District Health Society, Gopalganj Report for the Month May- 12

MONTHLY KALA-AZAR REPORT DISTRICT:- Gopalganj MONTH/YEAR:- May -12 Sl.No Name of the PHC Report Upto Previous Month Reported During the Month Progressive Total Cases Under Treatment Untreated Cases Resistant Cases PKDL Cases Remarks if any Popul ation of affecte d PHC's Cases Death s Treate d Cases Death s Treate d Cases Death s Treate d Baikunthp ur Sidhwalia Barauli Manjha Gopalganj Kuchaikot e Hathwa Thawe Uchkagaon Phulwaria Bhore Kateya Panchdevri Vijaipur Total

PR :- 0.64% M.L.F. 05/A Page 1 NLEP-Monthly Reporting Form District/State Report (Delete the level District/State whichever not applicable) District Gopalganj State BiharReporting Month / Year May-12 Population of the Destrict / State TotalSCST No of balance new cases at the beginning of the month 1.1 New Cases1.2 Other Cases PB783 MB9528 TOTAL No. of "New Leprosy Cases" detected in the reporting month During reporting monthCummulative form 1 st April PBMBTOTALPBMBTOTAL Adult Child Total Among new leprosy cases detected during the reporting month,number of Female Deformity Grade-I Grade-II SC ST 4 Number of New leprosy cacse deleted during the month RFT Otherwise deleted Total Number of New leprosy cacse under treatment at the end of the month ( ) Number of "other cases" recorded and put under treatment (i) Relapse (iii) Reentered for treat (iii) Referred 11 (iv) Reclassified 11 (v) Form other states Total Number of "other cases" deleted from treatment RFT Otherwise deleted Total No. of other cacse under treatment at the end of reporting month ( ) 22830

Monthly Reports on Vaccine / AD Syringe Name of District:- Gopalganj Name of Month : 'May 12 S.No. Particulars OPV Meas les BCGDPT Hep- B TT Vit"A " JE AD Syringe I Card T- OPV M-OPV 0.1ml0.5ml5ml T3 B-OPV (Polio Round) 1 Opening Balance Received during Month Distributed during Month Closing Balance- Month End

Progressive Report Under RNTCP of Gopalganj District No. of TU5 No. of DMCs19/19 No. of DOT Centre1778 No. of Patient Category Wise April 12May-12June 13July 12 CAT - I69NSP86NSP CAT - II TOTAL :

STATE HEALTH SOCIETY – BLINDNESS DIVISION,GOPALGANJ Pariwar Kalayan Bhawan, Sheikhpura, Patna -14 Format III NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS DBCS- QUARTERLY MONITORING FORMAT (To be sent in July, Oct, Jan, April) State: BIHARDistrict: GOPALGANJ. Reporting Year Quarter I Annual Target 5000 CATARACT PERFORMANCE QUARTER - IQUARTER - IIQUARTER - IIIQUARTER - IVTOTAL APRMAYJUNJULAUGSEPOCTNOVDECJANFEBMAR FACILITY MEDICAL COLLEGE DIST HOSPITAL C.H.C/SUB-DIST.HOSP. NGOS PVT. SECTOR OTHERS (D.B.C.S.) TOTAL PROG. TOTAL

DMC wise Analysis DISTRICT:- Gopalganj MONTH/YEAR:-May -12 SL.NOTUDMC February 12 No. of Adult OPD No. of 3% Refd for Sputum Examination No. of Total Cases NSP Gopalganj DTC Gopalganj Manjha Thawe Yadavpur Baikunthpu r Sidhwalia Mohammadpur Barauli Hathwa Kusaundhi Uchkagaun Mirganj Bhore Vijaipur Kateya Panchdevri Kuchaikote Phulwaria Jalalpur Grand Total :

MF4 DISTRICT:- Gopalganj MONTH/YEAR: - May 12 SURVEILLANCE REPORT OF N.V.B.D.CONTROL PROGRAMME Sl.No. Name of the PHC A.C.DP.C.DM & CTOTAL Agewise Species Distribution Remarks if any B.S. Coll. B.S. Exa m No. of +ve B.S. Coll. B.S. Exa m No. of +ve B.S. Coll. B.S. Exa m No. of +ve B.S. Coll. B.S. Exa m No. of +ve PVPF Baikunthpu r Sidhwalia Barauli Manjha Gopalganj Kuchaikote Hathwa Thawe Uchkagaon Phulwaria Bhore Kateya Panchdevri Vijaipur Total

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