Pregnant Woman Basic Information: Mcts Format - I
Pregnant Woman Basic Information: Mcts Format - I
Pregnant Woman Basic Information: Mcts Format - I
Location Details
Sl.#
Sub Component
Data
District
Deogarh
Block
Name of Sub-Centre
Village
Nilabeni Sah
Name
ANITA PATRA
Husband's name
Address
PPC
Ward No-9
MAHENDRA PAT
Identification Details
10
LMP (dd/mm/yyyy)
11
12
Other
9668669088
5/22/2014
SC
14
Health Provider
Details
Service
15
16
Name of ANM
17
18
Name of ASHA
19
20
ST
| Oth
BPL
YES
NO
StateDistBlockSCVillG1
Annada Shankar A
9668669088
SC | CHC
| PHC
21
Deogarh DHH
22
8/2/2014
23
TT 1 (dd/mm/yyyy)
M E Cell, NRHM
Service
24
TT -2 /TT-Booster (dd/mm/yyyy)
25
Anemia(HB Level)
Normal | Modorate<11
Hypertensive | Diabet
26
Complications
Malaria | Other |
27
RTI/STI
YES
M E Cell, NRHM
NO
Data
eogarh
PPC
ard No-9
beni Sahi
TA PATRA
NDRA PATRA
9, Nilabeni Sahi
Other
8669088
22/2014
19
| Others
APL
hankar Achrya
8669088
| PHC | DHH
Pvt.Hosp | Other
garh DHH
2/2014
M E Cell, NRHM
orate<11 | Sever<7
| Diabetics | APH
| Other | None
|
NO
M E Cell, NRHM
MCTS FORMAT - I
Pregnant Woman Basic Information
Major Component
Location Details
Sl.#
Sub Component
Data
District
Deogarh
Block
Name of Sub-Centre
Ward No-3
Village
Matha Sahi
Name
Husband's name
Address
PPC
MANINI PRADH
SAROJ KUMAR N
Identification Details
10
LMP (dd/mm/yyyy)
11
12
Self
9583226782
5/6/2014
SC
14
Health Provider
Details
Service
15
16
Name of ANM
17
18
Name of ASHA
19
20
ST
| Oth
BPL
YES
NO
StateDistBlockSCVillG1
Annada Shankar A
9668669088
SC | CHC
| PHC
21
Deogarh DHH
22
8/2/2014
23
TT 1 (dd/mm/yyyy)
M E Cell, NRHM
Service
24
TT -2 /TT-Booster (dd/mm/yyyy)
25
Anemia(HB Level)
Normal | Modorate<11
Hypertensive | Diabet
26
Complications
Malaria | Other |
27
RTI/STI
YES
M E Cell, NRHM
NO
Data
eogarh
PPC
ard No-3
tha Sahi
NI PRADHAN
UMAR NAYAK
3, Matha Sahi
Self
3226782
6/2014
21
| Others
APL
hankar Achrya
8669088
| PHC | DHH
Pvt.Hosp | Other
garh DHH
2/2014
M E Cell, NRHM
orate<11 | Sever<7
| Diabetics | APH
| Other | None
|
NO
M E Cell, NRHM