EPI Balochistan

Union Council outreach /Mobile Vaccination Session Micro plan (Month of Activity: November____)

District: __________ Union Council: ________ Tehsil: ________ Monthly Under 1 Year Target: ____

Name of EPI Fixed Center: ___________ Total Outreach/Mobile Session Planed: ____

Name of Vaccinator: __________ Name of TA/SM: ___________________ Name of LHS of UC: ____

Number of Motorbike/Vehicle: Target Children to be Covered

Name of Outreach
Name of
Session Penta-1,PVC Penta-2,PVC Penta-3,PVC
LHV/CH BCG/ Total Target
Day Site (e.g.LHW Name of Villiage/Mohalla -1,OPV-1 -2,OPV- -3,OPV-3 Measles-1 Measles-2 TCV
W OPV-0 Children
HH,wataq Rota-1 Rota-2 IPV
CHV
etc)

Outreach Session 1
Date: __________

Outreach Session 2
Day _____

Outreach Session 3

Outreach Session 4

Total Target for the day

Outreach Session 1
Date: __________

Outreach Session 2
Day _____

Outreach Session 3

Outreach Session 4

Total Target for the day

Outreach Session 1
Date: __________

Outreach Session 2
Day _____

Outreach Session 3

Outreach Session 4

Total Target for the day

Outreach Session 1
Date: __________

Outreach Session 2
Day _____

Outreach Session 3

Outreach Session 4

Total Target for the day

Outreach Session 1
Date: __________

Outreach Session 2
Day _____

Outreach Session 3

Outreach Session 4

Total Target for the day

Outreach Session 1
Date: __________

Outreach Session 2
Day _____

Outreach Session 3

Outreach Session 4

Total Target for the day