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Showing posts with the label Visit Report Auto Generator

Kobotool

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Polio Refusal Investigation (Sample) Investigator name Town -- select -- Islam Nangar Etehad town Sample Town Did child receive OPV in last campaign? Yes No Don't know Reason for refusal (if 'no') Child details (repeat group) + Add child GPS location Get GPS No location Upload photo (optional) Save Draft Load Draft Export CSV Submit
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🚙 Check list No: 01, for EPI-Centre general visit report

CHECK LISIT NO:01,FOR EPI-CENTRE GENERAL VISIT REPORT CHECK LISIT NO:01,FOR EPI-CENTRE GENERAL VISIT REPORT NAME OF VISITOR DESIGNATION DATE OF VISIT TIME OF VISIT NAME OF EPI CENTRE UNION COUNCIL TALUKA DISTRICT NAME OF VACCINATOR(1) S.NO: DETAIL AVAILABLE (YES/NO) COMPLETE OR INCOMPLETE IF INCOMPLETE WRITE DATE REMARKS 01 EPI Centre was Opened (Writer Yes/No in Remarks Column) 02 EPI Centre was (Writer Clean/Dirty in Remarks Column) 03 Who is working at EPI Static Centre (write designation in Remarks Column) ...
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Location: Pakistan
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🚙 Check list No: 02, for EPI-cold chain report

CHECK LISITNO:02,FOR EPI-COLD CHAIN REPORT CHECK LISITNO:02,FOR EPI-COLD CHAIN REPORT NAME OF VISITOR DESIGNATION DATE OF VISIT TIME OF VISIT NAME OF EPI CENTRE UNION COUNCIL TALUKA DISTRICT NAME OF VACCINATOR(1) NAME OF VACCINATOR(2) NAME OF VACCINATOR(3) NAME OF VACCINATOR(4) S.NO: DETAIL ILR-1 ILR-2 DEPFREEZER REMARKS 01 Temperature of Refrigerator 02 Refrigerator was clean (Yes/No) 03 Temperature Chart is available (Yes/...
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Location: Pakistan
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🚙 Check list No: 05, for EPI house to house field visit summary

CHECK LIST NO: 05, FOR EPI HOUSE TO HOUSE FIELD VISIT SUMMARY NAME OF VISITOR DESIGNATION DATE OF VISIT TIME OF VISIT NAME OF VILLAGE/MUHALLA/STREET NAME OF UNION COUNCIL NAME OF (EPI) CENTRE NAME OF VACCINATOR (THIS AREA) NO:OF HOUSES VISITED NO:OF CHILDREN CHECKED NO:OF CHILDREN BCG SCAR WAS VISIBLE % OF BCG SCARS NO:OF FULLY IMMUNIZED CHILDREN % OF FULLY IMMUNIZED CHILDREN NO:OF PARTIALY VACCINATED % OF (PI) CHILDREN NO:OF DEFAULTERS FOUND % OF DEFAULTERS CHILDREN NO:OF UNVACCINATED CHILDREN FOUND % OF UNVACCINATED CHILDREN NO:OF V.CARDS AVAILABLE % OF V.CARDS AVAILABLE NO:OF V.CARDS NOT AVAILABLE % OF NOT AVAILABLE V.CARDS OBSERVATIONS: DESIGNED BY:-RAZA MUHAMMAD,DANDAN,EX-DSV (EPI) SIGNATURE OF VISITOR 🧮 Calculate % 📊 Export...
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Location: Pakistan
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