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
NIP/VPD Review Formats
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Special Surveillance Forms
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Measles Blue Form
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New Measles Special Surveillance Form
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Chickenpox Surveillance Form
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CRS Surveillance Form
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DF/DHF Surveillance Form
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Encephalitis Surveillance Form
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Leptospirosis Surveillance Form ( Field - Version 2 )
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Leptospirosis Surveillance Form ( Hospital - Version 2 )
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Measles Surveillance Form
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Meningitis Surveillance Form
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Mumps Surveillance Form
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Rabies Surveillance Form
Other Surveillance Forms
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Hepatitis B & C Quarterly Return
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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 )