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Charts Special_Immunization_Week

Submission Time

start

end

today

Division

District

Enter Block

SMNet Covered Block

Name of Planning Unit

Round

Designation

Date of Visit

Whether session held

Whether vaccines & diluents delivered by AVD

Whether any mobilizer (ASHA/AWW) found working

Whether updated due list available with ANM

Whether ALL Vaccines & Diluent (Excluding IPV) available:

Whether Working Hub cutter available at the session site

Whether any supervisor visited session site

Whether any IEC (Banner/Poster) displayed at session site