Transcription of ASHA - PAYMENT REGISTER AT PHC FOR MALARIA
1 Sl NoSubcentre Name of ASHAASHA CodeNo. of Slides Collected (a)Incentive @ 5/- per slide (b =aX5)No. Of RDT Pos Cases Treated (c)Incentive @ 20/- per RDT pos case treated (d=cX20)No of slide po cases treated (e)Incentive @ 50/- per slide pos case treated (f=eX20)Total Incentive (b+d+f)Total PaidSignature of ASHA123456789101112131234567891011121314 151617181920 Signature of AccountantSignature of MOPHC Month/ Year:_____/_____ASHA - PAYMENT REGISTER AT PHC FOR MALARIAName of the State:Name of the District:Name of the Block :Name of the PHC :_____PHC Cd_____id17161092 pdfMachine by Broadgun Software - a great PDF writer!
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