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  • HIS Based Facility Monitoring Form - 1

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    MULUKEN
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    This document is a facility monitoring form used to track various health department registers and tally sheets on a monthly basis. It lists the registers and tally sheets used by each department including OPD, MCH, TB/leprosy, laboratory, pharmacy, under 5 OPD, and central registers. For each register or tally sheet, there is a column to check if the register was completed for the month, the tally sheet was completed, and an overall check if both the register and tally were completed with space for remarks. The form helps monitor the status of various clinical records and documentation on a monthly basis across departments.

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    HIS based facility monitoring form_1

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    This document is a facility monitoring form used to track various health department registers and tally sheets on a monthly basis. It lists the registers and tally sheets used by each department including OPD, MCH, TB/leprosy, laboratory, pharmacy, under 5 OPD, and central registers. For each register or tally sheet, there is a column to check if the register was completed for the month, the tally sheet was completed, and an overall check if both the register and tally were completed with space for remarks. The form helps monitor the status of various clinical records and documentation on a monthly basis across departments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    6 views2 pages

    HIS Based Facility Monitoring Form - 1

    Uploaded by

    MULUKEN
    This document is a facility monitoring form used to track various health department registers and tally sheets on a monthly basis. It lists the registers and tally sheets used by each department including OPD, MCH, TB/leprosy, laboratory, pharmacy, under 5 OPD, and central registers. For each register or tally sheet, there is a column to check if the register was completed for the month, the tally sheet was completed, and an overall check if both the register and tally were completed with space for remarks. The form helps monitor the status of various clinical records and documentation on a monthly basis across departments.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    HIS based facility monitoring form

    Date………Month …………….. year ……………..

    department Register and tally sheet Register Tally completed Register and remark
    completed(√) (√) tally (√)
    OPD OPD register
    VCT register
    Referral register
    HTN and DM register
    Disease tally sheet
    VCT tally sheet
    PITC tally sheet
    MCH ANC register
    department Delivery register
    PLW screening register
    PNC register
    TT register
    Cervical cancer register
    Family planning register
    LAFPR register
    PMTCT register
    Abortion register
    ANC tally sheet
    FP dispensing tally sheet
    FP service tally sheet
    PITC tally sheet
    PMTCT tally sheet
    TB and TB follow up register
    leprosy TB contact register
    Leprosy register
    PITC tally sheet
    OPD attendant tally sheet
    Laboratory Laboratory register
    department Teenage tally sheet
    Pharmacy Dispensing register
    department Available drug tally sheet
    Under 5 CINS register
    OPD GMP register
    Disease register
    OTP register
    CINS tally sheet
    PITC tally sheet
    Central register
    OPD attendant tally sheet
    CBHI register
    HIS based facility monitoring form
    Date………Month …………….. year ……………..

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