india-odk.ona.io

Submission Time

start

end

today

1.1 Name of the division

1.2 Name of the district

1.3 Rural / Urban

1.4 Name of the block

1.7 Name of urban planning unit

1.10 Organization of monitor

1.11 Designation of monitor

1.17 Gender of child:

1.18 Date of birth

1.20 Registered at AWC

2.1 New MCP Card

2.2 Two Packets ORS in Last 1 month

2.3 Did the child receive age appropriate immunization?

2.4 IFA syrup (50 ml IFA syrup bottle available with family)

2.5 Did the child receive biweekly IFA supplementation?

2.6 Did the mother receive take home ration for child in Last 1 month