Sam Children

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Sam-Children

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Reports

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SAM Reports

Child Details

District:

Block/Municipality: NRC:

*Child's Name:

*Gender:

MALEFEMALEOTHERS

Select Admission Mode:

Normal AdmissionBacklog Admission

For Backlog Entry Admission Date must be between 01/10/2015 and 30/09/2016

Admission Date:

*Date of Birth:

*Father's Name:

*Mother's Name:

*Caste:

Coupon Not Required

*Address:

*Pin:

*District:

*Block/Municipality:

Ration Card No.:

Contact No.:

*Height :

*Weight:

*OEDEMA:

MUAC:

Lactation Failure: :

YesNo

Visible Wasting: :

YesNo

Medical Complication:

Admission Details

Admission Date:

Referred By:

Caregive Name:

Caregiver No:

*District:

*Block:

FPS:

Search & Edit Child Details

Confirm Box

Calculate WFH

Gender: MALEFEMALEOTHERS

Height:

Weight:

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