🗒PER DAY PER VACCINATOR PERFORMANCE (UNDER 2 YEARS OF AGE CHILDREN)

PER DAY PER VACCINATOR PERFORMANCE (UNDER 2 YEARS OF AGE CHILDREN)

NAME OF VACCINATOR	OUT REACH OR FIXED SITE	NAME OF CENTRE	UNION COUNCIL

MONTH		YEAR		POPULATION
RATIO (0–6.WEEKS)		Y.TARGET (0–6.WEEKS)		M.TARGET (0–6.WEEKS)
RATIO (6.W - 11.M)		Y.TARGET (6.W - 11.M)		M.TARGET (6.W - 11.M)
RATIO (12–23.M)		Y.TARGET (12–23.M)		M.TARGET (12–23.M)

DATE	BCG	HEP-B	OPV-0	OPV-1	OPV-2	OPV-3	ROTA-1	ROTA-2	PENTA-1	PENTA-2	PENTA-3	PCV13-1	PCV13-2	PCV13-3	IPV-1	IPV-2	MR-1	TCV	MR-2
TARGET
Total

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SUMMARY OF DAYS WORKED BY VACCINATOR DURING THE MONTH
WORKED AT CENTRE	WORKED IN OUT REACH	SUNDAYs	HOLIDAYs	ON LEAVE	OTHERS	TOTAL

DESIGN & CREATED BY: RAZA MUHAMMAD DANDAN, EX - DISTRICT SUPERINTENDENT OF VACCINATION (EPI) SUKKUR

SIGNATURE: _______________ NAME OF VACCINATOR: _____________________________ DATE: _______________