NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

RECORDING FORMAT AT GRASS ROOT SUB-CENTRE

ASHA/SC/HWC and Hospital PHC,CHC LEPROSY SUSPECT RECORDS
Name of Sub-Centre : Chanmari West Sub-Centre Reporting Month : April 2023
CARDINAL SIGNS OF LEPROSY
Phar ani tih hrechiang thei turin hengte hi Cardinal Signs an tih te chu ani.
1 Vun rawng inthlak.
2 Vun chhah ro lo inisam.
3 He phah hnuai lam leh sir vel a na awm si lo pan.
4 Mit hmul tla kawlh.
5 Hriatna thazam vung/lian.
6 Skin smear a hrik hmuh.

Sl Fathers/Mothers House
Date Name of Suspect Khua Veng Age Sex Phone no
no Name no
1 Nil Nil Nil Nil Nil Nil Nil Nil Nil
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