🗒PER DAY PER VACCINATOR PERFORMANCE (PREGNANT LADIES & CBAs)

PER DAY PER VACCINATOR PERFORMANCE (PREGNANT LADIES & CBAs)

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

REPORTING MONTH		REPORTING YEAR		POPULATION
RATIO (PL)		Y.TARGET (PL)		M.TARGET (PL)
RATIO (CBAs)		Y.TARGET (CBAs)		M.TARGET (CBAs)

DATE	PREGNANT LADIES (PL)					CHILD BEARING AGE WOMEN (CBAs)
	TD-1	TD-2	TD-3	TD-4	TD-5	TD-1	TD-2	TD-3	TD-4	TD-5
TARGET
Total

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

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

SIGNATURE: _______________ NAME OF VACCINATOR: _____________________________ DATE: _______________