Dashboard

EPI Dashboard EPI PERFORMANCE DASHBOARD 95% Penta-1 Coverage 91% Penta-3 Coverage 4% Dropout Rate 12 Union Councils Union Council Coverage % Status UC-1 98% Excellent UC-2 93% Good UC-3 84% Poor UC-4 96% Excellent
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TALLY SHEET FOR ROUTINE IMMUNIZATION SESSION (FOR ONE DAY)

EPI PAKISTAN – DAILY TALLY SHEET (EPI-04)

DAILY TALLY SHEET FOR ROUTINE IMMUNIZATION SESSION

NAME OF CENTRE UNION COUNCIL NAME OF TALUKA NAME OF DISTRICT
NAME OF VACCINATOR MONTH YEAR DATE
ANTIGEN LESS THAN 1 YEAR 12–23 MONTHS 2 YEARS & ABOVE GRAND TOTAL
MALEFEMALETOTAL MALEFEMALETOTAL MALEFEMALETOTAL MALEFEMALE
PREGNANT LADIES & CHILD BEARING AGE WOMEN (CBAs)
ANTIGEN PREGNANT WOMEN (PL) TOTAL NON-PREGNANT WOMEN (CBAs) TOTAL
GRAND TOTAL
VACCINE CONSUMPTION AND VACCINE WASTAGE
VACCINE CONSUMPTION BCGHEP-BbOPVROTAPENTA PCV13IPVTCVMRTD
RECEIVED (DOSES) (a)
ADMINISTERED (DOSES) (b)
CONSUMED (DOSES) (c)
WASTAGE (%) ((c − b) / c × 100)
ABOUT VACCINE BCGHEP-BbOPVROTAPENTA PCV13IPVTCVMRTD
NO: OF DOSES PER VIAL 2012011 4105520
NORMAL RANGE WASTAGE % 50%5%20%5%5% 10%10%10%20%20%
DESIGNED & CREATED BY: RAZA MUHAMMAD DANDAN, EX-DISTRICT SUPERINTENDENT OF VACCINATION (EPI) SUKKUR
NAME OF VACCINATOR:
SIGNATURE OF VACCINATOR:
Location: Pakistan

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