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Month:
Your work this month
Start with the next step
Add each screening here. Your monthly report is prepared from these records.
Monthly Screening Metrics
Screening Activity for0
Screened this month
Registered clients →0
High risk identified
Requires follow-up →0
Follow-up pending
Action pending →Report Status
To District Office →0
Screened0
High Risk0
Pending| # | Date | Woman Name | Age | Husband/Guardian | Village / Contact | Risk Level | Referral Facility | Follow-up Date | Actions |
|---|
ANM / CHO-Level Monthly Reporting Format
Annexure IIIOfficial Sub-Centre Monthly Pre-Pregnancy Care Consolidated Report
Review this month’s counts
Check the totals below, then confirm that you have reviewed them before submitting.
A. High-Risk Identification
| # | Category | Number |
|---|---|---|
| 1 | Total number of women screened under Pre-Pregnancy Care | 0 |
| 2 | Total no. of Women identified with under weight (BMI < 18.5) | 0 |
| 3 | Total no. of Women identified with over weight (BMI ≥ 23) | 0 |
| 4 | Total no. of women identified with Anemia | 0 |
| 5 | Total no. of women identified with Hypertension | 0 |
| 6 | Total no. of women identified with Diabetes | 0 |
| 7 | Total no. of women identified with Infections (HIV/Syphilis & Hepatitis) | 0 |
| 8 | Total no. of women identified as Sickle cell/Thalassemia | 0 |
| 9 | Total no. of women identified with Tuberculosis | 0 |
| 10 | Total no. of women identified with Mental health | 0 |
| 11 | Total no. of women identified with Tobacco & Alcohol use | 0 |
B. Referral and Follow-up
| # | Indicator | Number |
|---|---|---|
| 12 | Total no. of women Referred to AAM/ PHC/ CHC | 0 |
| 13 | Total no. of High-Risk women whose follow-ups are conducted | 0 |
C. Key Services Delivered
| # | Service | Number |
|---|---|---|
| 14 | Total no. of women received Folic acid 400mcg | 0 |
| 15 | Total no. of women received vaccination (Td / others) | 0 |
Certified Official Report • Pre-Pregnancy Care
ANM / CHO Signature & Date
PHC / CHC / Block-Level Monthly Reporting Format
ConsolidatedSum of all Sub-Centres under this Main Centre
SUBMISSION STATUS SPLIT
Health Infrastructure (Main Centres)
Tap a facility to filter inventory11
Aizawl East
View list ↗10
Aizawl North
View list ↗8
Sakawrdai
View list ↗5
Darlawn
View list ↗4
Thingsulthliah
View list ↗2
Khawruhlian
View list ↗Sub-Centre Submissions Inventory (40 Units)
Month:
| # | Main Centre | Sub-Centre Name | Status | Report Type | Screened | Submitted At | Actions |
|---|
District-Level Monthly Consolidated Reporting Format
All 40 Sub-CentresConsolidated for Office of the Chief Medical Officer, Aizawl East
Drill-Down Inspector
Inspect individual register records or specific monthly reports for any Main Centre or Sub-Centre
Portal Accounts & Password Management
Manage passwords for District Admin and the 6 Main Centre accounts
| # | Account Name | Username | Role | Action |
|---|