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Community Meeting Attendance (FPPPEA & MGHN)

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4 views2 pages

Community Meeting Attendance (FPPPEA & MGHN)

Uploaded by

pzmir2.0
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Community Meeting Attendance

District : Date: Name of Hospital:

Sl. Married No of
Name of Participant Age Address Contact No.
No. /Unmarried Children
1
2
3
4
5
6
7
8
9
10
11
12
13
14

15
16
17
18
19
20
21

Sign of CO Signature & Stam of facility with date Sign of AM


Attendance

Name of CO:

Signature Discussion Points

Outcome of Meeting : Nos of


identified clients ( Expected )

FST Del
Cu-380 ANC
Multiload PNC
Injectable D&C
Condoms other
OCPs

Sign of OM

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