Review / Reporting / Surveillance Forms

Reporting Forms

AEFI

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  • AEFI following COVID 19 Vaccines

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  • AEFI Form - 01

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  • Monthly Surveillance Report on AEFI ( AEFI Form - 02 )

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  • Case Investigation Form ( AEFI Form - 03 )

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  • Regional Epidemiologist Monthly Consolidate Return of AEFI

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  • Anaphylaxis following immunization Case Investigation Form

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  • Hypotonic–Hyporesponsive Episode (HHE) Case Investigation Form

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  • Investigation of Deaths related to immunization

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  • Meningitis following immunization - Case Investigation Form

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  • Monthly return of O.P.V. Immunization Form – ( Returnees from South India )

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  • New MOH Office Vaccine Movement Register

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  • New MOH Clinic Vaccine Movement Register

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NIP/VPD Review Formats

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  • 1-EPI VPD review_Guidelines for data collection_2023

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  • 4-EPI VPD review_Decisions format_2023

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  • 5-EPI VPD review_RE presentation format_2023

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  • 2-EPI VPD review_MOH data collection format_2023

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  • 3-EPI VPD review_MOH presentation format_2023

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Special Surveillance Forms

Showing 13-24 of 24 results

  • Tetanus Surveillance Form

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  • Viral Hepatitis Surveillance Form

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  • Whooping Cough Surveillance Form

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  • AFP Surveillance Form 01

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  • Enteric Fever (Typhoid and Paratyphoid ) Surveillance Form

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  • AFP Surveillance Form 02

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  • AFP Surveillance Form 03

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  • Leishmaniasis Surveillance Form

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  • Rubella Special Surveillance Form

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  • CRS Special Surveillance Form

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  • Weekly Reporting Form for AFP*, MEASLES, RUBELLA / CRS Cases From Hospitals (SENTINAL SITES)

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  • Monthly Reporting Form for AFP*, MEASLES, RUBELLA / CRS Cases From Hospitals (SENTINAL SITES)

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Other Surveillance Forms

Showing 1-7 of 7 results

  • RDHS's Monthly Consolidated Return on Water Quality Surveillance

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  • Water Quality Surveillance (MOOH's Monthly Consolidated Return)

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  • Ebola Field Investigation Form

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  • Suspected Influenza Infection - Death Reporting Form

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  • Form of National Influenza Laboratory , Department of Virology MRI

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  • Data formats for Influenza Surveillance (English)

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  • Death Reporting Form - Suspected Influenza Infection ( English )

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Other Downloads

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