan Nath 9435933437
95 Team 2 PACHIM KANDULIMARI AWC Anganwadi 73 18 13 31 KANDULIMARI SC Rukiya Rahman 9864178739
Jaherbi Khatun 9859431373 29/Jun/19 CAR
Makan Nath 9435933437
96 Team 2 DARIATARI LPS School 18060313503 LP 3 4 7 96137-18766 KANDULIMARI SC Rukiya Rahman 9864178739
Jaherbi Khatun 9859431373 29/Jun/19 CAR
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0

Pages 12 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)

158 0
159 0
160 0
Total 96 2634 2667 5301
Team 1 48 Anganwadi 48
Team 2 48 School 48

Pages 13 of 26
MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram
(RBSK)
ACTION PLAN OF YEAR - 2019-20

Plan of the Month Jul-19


Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. means of transport)
Male Female Total Wed….) (in Km)
Mamoni Deka 9854783501
1 Team 1 RATANPUR-1 AWC Anganwadi 195 6 6 12 95777-70525 RATANPUR SC Bhanumati Das 9854346627
Tilotama Boro 8751986596 1/Jul/19 CAR
Mamoni Deka 9854783501
2 Team 1 RATANPUR-1(A) AWC (KA) Anganwadi 171 13 10 23 88128-09033 RATANPUR SC Bhanumati Das 9854346627
Tilotama Boro 8751986596 1/Jul/19 CAR
Mamoni Deka 9854783501
3 Team 1 RATANPUR -2 AWC (KHA) Anganwadi 196 8 9 17 94017-41168 RATANPUR SC Bhanumati Das 9854346627
Tilotama Boro 8751986596 2/Jul/19 CAR
Mamoni Deka 9854783501
4 Team 1 RATANPUR NOWAPARA AWC Anganwadi 197 3 8 11 87610-01041 RATANPUR SC Bhanumati Das 9854346627
Tilotama Boro 8751986596 2/Jul/19 CAR
Sabita Kalita
9957099602
5 Team 1 Anganwadi 51 Ainessa Begam
7399700732
Hafiza Begum 9613236764 3/Jul/19 CAR
KALATOLI BORGUL AWC 875 27 24 98591-26342 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
6 Team 1 Anganwadi 87 Ainessa Begam
7399700732
Hafiza Begum 9613236764 3/Jul/19 CAR
UTTAR PURAN KUCHIA AWC 4 39 48 99541-19002 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
7 Team 1 Anganwadi 69 Ainessa Begam
7399700732
Hafiza Begum 9613236764 4/Jul/19 CAR
MADHYA JORSIMULI AWC -A 5 31 38 98543-80145 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
8 Team 1 Anganwadi 55 Ainessa Begam
7399700732
Hafiza Begum 9613236764 4/Jul/19 CAR
DAKSHIN JORSIMULLI AWC A 9 29 26 99548-20750 JORSIMULLI SC Meghali Sharma
Jitumayee Kalita
9 Team 1 DHEKENABARI MUSLIMPARA A Anganwadi 34 9 6 15 99548-74214 DHOBERGAON SC Sewali Das
9401154370 Sabita Kalita 9957328447 5/Jul/19 CAR
Jitumayee Kalita
10 Team 1 DOLOIPARA (MINI) AWC Anganwadi 9 10 15 25 95312-11089 DHOBERGAON SC Sewali Das
9401154370 Sabita Kalita 9957328447 5/Jul/19 CAR
Jitumayee Kalita
11 Team 1 1 NO. KAIMARI AWC Anganwadi 37 15 14 29 98547-74071 DHOBERGAON SC Sewali Das
9401154370 Sabita Kalita 9957328447 6/Jul/19 CAR
Jitumayee Kalita
12 Team 1 JAMUGURI KOCHPARA-1 AWC Anganwadi 18291818 16 14 30 9476533802 DHOBERGAON SC Sewali Das
9401154370 Sabita Kalita 9957328447 6/Jul/19 CAR
Jitumayee Kalita
13 Team 1 JAMUGURI PUB AWC Anganwadi 19 5 6 11 81350-86779 DHOBERGAON SC Sewali Das
9401154370 Sabita Kalita 9957328447 8/Jul/19 CAR
Jitumayee Kalita
14 Team 1 BALAGAON AWC Anganwadi 18291080709 7 4 11 93653-50990 DHOBERGAON SC Sewali Das
9401154370 Sabita Kalita 9957328447 8/Jul/19 CAR
Sabita Kalita
9957099602
15 Team 1 Anganwadi 22 Ainessa Begam
7399700732
Hafiza Begum 9613236764 9/Jul/19 CAR
DAKSHIN PUB HAHCHORI AWC 101 11 11 69004-56368 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
16 Team 1 Anganwadi 79 Ainessa Begam
7399700732
Hafiza Begum 9613236764 9/Jul/19 CAR
UTTAR CHOWDHURY PAM AWC 97 38 41 97062-03402 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
17 Team 1 Anganwadi 63 Ainessa Begam
7399700732
Hafiza Begum 9613236764 10/Jul/19 CAR
AGRADOOT KRISHI PAM AWC 123 39 24 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
18 Team 1 Anganwadi 102 71 Ainessa Begam
7399700732
Hafiza Begum 9613236764 10/Jul/19 CAR
DAKHIN HAHCHORI AWC 40 31 86384-99386 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
19 Team 1 Anganwadi 116 Ainessa Begam
7399700732
Hafiza Begum 9613236764 11/Jul/19 CAR
DAKHIN KALATOLI AWC 160 53 63 73997-76327 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
20 Team 1 Anganwadi 77 Ainessa Begam
7399700732
Hafiza Begum 9613236764 12/Jul/19 CAR
MADHYA KANDULIMARI AWC 99 41 36 91017-68721 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
21 Team 1 Anganwadi 49 60 109 Ainessa Begam
7399700732
Hafiza Begum 9613236764 12/Jul/19 CAR
MADHYA CHAUDHURIPAM AWC 417 JORSIMULLI SC Meghali Sharma
Jitumayee Kalita
22 Team 1 DAKSHIN BANKAKATA MINI AW Anganwadi 7 7 10 17 95313-35950 DHOBERGAON SC Sewali Das
9401154370 Arati Kalita 9859022149 13/Jul/19 CAR
Jitumayee Kalita
23 Team 1 DAKSHIN BANKAKATA AWC Anganwadi 48 13 25 38 96782-35753 DHOBERGAON SC Sewali Das
9401154370 Arati Kalita 9859022149 13/Jul/19 CAR
Dipali Deka 9613914782
24 Team 1 DUBJANI AWC Anganwadi 313 31 29 60 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 15/Jul/19 CAR
Dipali Deka 9613914782
25 Team 1 PURAN KATAHI AWC Anganwadi 3 25 30 55 98646-03227 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 15/Jul/19 CAR
Dipali Deka 9613914782
26 Team 1 NATUN KATAHI AWC Anganwadi 4 6 13 19 96783-05814 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 16/Jul/19 CAR
Dipali Deka 9613914782
27 Team 1 BALAPUKHURI AWC Anganwadi 2 23 21 44 60000-31750 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 16/Jul/19 CAR
Sona Khatun
28 Team 1 CHAMPUPARA GAON RESERVE Anganwadi 129 51 71 122 87539-46793 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 17/Jul/19 CAR
Sona Khatun
29 Team 1 MADHYA CHAMPUPARA PATHA Anganwadi 36 43 42 85 84740-34878 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 18/Jul/19 CAR
Sona Khatun
30 Team 1 CHAMPUPARA PATHAR RESERV Anganwadi 37 50 54 104 91272-72080 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 18/Jul/19 CAR
Sona Khatun
31 Team 1 MADHYA BHAURIABHITHA AWCAnganwadi 182910839 56 54 110 97068-73301 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 19/Jul/19 CAR
Sona Khatun
32 Team 1 UTTAR BHAURIABHITHA AWC Anganwadi 40 49 44 93 70022-32719 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 20/Jul/19 CAR
Sona Khatun
33 Team 1 UTTAR TAPAR PATHAR C AWC Anganwadi 86 42 26 68 90858-01756 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 20/Jul/19 CAR
Sona Khatun
34 Team 1 GHORAMARA GAON AWC Anganwadi 34 81 24 105 91019-56913 CHAMPUPARA SC Namita Das 9859519489
Khadiza Ahmed 9613037422 22/Jul/19 CAR
Parthana Choudhury 9859008917
35 Team 1 MOHGARH NAYANPARA AWC Anganwadi 270 17 27 44 CHARAIMARI SC Lalita Kalita 9859891032
Tanuza Begam 9859566456 23/Jul/19 CAR
Parthana Choudhury 9859008917
36 Team 1 UTTAR SIMULIBARI AWC Anganwadi 272 10 17 27 CHARAIMARI SC Lalita Kalita 9859891032
Tanuza Begam 9859566456 23/Jul/19 CAR
Parthana Choudhury 9859008917
37 Team 1 AMBARI-1 AWC Anganwadi 911 30 46 76 80112-98940 CHARAIMARI SC Lalita Kalita 9859891032
Tanuza Begam 9859566456 24/Jul/19 CAR
Parthana Choudhury 9859008917
38 Team 1 AMBARI-2 AWC Anganwadi 911 32 30 62 80116-66551 CHARAIMARI SC Lalita Kalita 9859891032
Tanuza Begam 9859566456 24/Jul/19 CAR
Sabita Kalita
9957099602
39 Team 1 Anganwadi 45 Ainessa Begam
7399700732
Hafiza Begum 9613236764 25/Jul/19 CAR
DAKSHIN PACHIM BHITORDUAR 109 27 18 97077-46648 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
40 Team 1 Anganwadi 37 Ainessa Begam
7399700732
Hafiza Begum 9613236764 26/Jul/19 CAR
PUB DAKSHIN LARUAJAN AWC 13 13 24 69007-79620 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
41 Team 1 Anganwadi 111 Ainessa Begam
7399700732
Hafiza Begum 9613236764 26/Jul/19 CAR
PACHIM LARUAJAN AWC 14 62 49 76629-01055 JORSIMULLI SC Meghali Sharma

Pages 14 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Sabita Kalita
9957099602
42 Team 1 Anganwadi 66 Ainessa Begam
7399700732
Hafiza Begum 9613236764 27/Jul/19 CAR
DAKHIN KARIBIL AWC 132 33 33 JORSIMULLI SC Meghali Sharma
Kabita Das 8822041361
43 Team 1 KULHUWAPARA AWC Anganwadi 43 8 10 18 95313-31406 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 29/Jul/19 CAR
Kabita Das 8822041361
44 Team 1 BALASIDDHI -3 AWC Anganwadi 125 24 25 49 99542-96297 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 29/Jul/19 CAR
Kabita Das 8822041361
45 Team 1 BALASIDDHI -2 AWC Anganwadi 18291080211 31 40 71 97073-94372 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 30/Jul/19 CAR
Kabita Das 8822041361
46 Team 1 BOKOLIPARA AWC Anganwadi 72 32 35 67 99577-54485 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 30/Jul/19 CAR
Kabita Das 8822041361
47 Team 1 BALIJURI AWC Anganwadi 75 11 19 30 97061-05874 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 31/Jul/19 CAR
Kabita Das 8822041361
48 Team 1 BALIJURI BANANIGAON AWC Anganwadi 200 12 9 21 99579-59133 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 31/Jul/19 CAR
Kabita Das 8822041361
49 Team 2 BALASIDDHI -1 AWC Anganwadi 18291080418 16 7 23 73997-83235 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 1/Jul/19 CAR
Kabita Das 8822041361
50 Team 2 BALASIDDHI MILANPUR AWC Anganwadi 40 15 10 25 99547-33289 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 1/Jul/19 CAR
Kabita Das 8822041361
51 Team 2 CHHAYGAON MUSLIMPARA AW Anganwadi 18291080420 14 29 43 98593-25085 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 2/Jul/19 CAR
Kabita Das 8822041361
52 Team 2 MUSLIMPARA SIV MANDIR (MINAnganwadi 18291080421 7 5 12 99578-58074 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 2/Jul/19 CAR
Kabita Das 8822041361
53 Team 2 MATHURAPURI KA AWC Anganwadi 18291080422 7 9 16 99573-58648 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 3/Jul/19 CAR
Kabita Das 8822041361
54 Team 2 MATHURAPURI KHA AWC Anganwadi 18291080423 4 8 12 94012-51071 BALASIDDHI SC Mallika Das 9854905583
Himani Das 9577164394 3/Jul/19 CAR
Sahida Ahmed
55 Team 2 DASHIN PACHIM LARUAJAN AWAnganwadi 88 54 78 132 70352-76088 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 4/Jul/19 CAR
Sahida Ahmed
56 Team 2 PUB LARUAJAN AWC Anganwadi 291081301 111 128 239 88119-40759 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 5/Jul/19 CAR
Sahida Ahmed
57 Team 2 PUB LARUAJAN AWC Anganwadi 291081301 0 88119-40759 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 6/Jul/19 CAR
Sahida Ahmed
58 Team 2 HATISHOLA GAON AWC Anganwadi 85 57 48 105 96131-19527 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 8/Jul/19 CAR
Sahida Ahmed
59 Team 2 MADHYA HATISHOLA PAM AWCAnganwadi 18291081304 117 119 236 81349-98379 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 9/Jul/19 CAR
Sahida Ahmed
60 Team 2 UTTAR HATISHOLA AWC Anganwadi 18291081302 116 110 226 74291-40580 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 10/Jul/19 CAR
Sahida Ahmed
61 Team 2 UTTAR HATISHOLA AWC Anganwadi 18291081302 0 74291-40580 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 11/Jul/19 CAR
Haridevi Kalita 9859553710
62 Team 2 TALUKDARPARA -B AWC Anganwadi 150 17 24 41 97064-82687 S.S.B Rajumoni Barman 8486456392
Rejina Bibi 9859302357 12/Jul/19 CAR
Haridevi Kalita 9859553710
63 Team 2 2NO. BEZORTARI -C AWC Anganwadi 199 22 9 31 93656-15053 S.S.B Rajumoni Barman 8486456392
Rejina Bibi 9859302357 12/Jul/19 CAR
Haridevi Kalita 9859553710
64 Team 2 3NO. BEZORTARI AWC Anganwadi 109 18 26 44 73994-56621 S.S.B Rajumoni Barman 8486456392
Rejina Bibi 9859302357 13/Jul/19 CAR
Haridevi Kalita 9859553710
65 Team 2 BONGSAR KANDALPARA AWC Anganwadi 111 16 13 29 70355-64991 S.S.B Rajumoni Barman 8486456392
Rejina Bibi 9859302357 13/Jul/19 CAR
Kabita Das 8822041361
66 Team 2 NATHPARA BANANIGAON AWC Anganwadi 179 10 16 26 99549-82451 BALASIDDHI SC Mallika Das 9854905583
Kalpana Kalita 9854788554 15/Jul/19 CAR
Kabita Das 8822041361
67 Team 2 DUBJENI SONARIPARA -2 AWC Anganwadi 47 18 14 32 80118-34397 BALASIDDHI SC Mallika Das 9854905583
Kalpana Kalita 9854788554 15/Jul/19 CAR
Kabita Das 8822041361
68 Team 2 DUBJENI SONARIPARA AWC Anganwadi 18291080119 25 32 57 76370-80390 BALASIDDHI SC Mallika Das 9854905583
Kalpana Kalita 9854788554 16/Jul/19 CAR
Kabita Das 8822041361
69 Team 2 DUBJENI NABAPUR AWC Anganwadi 256 20 18 38 97068-94024 BALASIDDHI SC Mallika Das 9854905583
Kalpana Kalita 9854788554 16/Jul/19 CAR
Kabita Das 8822041361
70 Team 2 MILANPUR AWC Anganwadi 170 26 24 50 99571-62018 BALASIDDHI SC Mallika Das 9854905583
Kalpana Kalita 9854788554 17/Jul/19 CAR
Kabita Das 8822041361
71 Team 2 MUSLIMPARA GUMI ROAD AWCAnganwadi 22 10 10 20 96781-32145 BALASIDDHI SC Mallika Das 9854905583
Kalpana Kalita 9854788554 17/Jul/19 CAR
Sahida Ahmed
72 Team 2 DAKSHIN KORAIBILL AWC Anganwadi 20 44 36 80 69009-46197 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 18/Jul/19 CAR
Sahida Ahmed
73 Team 2 KORAIBILL (KHA) AWC Anganwadi 75 60 62 122 98543-03021 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 18/Jul/19 CAR
Sahida Ahmed
74 Team 2 KORAIBILL (KHA) AWC Anganwadi 75 0 98543-03021 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 19/Jul/19 CAR
Sahida Ahmed
75 Team 2 UTTAR BHALUKABARI AWC Anganwadi 77 43 41 84 80111-16149 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 19/Jul/19 CAR
Sahida Ahmed
76 Team 2 DAKSHIN BHALUKABARI AWC Anganwadi 79 123 95 218 73999-03927 KALATOLI SC Jahanara Begum
MAJEDA BEGUM 8749947849 20/Jul/19 CAR
Bijumoni Kalita 9854774029
77 Team 2 1NO. AMTOLA -A AWC Anganwadi 11 27 38 65 80113-50893 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 22/Jul/19 CAR
Bijumoni Kalita 9854774029
78 Team 2 1NO. AMTOLA (KHA) AWC Anganwadi 90 17 19 36 99577-04832 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 22/Jul/19 CAR
Bijumoni Kalita 9854774029
79 Team 2 1NO. AMTOLA (C) AWC Anganwadi 99 18 20 38 84720-78939 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 23/Jul/19 CAR
Bijumoni Kalita 9854774029
80 Team 2 AMTOLA KAIBARTAPARA (B) AWAnganwadi 101 33 36 69 97062-12195 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 23/Jul/19 CAR
Bijumoni Kalita 9854774029
81 Team 2 AMTOLA SATRA AWC Anganwadi 102 22 27 49 97061-22820 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 24/Jul/19 CAR
Bijumoni Kalita 9854774029
82 Team 2 AMTOLA KAIBATRAPARA (C) AWAnganwadi 17 18 19 37 98594-49087 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 24/Jul/19 CAR
Bijumoni Kalita 9854774029
83 Team 2 AMTOLA TETELIBHITHA AWC Anganwadi 164 20 21 41 88761-18795 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 25/Jul/19 CAR
Bijumoni Kalita 9854774029
84 Team 2 1NO. AMTOLA E (MINI) AWC Anganwadi 15 12 20 32 91274-07270 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 25/Jul/19 CAR
Bijumoni Kalita 9854774029
85 Team 2 AMTOLA D AWC Anganwadi 9 19 16 35 84748-25831 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 26/Jul/19 CAR
Bijumoni Kalita 9854774029
86 Team 2 AMTOLA SATRA (B) AWC Anganwadi 213 20 29 49 99578-85261 AMTOLA SC Dharitri Saikia
Baroda Kalita 9957775615 26/Jul/19 CAR
Rina Das 9859588347
87 Team 2 TEKELIFUTA AWC Anganwadi 480 41 45 86 95774-42304 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 27/Jul/19 CAR
Rina Das 9859588347
88 Team 2 KHALIHAMARI PUB AWC Anganwadi 49 33 57 90 93650-25292 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 27/Jul/19 CAR
Rina Das 9859588347
89 Team 2 UTTAR ACHALPARA AWC Anganwadi 44 23 28 51 76639-73877 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 29/Jul/19 CAR
Rina Das 9859588347
90 Team 2 DAKHIN ACHALPARA AWC Anganwadi 45 44 36 80 60001-01933 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 29/Jul/19 CAR
Rina Das 9859588347
91 Team 2 UTTAR PUB BORAKHAT AWC Anganwadi 46 39 30 69 97062-76879 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 30/Jul/19 CAR
Rina Das 9859588347
92 Team 2 47 NO. ACHALPARA BARAKHAT Anganwadi 47 56 77 133 93656-18208 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 30/Jul/19 CAR

Pages 15 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Rina Das 9859588347
93 Team 2 BORAKHAT AWC Anganwadi 433 57 48 105 97072-10004 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 31/Jul/19 CAR
Rina Das 9859588347
94 Team 2 UTTAR TAPAR PATHAR-B AWC Anganwadi 435 21 20 41 96139-02544 BATAHIDIA SC Putuli Begum
Chakiran Khanam 9613133764 31/Jul/19 CAR
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
Pages 16 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)

159 0
160 0
Total 94 2798 2876 5674
Team 1 48 Anganwadi 94
Team 2 46 School 0

Pages 17 of 26
MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram
(RBSK)
ACTION PLAN OF YEAR - 2019-20
Plan of the Month Aug-19
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….) means of transport)
Male Female Total (in Km)
Mamoni Deka 9854783501
1 Team 1 DAKUAPARA AWC Anganwadi 18291080409 24 13 37 87249-05395 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 1/Aug/19 CAR
Mamoni Deka 9854783501
2 Team 1 DAKUAPARA LPS School 311701 LP 23 30 53 96785-08479 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 1/Aug/19 CAR
Mamoni Deka 9854783501
3 Team 1 DAKUAPARA BANANIGAON AW Anganwadi 218 14 9 23 97065-94627 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 2/Aug/19 CAR
Mamoni Deka 9854783501
4 Team 1 DAKUAPARA BANANIGAON LP School 18060311702 LP 22 15 37 81339-15011 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 2/Aug/19 CAR
Mamoni Deka 9854783501
5 Team 1 JOGIBARI AWC Anganwadi 18291080411 26 29 55 80118-87608 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 3/Aug/19 CAR
Mamoni Deka 9854783501
6 Team 1 CHHAYGAON AN. MES School 18060311801 UP 25 0 25 99575-88533 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 3/Aug/19 CAR
Sabita Kalita
9957099602
7 Team 1 Anganwadi 83 Ainessa Begam
7399700732
Amina Begum 9613327293 5/Aug/19 CAR
15NO. UTTAR PUB BHALUKABAR 15 40 43 73999-95097 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
8 Team 1 School LP 217 Ainessa Begam
7399700732
Amina Begum 9613327293 5/Aug/19 CAR
DAKSHIN BHALUKABARI LPS 107 110 98647-71787 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
9 Team 1 Anganwadi 132 Ainessa Begam
7399700732
Amina Begum 9613327293 6/Aug/19 CAR
PACHIM BHALUKABARI AWC 16 67 65 74291-67553 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
10 Team 1 School LP 0 Ainessa Begam
7399700732
Amina Begum 9613327293 6/Aug/19 CAR
DAKSHIN BHALUKABARI LPS 98647-71787 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
11 Team 1 Anganwadi 0 Ainessa Begam
7399700732
Amina Begum 9613327293 7/Aug/19 CAR
PACHIM BHALUKABARI AWC 16 74291-67553 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
12 Team 1 School LP 113 Ainessa Begam
7399700732
Amina Begum 9613327293 7/Aug/19 CAR
UTTAR BHALUKABARI LP EGS 18060304307 58 55 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
13 Team 1 Anganwadi 81 Ainessa Begam
7399700732
Amina Begum 9613327293 8/Aug/19 CAR
17NO. MADHYA BHALUKABARI 18321110405 47 34 91265-60158 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
14 Team 1 School LP 0 Ainessa Begam
7399700732
Amina Begum 9613327293 8/Aug/19 CAR
UTTAR BHALUKABARI LP EGS 18060304307 JORSIMOLU SC Meghali Sharma
Mamoni Deka 9854783501
15 Team 1 NOWAMATI AWC Anganwadi 18291080817 9 7 16 78960-11423 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 9/Aug/19 CAR
Mamoni Deka 9854783501
16 Team 1 NOWAMATI LPS School 320701 LP 17 10 27 99579-91909 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 9/Aug/19 CAR
Mamoni Deka 9854783501
17 Team 1 2NO. NOWAMATI AWC Anganwadi 205 16 7 23 70865-43718 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 10/Aug/19 CAR
Mamoni Deka 9854783501
18 Team 1 NOWAMATI AN MES School 314402 UP 17 13 30 84038-72849 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 10/Aug/19 CAR
Mamoni Deka 9854783501
19 Team 1 BATAKUCHI AWC Anganwadi 14 24 19 43 94019-68870 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 13/Aug/19 CAR
Mamoni Deka 9854783501
20 Team 1 526 NO BATAKUCHI LPS School 18060312201 LP 42 45 87 69003-63627 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 13/Aug/19 CAR
Mamoni Deka 9854783501
21 Team 1 BATAKUCHI NATHPARA AWC Anganwadi 18291080815 12 14 26 87219-02660 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 14/Aug/19 CAR
Mamoni Deka 9854783501
22 Team 1 CHHAYGAON BALIKA LPS School 365905 LP 15 26 41 81349-66690 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 14/Aug/19 CAR
Sabita Kalita
9957099602
23 Team 1 Anganwadi 96 Ainessa Begam
7399700732
Dilowara Begum 9508128325 16/Aug/19 CAR
DAKSHIN HATISHOLA PAM AWC 19 42 54 70862-51858 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
24 Team 1 School LP 102 Ainessa Begam
7399700732
Dilowara Begum 9508128325 16/Aug/19 CAR
HATISOLA LPS 18060321401 51 51 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
25 Team 1 Anganwadi 104 Ainessa Begam
7399700732
Dilowara Begum 9508128325 17/Aug/19 CAR
DAKSHIN HATISHOLA GAON AW 18 53 51 73994-91029 JORSIMOLU SC Meghali Sharma
Sabita Kalita
9957099602
26 Team 1 School LP 155 Ainessa Begam
7399700732
Dilowara Begum 9508128325 17/Aug/19 CAR
KORAIBIL LPS 18060311301 80 75 98590-36897 JORSIMOLU SC Meghali Sharma
Mamoni Deka 9854783501
27 Team 1 SINGKHAT AWC Anganwadi 18291080416 17 15 32 98644-73427 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 19/Aug/19 CAR
Mamoni Deka 9854783501
28 Team 1 FALAGHAT LPS School 312401 LP 26 26 52 96782-53498 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 19/Aug/19 CAR
Mamoni Deka 9854783501
29 Team 1 CHHAYGAON MAJPARA AWC Anganwadi 18291080185 23 31 54 98644-11455 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 21/Aug/19 CAR
Mamoni Deka 9854783501
30 Team 1 MAJPARA LPS School 18060311802 LP 30 21 51 98542-65474 RATANPUR SC Bhanumati Das 9854346627
Meera Bora 8876655448 21/Aug/19 CAR

153 96783-31002
Rina Das 9859588347
31 Team 1 Anganwadi BATAHIDIA SC Putuli Begum
Abiran Nessa 9613619745 22/Aug/19 CAR
SARALSUTI KHA AWC 147 78 75 70867-58366
Rina Das 9859588347
32 Team 1 SARALSUTI NEHRU LPS School 18060316701 LP 81 60 141 98649-90330 BATAHIDIA SC Putuli Begum
Abiran Nessa 9613619745 22/Aug/19 CAR

33 Team 1 Anganwadi 0 96783-31002 BATAHIDIA SC


Rina Das 9859588347
Abiran Nessa 9613619745 23/Aug/19 CAR
SARALSUTI KHA AWC 70867-58366 Putuli Begum
147
Rina Das 9859588347
34 Team 1 SARALSUTI NEHRU LPS School 18060316701 LP 0 98649-90330 BATAHIDIA SC Putuli Begum
Abiran Nessa 9613619745 23/Aug/19 CAR
Rina Das 9859588347
35 Team 1 TAPAR PATHAR GAON (TEKELIF Anganwadi 148 50 55 105 98544-73869 BATAHIDIA SC Putuli Begum
Abiran Nessa 9613619745 26/Aug/19 CAR
Rina Das 9859588347
36 Team 1 TOPARPATHAR SR. MAD. School 18060322105 UP 57 56 113 98594-84276 BATAHIDIA SC Putuli Begum
Abiran Nessa 9613619745 26/Aug/19 CAR
Jitumayee Kalita
37 Team 1 JOKRAPARA MINI AWC Anganwadi 12 9 9 18 94016-70755 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 27/Aug/19 CAR
Jitumayee Kalita
38 Team 1 DOLOIPARA LPS School 311902 LP 26 23 49 70865-31525 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 27/Aug/19 CAR
Jitumayee Kalita
39 Team 1 DHEKENABARI AWC Anganwadi 18291080040 20 21 41 88128-28099 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 28/Aug/19 CAR
Jitumayee Kalita
40 Team 1 DHEKENABARI LPS School 18060311804 LP 36 25 61 98547-74302 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 28/Aug/19 CAR

Pages 18 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Jitumayee Kalita
41 Team 1 DOLOIPARA AWC Anganwadi 18291035 17 17 34 99573-06859 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 29/Aug/19 CAR
Jitumayee Kalita
42 Team 1 DAKSHIN BANKAKATA LPS School 301501 LP 14 14 28 69004-56857 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 29/Aug/19 CAR
Jitumayee Kalita
43 Team 1 2NO. KAIMARI AWC Anganwadi 18291080057 8 16 24 80114-16432 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 30/Aug/19 CAR
Jitumayee Kalita
44 Team 1 JAYNARAYAN BANKAKATA LPS School 18060313901 LP 26 48 74 96786-14138 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 30/Aug/19 CAR
Jitumayee Kalita
45 Team 1 NATUN KAIMARI AWC Anganwadi 18291080215 10 14 24 95313-07073 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 31/Aug/19 CAR
Jitumayee Kalita
46 Team 1 RAJENDRA BHAGAWATI MES School 314004 UP 15 15 30 99570-13242 DHOBERGAON SC Sewali Das
9401154370 Kabita Das 7896460115 31/Aug/19 CAR
Bijumoni Kalita 9854774029
47 Team 2 149 NO. AMTOLA KAIBATRAPARAnganwadi 6 43 37 80 97064-62195 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 1/Aug/19 CAR
Bijumoni Kalita 9854774029
48 Team 2 AMTOLA KAIBARTA GAON MES School 18060301105 UP 16 18 34 98594-02570 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 1/Aug/19 CAR
Bijumoni Kalita 9854774029
49 Team 2 149 NO. AMTOLA KAIBATRAPARAnganwadi 149 39 34 73 99575-89321 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 2/Aug/19 CAR
Bijumoni Kalita 9854774029
50 Team 2 580NO.KUKURMARA LPS School 305001 LP 113 147 260 94352-00079 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 2/Aug/19 CAR
Bijumoni Kalita 9854774029
51 Team 2 KHARABHANGA NADIRPAR AWCAnganwadi 18321150902 17 22 39 84861-34964 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 3/Aug/19 CAR
Bijumoni Kalita 9854774029
52 Team 2 580NO.KUKURMARA LPS School 305001 LP 0 94352-00079 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 3/Aug/19 CAR
Bijumoni Kalita 9854774029
53 Team 2 248 NO. AMTOLA(E) AWC Anganwadi 248 12 22 34 91274-07270 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 5/Aug/19 CAR
Bijumoni Kalita 9854774029
54 Team 2 580NO.KUKURMARA LPS School 305001 LP 0 94352-00079 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 5/Aug/19 CAR
Swarna Kalita 9854637587
55 Team 2 Anganwadi 75 Madina Begam 9854508468 MAMTAJ BEGUM 9613831489 6/Aug/19 CAR
BHITORDUAR MADHYA AWC 136 36 39 88224-73773 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
56 Team 2 School UP 28 Madina Begam 9854508468 MAMTAJ BEGUM 9613831489 6/Aug/19 CAR
BHITORDUAR ME MAD 18060314602 10 18 98544-09487 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
57 Team 2 Anganwadi 80 Madina Begam 9854508468 MAMTAJ BEGUM 9613831489 7/Aug/19 CAR
PUB MERGANDHA AWC 291081004 40 40 99545-10267 TUKRAPARA SC Guljan Begam 9859484044
Swarna Kalita 9854637587
58 Team 2 School LP 107 Madina Begam 9854508468 MAMTAJ BEGUM 9613831489 7/Aug/19 CAR
PACHIM MERGANDA LP EGS 309707 51 56 98592-49301 TUKRAPARA SC Guljan Begam 9859484044
Bijumoni Kalita 9854774029
59 Team 2 AMTOLA KAIBARTAPARA (A) AWAnganwadi 5 31 27 58 96136-03897 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 8/Aug/19 CAR
Bijumoni Kalita 9854774029
60 Team 2 26NO. AMTOLA ADARSHA LPS School 18060301101 LP 54 61 115 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 8/Aug/19 CAR
Bijumoni Kalita 9854774029
61 Team 2 2NO. KUKURMARA AWC Anganwadi 23 16 18 34 91322-15655 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 9/Aug/19 CAR
Bijumoni Kalita 9854774029
62 Team 2 1160 NO. AMTOLA SATRA LPS School 18060301102 LP 34 47 81 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 9/Aug/19 CAR
Bijumoni Kalita 9854774029
63 Team 2 MATHPARA AWC Anganwadi 29 45 34 79 69003-63912 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 10/Aug/19 CAR
Bijumoni Kalita 9854774029
64 Team 2 AMTOLA KOIBARTAPARA LPS School 18060301103 LP 77 63 140 AMTOLA SC Dharitri Saikia
Hira devi Das 9613278369 10/Aug/19 CAR
Sabita Kalita
9957099602
65 Team 2 Anganwadi 92 Ainessa Begam
7399700732
Dilowara Begum 9508128325 13/Aug/19 CAR
PUB JORSIMULU AWC 97 47 45 75768-94383 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
66 Team 2 School LP 125 Ainessa Begam
7399700732
Dilowara Begum 9508128325 13/Aug/19 CAR
JORSIMULI GASPATA LPS 18060315405 59 66 95778-48337 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
67 Team 2 Anganwadi 66 Ainessa Begam
7399700732
Dilowara Begum 9508128325 14/Aug/19 CAR
PACHIM JORSIMULU AWC 102 29 37 90854-49522 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
68 Team 2 School LP 0 Ainessa Begam
7399700732
Dilowara Begum 9508128325 14/Aug/19 CAR
JORSIMULI GASPATA LPS 18060315405 95778-48337 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
69 Team 2 Anganwadi 161 Ainessa Begam
7399700732
Dilowara Begum 9508128325 16/Aug/19 CAR
PURAN KUCIA AWC 18291081317 84 77 84863-71231 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
70 Team 2 School LP 96 Ainessa Begam
7399700732
Dilowara Begum 9508128325 16/Aug/19 CAR
JORSIMOLI GRAMDAN LP EGS 315407 44 52 98597-37544 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
71 Team 2 Anganwadi 0 Ainessa Begam
7399700732
Dilowara Begum 9508128325 17/Aug/19 CAR
PURAN KUCIA AWC 18291081317 84863-71231 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
72 Team 2 School LP 158 Ainessa Begam
7399700732
Dilowara Begum 9508128325 17/Aug/19 CAR
PURAN KUCHIA MAHABIRPATHAR LP 18060300802 79 79 98594-39988 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
73 Team 2 Anganwadi 72 Ainessa Begam
7399700732
Dilowara Begum 9508128325 19/Aug/19 CAR
UTTAR KALATOLI AWC 96 39 33 95773-99956 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
74 Team 2 School LP 0 Ainessa Begam
7399700732
Dilowara Begum 9508128325 19/Aug/19 CAR
PURAN KUCHIA MAHABIRPATHAR LP 18060300802 98594-39988 JORSIMULLI SC Meghali Sharma
75 Team 2 CHOUDHURIKHAT ISLAMPUR A Anganwadi 18291080509 22 16 38 91014-19034 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 21/Aug/19 CAR
76 Team 2 JAMUGURI GANAKPARA MV School 18060314201 UP 103 113 216 94011-54953 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 21/Aug/19 CAR
77 Team 2 GOBORDHAN DAKUAPARA AWCAnganwadi 212 6 13 19 98546-48819 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 22/Aug/19 CAR
78 Team 2 JAMUGURI GANAKPARA MV School 18060314201 UP 0 94011-54953 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 22/Aug/19 CAR
79 Team 2 CHOUDHURIKHAT AWC Anganwadi 18291080511 7 4 11 84861-54320 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 23/Aug/19 CAR
80 Team 2 JAMUGURI GANAKPARA MV School 18060314201 UP 0 94011-54953 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 23/Aug/19 CAR
81 Team 2 CHAUDHURIKHAT NATHPARA-1 Anganwadi 18291080512 21 8 29 94769-51807 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 26/Aug/19 CAR
82 Team 2 PATGAON LPS School 308202 LP 20 16 36 99577-31934 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 26/Aug/19 CAR
Sabita Kalita
9957099602
83 Team 2 Anganwadi 96 63 Ainessa Begam
7399700732
Dilowara Begum 9508128325 27/Aug/19 CAR
DAKHIN CHAUDHURIPAM AWC 29 34 93652-33932 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
84 Team 2 School LP 128 Ainessa Begam
7399700732
Dilowara Begum 9508128325 27/Aug/19 CAR
DAKSHIN CHOUDHURIPAM LPS 18060310001 69 59 JORSIMULLI SC Meghali Sharma

Pages 19 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Sabita Kalita
9957099602
85 Team 2 Anganwadi 92 135 Ainessa Begam
7399700732
Dilowara Begum 9508128325 28/Aug/19 CAR
MAHABIR PATHAR AWC 60 75 98543-41920 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
86 Team 2 School LP 0 Ainessa Begam
7399700732
Dilowara Begum 9508128325 28/Aug/19 CAR
DAKSHIN CHOUDHURIPAM LPS 18060310001 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
87 Team 2 Anganwadi 93 67 Ainessa Begam
7399700732
Dilowara Begum 9508128325 29/Aug/19 CAR
PUB HAHCHORI AWC 32 35 91264-65189 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
88 Team 2 School UP 143 Ainessa Begam
7399700732
Dilowara Begum 9508128325 29/Aug/19 CAR
HAHCHARI CHOUDHURIPAM ME MAD 18060310006 72 71 98591-18333 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
89 Team 2 Anganwadi 100 169 Ainessa Begam
7399700732
Dilowara Begum 9508128325 30/Aug/19 CAR
CHOUTARA AWC 70 99 93655-97651 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
90 Team 2 School UP 0 Ainessa Begam
7399700732
Dilowara Begum 9508128325 30/Aug/19 CAR
HAHCHARI CHOUDHURIPAM ME MAD 18060310006 98591-18333 JORSIMULLI SC Meghali Sharma
91 Team 2 CHOUDHURIKHAT NATHPARA-2Anganwadi 6 9 15 78960-02751 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 31/Aug/19 CAR
92 Team 2 FULGURI LPS School 302201 LP 7 12 19 60003-78345 VERVERY SC Suchila Das 9401450059 Manju Das 8473088980 31/Aug/19 CAR
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0

Pages 20 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
Total 92 2913 2952 5865
Team 1 46 Anganwadi 46
Team 2 46 School 46

Pages 21 of 26
MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram
(RBSK)
ACTION PLAN OF YEAR - 2019-20
Plan of the Month Sep-19
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Sabita Kalita
9957099602
1 Team 1 Anganwadi Ainessa Begam
7399700732
Johura Khatun 9577980707 2/Sep/19 CAR
DAKHIN PUB HAHCHORI AWC- (B 93 32 35 67 91264-65189 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
2 Team 1 School Ainessa Begam
7399700732
Johura Khatun 9577980707 2/Sep/19 CAR
HAHCHARI LPS 18060310202 32 49 81 98547-92275 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
3 Team 1 Anganwadi Ainessa Begam
7399700732
Johura Khatun 9577980707 3/Sep/19 CAR
DAKHIN KALATOLI AWC 106 32 51 83 81358-57220 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
4 Team 1 School LP Ainessa Begam
7399700732
Johura Khatun 9577980707 3/Sep/19 CAR
HAHCHARI PATHAR UJJAL LPS 18060310210 46 46 92 98549-23518 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
5 Team 1 Anganwadi Ainessa Begam
7399700732
Johura Khatun 9577980707 4/Sep/19 CAR
3 NO. KALATOLI BORGUL AWC 3 26 24 50 98591-26342 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
6 Team 1 School LP Ainessa Begam
7399700732
Johura Khatun 9577980707 4/Sep/19 CAR
GHORAMARA HAHCHARI LPS 18060304304 56 55 111 96133-55971 JORSIMULLI SC Meghali Sharma
Jitumayee Kalita
7 Team 1 DAUL MANDIR AWC Anganwadi 18291823 6 4 10 8638509872 DHOBERGAON SC Sewali Das
9401154370 Swarnalata Soud 9954729288 5/Sep/19 CAR
Jitumayee Kalita
8 Team 1 NATUN JARABARI BALIKA LPS School 314002 LP 24 35 59 96136-36593 DHOBERGAON SC Sewali Das
9401154370 Swarnalata Soud 9954729288 5/Sep/19 CAR
Jitumayee Kalita
9 Team 1 NOWAPARA DHOBERGAON AW Anganwadi 18291080821 17 14 31 96788-88463 DHOBERGAON SC Sewali Das
9401154370 Swarnalata Soud 9954729288 6/Sep/19 CAR

10 Team 1 School HIGH 84863-78775 Jitumayee Kalita


9401154370 Swarnalata Soud 9954729288 6/Sep/19 CAR
Sewali Das
GHOBARDHAN AN. HIGH SCHOOL 311605 110 102 212 93652-32049 DHOBERGAON SC
Jitumayee Kalita
11 Team 1 UTTAR BANKAKATA NATUNPAR Anganwadi 18291080822 17 13 30 98548-72914 DHOBERGAON SC Sewali Das
9401154370 Swarnalata Soud 9954729288 7/Sep/19 CAR

12 Team 1 School HIGH 84863-78775 Jitumayee Kalita


9401154370 Swarnalata Soud 9954729288 7/Sep/19 CAR
Sewali Das
GHOBARDHAN AN. HIGH SCHOOL 311605 0 93652-32049 DHOBERGAON SC
Jitumayee Kalita
13 Team 1 DHOBERGAON PURANPARA AWAnganwadi 18 5 10 15 76630-31832 DHOBERGAON SC Sewali Das
9401154370 Swarnalata Soud 9954729288 9/Sep/19 CAR

14 Team 1 School HIGH 84863-78775 Jitumayee Kalita


9401154370 Swarnalata Soud 9954729288 9/Sep/19 CAR
0 93652-32049 Sewali Das
GHOBARDHAN AN. HIGH SCHOOL 311605 DHOBERGAON SC
Sabita Kalita
9957099602
15 Team 1 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 10/Sep/19 CAR
DAKHIN MANJURIBILL -B AWC 108 37 37 74 88110-16290 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
16 Team 1 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 10/Sep/19 CAR
BHITORDUAR MANJURI LPS 18060315201 76 78 154 97072-09970 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
17 Team 1 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 11/Sep/19 CAR
BHITORDUAR -B AWC 110 31 54 85 98547-61502 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
18 Team 1 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 11/Sep/19 CAR
BHITORDUAR MANJURI LPS 18060315201 0 97072-09970 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
19 Team 1 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 12/Sep/19 CAR
DAKHIN PACHIM BHITORDUAR 32 25 23 48 97077-46648 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
20 Team 1 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 12/Sep/19 CAR
BHITORDUAR ACHALPARA LPS 18060314601 46 54 100 80116-87520 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
21 Team 1 Anganwadi JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 13/Sep/19 CAR
BHITORDUAR MADHYA AWC 112 24 28 52 98541-51223 Meghali Sharma
Sabita Kalita
9957099602
22 Team 1 School LP JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 13/Sep/19 CAR
BHITORDUAR MADHYA PARA LPS 18060314603 23 27 50 98542-46567 Meghali Sharma
Kabita Das 8822041361
23 Team 1 ALEKJARI AWC Anganwadi 25 24 16 40 98644-10507 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 14/Sep/19 CAR
Kabita Das 8822041361
24 Team 1 BALASIDDHI AN MES School 18060306002 UP 27 20 47 91010-74478 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 14/Sep/19 CAR
Kabita Das 8822041361
25 Team 1 CHHAYGAON BAZAR AWC Anganwadi 18291080108 33 25 58 78962-66637 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 16/Sep/19 CAR
Kabita Das 8822041361
26 Team 1 DUBJENI LPS School 18060306004 LP 8 23 31 99573-45373 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 16/Sep/19 CAR
Dipali Deka 9613914782
27 Team 1 GARJANPARA PATARIKHAT AWCAnganwadi 11 18 26 44 99549-05134 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 17/Sep/19 CAR
Dipali Deka 9613914782
28 Team 1 BALAPHUKHURI LPS School 18060305503 LP 17 39 56 95311-91209 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 17/Sep/19 CAR
Dipali Deka 9613914782
29 Team 1 KALARDIA AWC Anganwadi 1 13 17 30 95777-97529 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 18/Sep/19 CAR
Dipali Deka 9613914782
30 Team 1 DAGAON KALARDIA LPS School 305502 LP 12 8 20 95311-91710 DAGAON SC Kalpana Nath Das 9859483600
Nilima Saloi 9613478867 18/Sep/19 CAR
Makan Nath 9435933437
31 Team 1 RAYPARA PANIKHAITI AWC Anganwadi 157 23 24 47 98544-80740 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 19/Sep/19 CAR
Makan Nath 9435933437
32 Team 1 MOLLARTARI LPS School 18060308703 LP 24 24 48 96130-47916 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 19/Sep/19 CAR
Makan Nath 9435933437
33 Team 1 BANIAPARA BITUTARI AWC Anganwadi 126 24 13 37 91266-41892 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 20/Sep/19 CAR
Makan Nath 9435933437
34 Team 1 467 NO. PANIKHAITY LPS School 18060313501 LP 28 22 50 98544-67832 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 20/Sep/19 CAR
Makan Nath 9435933437
35 Team 1 UTTAR PANIKHAITI AWC Anganwadi 57 16 15 31 98546-60377 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 21/Sep/19 CAR
Makan Nath 9435933437
36 Team 1 PANIKHAITY AN. MES School 18060313502 UP 53 59 112 98546-04449 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 21/Sep/19 CAR
Makan Nath 9435933437
37 Team 1 S.N. SAPORTARI AWC Anganwadi 58 13 14 27 95777-47210 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 23/Sep/19 CAR
Makan Nath 9435933437
38 Team 1 PANIKHAITY AN. MES School 18060313502 UP 0 98546-04449 KANDULIMARI SC Rukiya Rahman 9864178739
Rumali Mandal 9957197429 23/Sep/19 CAR
Jitumayee Kalita
39 Team 1 JAMUGURI KALARDIA AWC Anganwadi 18291705 3 8 11 6901548170 DHOBERGAON SC Sewali Das
9401154370 Rajani Rabha 9957952054 24/Sep/19 CAR

Pages 22 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Jitumayee Kalita
40 Team 1 2NO. HOLONGJULI LPS School 301802 LP 17 21 38 91016-49774 DHOBERGAON SC Sewali Das
9401154370 Rajani Rabha 9957952054 24/Sep/19 CAR
Jitumayee Kalita
41 Team 1 JAMUGURI AWC Anganwadi 33 13 10 23 99579-79775 DHOBERGAON SC Sewali Das
9401154370 Rajani Rabha 9957952054 25/Sep/19 CAR
Jitumayee Kalita
42 Team 1 HOLONGJULI EGS School 301803 LP 17 9 26 94010-80727 DHOBERGAON SC Sewali Das
9401154370 Rajani Rabha 9957952054 25/Sep/19 CAR
Jitumayee Kalita
43 Team 1 JAMUGURI DURAMARI AWC Anganwadi 18291702 20 14 34 6900483003 DHOBERGAON SC Sewali Das
9401154370 Rajani Rabha 9957952054 26/Sep/19 CAR
Jitumayee Kalita
44 Team 1 NAMAL CHOUDHURIPARA LPS School 301304 LP 12 22 34 97063-44373 DHOBERGAON SC Sewali Das
9401154370 Rajani Rabha 9957952054 26/Sep/19 CAR
Sabita Kalita
9957099602
45 Team 1 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 27/Sep/19 CAR
UTTAR TOPAR PATHAR AWC 143 32 45 77 87619-00365 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
46 Team 1 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 27/Sep/19 CAR
UTTAR TOPARPATHAR LPS 18060322112 33 32 65 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
47 Team 1 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 28/Sep/19 CAR
PUB TOPAR PATHAR AWC 144 51 58 109 99549-28339 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
48 Team 1 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 28/Sep/19 CAR
PUB TOPARPATAHR LPS 18060322111 59 46 105 99571-24520 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
49 Team 1 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 30/Sep/19 CAR
NO.2 TOPAR PATHAR AWC 84 85 73 158 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
50 Team 1 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 30/Sep/19 CAR
TOPARPATHAR BALIKA LPS 18060315404 57 78 135 95778-48337 JORSIMULLI SC Meghali Sharma
Jitumayee Kalita
51 Team 2 CHOUDHURIKHAT MILANPUR Anganwadi 18291080614 16 8 24 94766-16790 DHOBERGAON SC Sewali Das
9401154370 Manju Das 8473088980 2/Sep/19 CAR
Jitumayee Kalita
52 Team 2 KHALBAKHAL LPS School 308201 LP 19 14 33 69005-70596 DHOBERGAON SC Sewali Das
9401154370 Manju Das 8473088980 2/Sep/19 CAR
Jitumayee Kalita
53 Team 2 DHEKENABARI MAJPARA AWC Anganwadi 18291080515 44 40 84 88120-92955 DHOBERGAON SC Sewali Das
9401154370 Manju Das 8473088980 3/Sep/19 CAR
Jitumayee Kalita
54 Team 2 CHALTIRAM KALITA LPS School 18060304702 LP 3 7 10 87249-60383 DHOBERGAON SC Sewali Das
9401154370 Manju Das 8473088980 3/Sep/19 CAR
Sabita Kalita
9957099602
55 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 4/Sep/19 CAR
PUB JORSIMULI AWC 90 74 89 163 86387-59511 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
56 Team 2 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 4/Sep/19 CAR
JORSIMULI MAHABIR PATHAR LPS 18060300803 81 83 164 98599-62577 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
57 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 5/Sep/19 CAR
PUB JORSIMULI AWC 90 0 86387-59511 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
58 Team 2 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 5/Sep/19 CAR
JORSIMULI MAHABIR PATHAR LPS 18060300803 0 98599-62577 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
59 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 6/Sep/19 CAR
PACHIM JORSIMULU AWC 91 51 72 123 86380-83229 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
60 Team 2 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 6/Sep/19 CAR
MAHABIR PATHAR LPS 18060310501 40 31 71 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
61 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 7/Sep/19 CAR
PACHIM JORSIMULU AWC 91 0 86380-83229 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
62 Team 2 School UP Ainessa Begam
7399700732
Mofida Khatun 9577239438 7/Sep/19 CAR
REHENA MEM. GIRLS ME MAD. 18060322103 85 85 170 98543-52600 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
63 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 9/Sep/19 CAR
92 NO. MADHYA JORSIMULI AWC 8 47 30 77 80119-95088 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
64 Team 2 School UP Ainessa Begam
7399700732
Mofida Khatun 9577239438 9/Sep/19 CAR
REHENA MEM. GIRLS ME MAD. 18060322103 0 98543-52600 JORSIMULLI SC Meghali Sharma
Kabita Das 8822041361
65 Team 2 CHHAYGAON CHOUDHURIPARA Anganwadi 17 11 11 22 93653-44066 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 10/Sep/19 CAR
Kabita Das 8822041361
66 Team 2 CHHAYGAON CHAMPAKNAGAR G. H School 18060305903 HIGH 0 596 596 75760-31942 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 10/Sep/19 CAR
Kabita Das 8822041361
67 Team 2 ALEKJARI BHATAPARA AWC Anganwadi 618 9 8 17 75759-20413 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 11/Sep/19 CAR
Kabita Das 8822041361
68 Team 2 CHHAYGAON CHAMPAKNAGAR G. H School 18060305903 HIGH 0 75760-31942 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 11/Sep/19 CAR
Kabita Das 8822041361
69 Team 2 ALEKJARI CHOUDHURIPARA AWAnganwadi 18291080114 19 19 38 93655-28106 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 12/Sep/19 CAR
Kabita Das 8822041361
70 Team 2 CHHAYGAON CHAMPAKNAGAR G. H School 18060305903 HIGH 0 75760-31942 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 12/Sep/19 CAR
Kabita Das 8822041361
71 Team 2 ALEKJARI BAMUNPARA AWC Anganwadi 18291080111 16 10 26 81340-09920 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 13/Sep/19 CAR
Kabita Das 8822041361
72 Team 2 CHHAYGAON CHAMPAKNAGAR G. H School 18060305903 HIGH 0 75760-31942 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 13/Sep/19 CAR
Kabita Das 8822041361
73 Team 2 CHAKAPARA AWC Anganwadi 18291080115 16 7 23 98545-43563 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 14/Sep/19 CAR
Kabita Das 8822041361
74 Team 2 CHHAYGAON CHAMPAKNAGAR G. H School 18060305903 HIGH 0 75760-31942 BALASIDDHI SC Mallika Das 9854905583
Pranita Das 9577799704 14/Sep/19 CAR
Sabita Kalita
9957099602
75 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 16/Sep/19 CAR
MADHYA CHOUDHURIPAM AWC 95 38 21 59 95775-23608 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
76 Team 2 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 16/Sep/19 CAR
MADHYA CHOUDHURIPAM LPS 18060310003 110 110 220 94358-62143 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
77 Team 2 Anganwadi 97 Ainessa Begam
7399700732
Mofida Khatun 9577239438 17/Sep/19 CAR
UTTAR CHOUDHURIPAM AWC 36 40 76 95772-39491 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
78 Team 2 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 17/Sep/19 CAR
MADHYA CHOUDHURIPAM LPS 18060310003 0 94358-62143 JORSIMULLI SC Meghali Sharma
Sabita Kalita
9957099602
79 Team 2 Anganwadi Ainessa Begam
7399700732
Mofida Khatun 9577239438 18/Sep/19 CAR
DAKHIN HAHCHORI AWC 1829108321 24 31 55 86384-99389 JORSIMULLI SC Meghali Sharma

Pages 23 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

Sabita Kalita
9957099602
80 Team 2 School LP Ainessa Begam
7399700732
Mofida Khatun 9577239438 18/Sep/19 CAR
MADHYA CHOUDHURIPAM LPS 18060310003 0 94358-62143 JORSIMULLI SC Meghali Sharma
Kabita Das 8822041361
81 Team 2 BARUAPARA AWC Anganwadi 18291080115 18 10 28 86384-31394 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 19/Sep/19 CAR
Kabita Das 8822041361
82 Team 2 PACHIMDHULI LPS School 18060312002 LP 24 30 54 60000-27567 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 19/Sep/19 CAR
Kabita Das 8822041361
83 Team 2 GOKHANIMATH AWC Anganwadi 18291080161 15 13 28 96783-57867 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 20/Sep/19 CAR
Kabita Das 8822041361
84 Team 2 111 NO.BALASIDDHI LPS School 306001 LP 68 60 128 91010-74478 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 20/Sep/19 CAR
Kabita Das 8822041361
85 Team 2 BHUYAPARA AWC Anganwadi 18291080116 16 14 30 69003-63960 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 21/Sep/19 CAR
Kabita Das 8822041361
86 Team 2 CHAMPAK NAGAR HIGH SCHOOL School 18060305208 HIGH 115 62 177 70865-35504 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 21/Sep/19 CAR
Kabita Das 8822041361
87 Team 2 4NO. KUKURMARA AWC Anganwadi 84 30 15 45 91274-07384 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 23/Sep/19 CAR
Kabita Das 8822041361
88 Team 2 CHAMPAK NAGAR HIGH SCHOOL School 18060305208 HIGH 0 70865-35504 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 23/Sep/19 CAR
Kabita Das 8822041361
89 Team 2 ALEKJARI BAKARAPARA AWC Anganwadi 18291080067 18 17 35 86387-91915 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 24/Sep/19 CAR
Kabita Das 8822041361
90 Team 2 BALASIDDHI MAJPARA LPS School 18060306101 LP 21 20 41 93650-07313 BALASIDDHI SC Mallika Das 9854905583
Labanya Thakuria 8752830336 24/Sep/19 CAR
Sabita Kalita
9957099602
91 Team 2 Anganwadi 101 JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 25/Sep/19 CAR
UTTAR HAHCHORI AWC 57 58 115 73999-28694 Meghali Sharma
Sabita Kalita
9957099602
92 Team 2 School LP JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 25/Sep/19 CAR
HACHORI CHOUDHURIPAM LPS 18060310002 76 75 151 Meghali Sharma
Sabita Kalita
9957099602
93 Team 2 Anganwadi 101 JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 26/Sep/19 CAR
PUB HAHCHORI AWC 19 16 35 93658-39708 Meghali Sharma
Sabita Kalita
9957099602
94 Team 2 School LP JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 26/Sep/19 CAR
HACHORI CHOUDHURIPAM LPS 18060310002 0 Meghali Sharma
Sabita Kalita
9957099602
95 Team 2 Anganwadi 102 JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 27/Sep/19 CAR
MADHYA HAHSORI AWC 38 45 83 74231-42657 Meghali Sharma
Sabita Kalita
9957099602
96 Team 2 School LP 40 64 JORSIMULLI SC Ainessa Begam
7399700732
Mofida Khatun 9577239438 27/Sep/19 CAR
128NO. CHOUDHURIPAM LPS 322103 104 73999-02321 Meghali Sharma
Makan Nath 9435933437
97 Team 2 MAJGUMI PATHAR AWC Anganwadi 18291080927 58 66 124 96131-53504 KANDULIMARI SC Rukiya Rahman 9864178739
Rita Mali 9678441855 28/Sep/19 CAR
Makan Nath 9435933437
98 Team 2 KHARIDOL LPS EGS School 32502 LP 99 62 161 99578-19375 KANDULIMARI SC Rukiya Rahman 9864178739
Rita Mali 9678441855 28/Sep/19 CAR
Makan Nath 9435933437
99 Team 2 MAJGUMI PATHAR AWC Anganwadi 18291080927 0 96131-53504 KANDULIMARI SC Rukiya Rahman 9864178739
Rita Mali 9678441855 30/Sep/19 CAR
Makan Nath 9435933437
100 Team 2 KHARIDOL LPS EGS School 32502 LP 0 99578-19375 KANDULIMARI SC Rukiya Rahman 9864178739
Rita Mali 9678441855 30/Sep/19 CAR
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
Pages 24 of 26
Number of Children in
institution Day Distance from BPHC to Type of Vehicle required
Plan for MHT No. Type of Institution School/ Anganwadi Category of School AWC / School Contact
Sl.No. Name of Institution Name of Sub Centre Name of Local ANM ANM Contact No. Name of ASHA ASHA Contact No. Date of Visit (Eg. Mon, Tue, the Institution (Car/Two Wheeler/ Boat/ any other Remarks
(Team 1/ Team 2) (School / Anganwadi) Code (LP, UP, High, HS) No. Wed….)
Male Female Total (in Km) means of transport)

135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
Total 99 2816 3404 6220
Team 1 50 Anganwadi 49
Team 2 50 School 50

Pages 25 of 26
MICRO PLAN FORMAT
NATIONAL HEALTH MISSION-Rashtriya Bal Swasthya Karyakram (RBSK)
ACTION PLAN OF YEAR - 2019-20
Name of Block
STATE ASSAM DISTRICT
PHC

Summary Information

No. of AWC Number of Children in AWC No. of School Number of Children in School
SN Month
Planned Male Female Total Planned Male Female Total

1 Apr-19 46 1126 1122 2248 46 1595 1622 3217

2 May-19 52 1449 1428 2877 52 1475 1889 3364

3 Jun-19 48 1094 1146 2240 48 1540 1521 3061

4 Jul-19 94 2798 2876 5674 0 0 0 0

5 Aug-19 46 1337 1356 2693 46 1576 1596 3172

6 Sep-19 49 1258 1256 2514 50 1558 2148 3706


Total 335 9062 9184 18246 242 7744 8776 16520

Team wise summary Information

Total Number of
No. of AWC No. of School
SN Month MHT No. Children in
Planned Planned
AWC & School

Team 1 23 23 2637
1 Apr-19
Team 2 23 23 2828
Team 1 26 26 2959
2 May-19
Team 2 26 26 3282
Team 1 24 24 2516
3 Jun-19
Team 2 24 24 2785
Team 1 48 0 2627
4 Jul-19
Team 2 46 0 3047
Team 1 23 23 2690
5 Aug-19
Team 2 23 23 3175
Team 1 25 25 2897
6 Sep-19
Team 2 25 25 3390
Total 336 242 34833

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