Name of Contact

Contact Name of the (the person who had

Age Gender
ID patient contact with
identified +ve case)

1 ABHISHEK BHANUMATHY 65 FEMALE

2 GOPI 87 MALE
3
4 PASHUPALAN 82 MALE
5 PRADEEP 49 FEMALE
6 CHEMPAKAKUTTY CHIPPY 46 FEMALE
7 MANU 19 MALE
8 SHEEBA 54 FEMALE
9 GOPALAKRISHNAN 64 MALE
10 ARUN SHYMA 63 FEMALE
11 ADVIKA 1 1/2 FEMALE
12 SURESH 50 MALE

13

14

15
16
17
18

19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

45
46
47
48
49
50
51
 Occupation Address Name of PHC/CHC

HOUSEWIFE CHC THRIKKUNNAPPUZHA

VELICHAPPATTUCHIRAYIL,
COOLIE THRIKKUNNAPPUZHA CHC THRIKKUNNAPPUZHA

COOLIE CHC THRIKKUNNAPUZHA

COOLIE CHC THRIKKUNNAPUZHA
HOUSE WIFE CHC THRIKKUNNAPUZHA
STUDENT CHC THRIKKUNNAPUZHA
HOUSEWIFE KRISHNAVILASAM CHC THRIKKUNNAPUZHA
COOLIE AALACKACHALIL
HOUSEWIFE AALACKACHALIL
BABY AALACKACHALIL
COOLIE AALACKACHALIL
 Name of the District where
Ward
Panchayat/Municip contact person Phone number (Mobile)
No
ality/Corporation belongs

THRIKKUNNAPPUZHA 10 ALAPPUZHA 7561076901

THRIKKUNNAPPUZHA ALAPPUZHA

THRIKKUNNAPUZHA ALAPUZHA
THRIKKUNNAPUZHA ALAPUZHA
THRIKKUNNAPUZHA ALAPUZHA 9656049649
THRIKKUNNAPUZHA ALAPUZHA
THRIKKUNNAPUZHA ALAPUZHA
 Type of contact-
HH/Comm/HCW/CoTrvl/
Others(House Date of last Category of
Primary/Secondary hold/community/Health contact contact-(High
care (dd/mm/yyyy) risk/Low risk)
worker/Cotraveller/othe
rs)

PRIMARY HOUSE HOLD 5/6/2021 HIGH RISK

PRIMARY HOUSE HOLD HIGH RISK

6-5 2021

PRIMARY HOUSEHOLD
 Type of Date of start of Date of end of
Symptomatic-Yes/
Isolation/Quaranti Quarantine Quarantine
No
ne- Hosp/home (dd/mm/yyyy) (dd/mm/yyyy)

HOME ISOLATION 5/6/2021 5/20/2021 NO

HOME ISOLATION NO
NO
NO
NO
5/6/2021 5/20/2021 NO
NO
HOME ISOLATION NO
NO
NO
NO
NO

NO

NO

NO
NO
NO
NO
 Date of sample
Date of onset of Name of hosp Sample Sent-
sent
symptoms admitted Yes/No
(dd/mm/yyyy)

N/A N/A NO N/A

N/A N/A NO N/A

N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A

N/A N/A NO N/A

N/A N/A NO N/A

N/A N/A NO N/A

N/A N/A NO N/A
N/A N/A NO N/A
N/A N/A NO N/A
 Lab Result Date of result

Quaratine out

N/A N/A

N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A

N/A N/A

N/A N/A

N/A N/A
N/A N/A
N/A N/A
N/A N/A