Submission Time

start

end

today

Name of Division

Name of District

Name of district-level hospital

Reporting Month and Year

*In the reporting month*

*Cumulative till the reporting month*

*In the reporting month*

*Cumulative till the reporting month*

<span style="color:blue;">*In the reporting month</span>*

<span style="color:blue;">*Cumulative till the reporting month</span>*

*In the reporting month*

*Cumulative till the reporting month*

<span style="color:blue;">*In the reporting month</span>*

<span style="color:blue;">*Cumulative till the reporting month</span>*

*In the reporting month*

*Cumulative till the reporting month*