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S.No Block District* Name Age* Sex* Address* Contact Number Date of Arrival from Date of Receipt of Observation started Ever developed symptoms (during Currently Date of Hospital Where Date of Discharge from Date of Sample Lab where samples Under surveillance/Migrated/Surveillance Home If Migrated (Out of S.No Block District* Name Age* Sex* Address* Contact Number* Passport Number* Traceable* Country of Visit* City Other than China* Provinces in China * Date of leaving China* SOURCE OF INFORMATION* Current Status* Sample Collected* Result of Sample* Other State Name* Date of Reporting* Remarks* Affected Country* Information* from* surveillance period)* Hospitalised* Hospitalisation* isolated/admitted* Hospital* Collection* sent* completed* Quarantined/Hospitalized* India/Other State)* 1 Balachaur BAGI AMITPAL SINGH 1256 ward no-5, SBS colony, balachaur 9417134678 523636898 Yes England England England NO 3/12/2020 State Health Authority 4/4/2020 4/4/2020 No Asymptomatic NO NO NO NO NO NO NO NO Under Surveillance Home Quarantined NA NA 2 Sujjon DOSANJH SURINDER KAUR VILL BHOOTAN, BANGA , CITY - SBS NAGAR 9501482782 512662251 Yes Dubai Dubai Dubai NO 3/12/2020 State Health Authority 3/21/2020 3/22/2020 No Asymptomatic Surveillance Completed 3 Banga GILL SIMARPREET KAUR 14 F 2729 GANDHI NAGAR , CITY - BANGA 9876772783 AK553310 Yes Canada Canada Canada NO 3/12/2020 State Health Authority 3/21/2020 3/22/2020 No Asymptomatic Surveillance Completed VILL- KHATKAR KALAN, TEH- SAHID BHAGHAT SINGH 4 Sujjon KAUR HARPREET 9878227571 654193159 Yes Dubai Dubai Dubai NO 3/12/2020 State Health Authority 3/21/2020 3/22/2020 No Asymptomatic Surveillance Completed NAGAR , CITY - NAWAN SHAHAR 5 Sujjon RANA HARMOHINDER SINGH VILL- BHOOTAN PO- BANGA , CITY - SBS NAGAR 9501482782 551688818 Yes Dubai Dubai Dubai NO 3/12/2020 State Health Authority 3/21/2020 3/22/2020 No Asymptomatic Surveillance Completed RAILWAY ROAD, DANA MANDI NAWANSHAHR , CITY - SBS 6 NSR SAREEN RAVINDER KUMAR 73 M 9876080211 M6299972 Yes UK UK UK No 3/12/2020 State Health Authority 3/21/2020 3/23/2020 no Asymptomatic Surveillance Completed NAGAR 7 Sujjon SINGH KULDEEP VILL- KHATTAR KALAW, , CITY - NAWAN SHAHAR 9878227571 498924165 Yes Dubai Dubai Dubai NO 3/12/2020 State Health Authority 3/21/2020 3/22/2020 No Asymptomatic Surveillance Completed 8 Banga SINGH MANJIT PAL 54 F 2729 GANDHI NAGAR , CITY - BANGA 987672783 HK840810 Yes Canada Canada Canada NO 3/12/2020 State Health Authority 3/21/2020 3/22/2020 No Asymptomatic Surveillance Completed VILL-MALLA SADHIAN, PO-BISLA, SBS NAGAR , CITY - SBS 9 Mukandpur AIWINDER SINGH M 9464239645 N2223607 Yes Italy Italy Italy NO 09/03/2020 State Health Authority 3/20/2020 3/21/2020 No Asymptomatic Surveillance Completed NAGAR VILL, MALLA SODHIAN PO. BISLA TEH. BANGA , CITY - SBS 10 Sujjon AJIT RAM M 8968117960 L1087614 Yes Dubai Dubai Dubai NO 15/03/2020 State Health Authority 3/21/2020 3/24/2020 no Asymptomatic Surveillance Completed NAGAR 11 Sujjon AJMER SINGH M vpo BEHRAM SANDHWAN 144503 P9505745 Yes Italy Italy Italy No 2/8/2020 State Health Authority 3/18/2020 3/18/2020 no Asymptomatic Surveillance Completed 12 Balachaur AJMER SINGH M v p o asron BALACHAUR ps balachaur 144533 T8293563 Yes Dubai Dubai Dubai No 2/8/2020 State Health Authority 3/30/2020 3/30/2020 no Asymptomatic NO NO NO NO NO NO NO NO Under Surveillance Home Quarantined NA NA VILL RATTAEWAL THE BALACHAUR SBS NAGAR , CITY - SBS 13 Balachaur AKASHDEEP M 7355428348 S5964338 Yes Dubai Dubai Dubai No 09/03/2020 State Health Authority 17.03.2021 3/23/2020 no Asymptomatic Surveillance Completed NAGAR VILL- BAGORA, TEH BANGA PO JAGATPUR CITY- SBS 14 Mukandpur AKASHDEEP M 7888768293 P3618670 Yes Dubai Dubai Dubai NO 14/03/2020 State Health Authority 3/20/2020 3/21/2020 No Asymptomatic Surveillance Completed NAGAR , CITY - SBS NAGAR 15 Muzaffarpur AMANDEEP M VILL- SULTANPUR PO- RAHON , CITY - SBS NAGAR 9781080624 N8418327 Yes Dubai Dubai Dubai NO 15/03/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed 16 Mukandpur AMANDEEP KAUR 30 F vpo.garcha RAHON tehsil nawanshahr 144518 9855685243 M5964939 Yes Newzeland Newzeland Newzeland No 3/8/2020 State Health Authority 3/22/2020 3/23/2020 no Asymptomatic Surveillance Completed 17 NSR AMANDEEP KAUR 29 F SHIV COLONY, NAWANSHAHR , CITY - SBS NAGAR 9814284662 T7426811 Yes Singapur Singapur Singapur No 15/03/2020 State Health Authority 3/12/2020 3/21/2020 no Asymptomatic Surveillance Completed b5/51, garhshankar road NAWANSHAHR nawanshahr 18 NSR AMANDEEP KUMAR 28 M 95306-45110 K1456103 Yes USA USA USA No 3/1/2020 State Health Authority 3/17/2020 3/18/2020 no Asymptomatic Surveillance Completed 144514 19 Saroya AMANPREET SINGH 21 M VPO SAROA TEH BALCHAUR , CITY - SBS NAGAR 94171779191 M8547366 Yes Newzealand Newzland Newzland No 09/03/2020 State Health Authority 2/21/2020 2/22/2020 No Asymptomatic Surveillance Completed 20 Balachaur AMAR KAUR F SAME AS PASSPORT , CITY - TEN BACACHAUR 8727067862 T0461153 Yes Dubai Dubai Dubai No 10/03/2020 State Health Authority 3/19/2020 3/21/2020 no Asymptomatic Surveillance Completed h.no. b-12/123, moh. ravidass nagar CITY NSR nawanshahr 3 Hours stay at Beijing 21 NSR AMARDEEP 43 M 83607-51215 P0210899 Yes Australia Beijing, China 1/25/2020 1/25/2020 State Health Authority 2/20/2020 2/20/2020 NO Asymptomatic Surveillance Completed 144514 Airport, China BHUPINDER NURSHING HOME ,VILL- SABJI MANDI 22 Rahon AMARJEET KAUR F 9876988742 J8074560 Yes Singapur Austrila Austrila NO 21/03/2020 State Health Authority 3/24/2020 3/24/2020 No Asymptomatic Surveillance Completed ROAD,TEH- RAHON , CITY - SBS NAGAR hno.b-10/324 ambedkar nagar CITY NSR nawanshahr 23 NSR AMARJIT M S5227134 Yes Canda Canda Canda No 3/6/2020 State Health Authority 3/23/2020 3/23/2020 NO Asymptomatic Surveillance Completed List No- 71 144514 1 hr stay at Hong kong 24 Balachaur Amarjit Kaur 60 F VPO Mehandpur, Tehs. Balachaur, Distt. SBS Nagar 98723-91916 AB158913 Yes Vancouver Canada Hongkong, China 1/30/2020 1/31/2020 Self 2/8/2020 2/8/2020 NO Asymptomatic Surveillance Completed airpiort guru angad nagar, st. no. 1, chandigarh road CITY NSR 25 NSR AMARJIT KAUR F T6023191 Yes USA USA USA No 2/6/2020 State Health Authority 3/23/2020 3/23/2020 NO Asymptomatic Surveillance Completed nawanshahr 144514 VILL SHAKOHPUR PO SAHLON , TEH NAWASHAHR , CITY - 26 Muzaffarpur AMARJIT KAUR F 9501961832 N5271717 Yes Austriya Austriya Austriya NO 14/03/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed SBS NAGAR 27 Sujjon AMARJIT KUMAR M VILL SOTRAN PO BANGA , CITY - MAWASHAHAR 987837532 L1064106 Yes Dubai Dubai Dubai NO 13/03/2020 State Health Authority 3/21/2020 3/22/2020 no Asymptomatic Surveillance Completed 28 Muzaffarpur AMARJIT LAL M CHHOKRAN NAWASEHAR , CITY - NAWASEHAR 9815925969 N2962083 Yes Dubai Dubai Dubai No 14/03/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed 29 Muzaffarpur AMARJIT RAM M v p o mal pur SBS NAGAR arkan 144508 T8192232 Yes Dubai Dubai Dubai No 14/03/2021 State Health Authority 3/29/2020 3/29/2020 no Asymptomatic NO NO NO NO NO NO NO NO Under Surveillance Home Quarantined NA NA 30 Balachaur AMARJIT SINGH M vpo kaulgarh BALACHAUR tehsil balachaur 144526 R3448484 Yes Canada Canada Canada NO 2/27/2020 State Health Authority 18.03.2020 3/21/2020 no Asymptomatic Surveillance Completed GARHSHANKAR ROAD NEAR GURUDWARA TAHLI SAHIB, 31 NSR AMARJIT SINGH 48 M 9653004742 P4271781 Yes America America America No 21/03/2020 State Health Authority 3/21/2020 3/24/2020 NO Asymptomatic Surveillance Completed SBS NAGAR, PUNJAB , CITY - SBS NAGAR 32 Rahon AMINDER SINGH 31 M MOH RAVIDASSPUR RAHLON , CITY - NAWASHEHR 9592321070 S9776319 Yes Dubai Dubai Dubai NO 16/03/2020 State Health Authority 3/21/2020 3/21/2020 No Asymptomatic Surveillance Completed List No- 81 VILLAGE AND POST OFFICE MANGUWAL , CITY - SBS 33 Sujjon AMJAD KHAN M 7626843586 P3614780 Yes Abudhabi Abudhabi Abudhabi no 19/03/2020 State Health Authority 3/30/2020 3/30/2020 No Asymptomatic NO NO NO NO NO NO NO NO Under Surveillance Home Quarantined NA NA NAGAR 34 Saroya AMRIK SINGH 23 M vpo hayatpur jattan POJEWAL teh balachaur 144524 79863-69009 N1678248 Yes South Coria South Coria South Coria No 3/7/2020 State Health Authority 3/20/2020 3/12/2020 No Asymptomatic Surveillance Completed VILL.BHARTA KHURD,TEH. BALACHAUR , CITY - SBS 35 Muzaffarpur AMRIK SINGH M 9878221894 L9464139 Yes Dubai Dubai Dubai NO 17/03/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed NAGAR 36 Balachaur ANITA KUMARI VASHISHT F vpo- gulpur BALACHAUR teh- balachaur 144526 K2407410 Yes USA USA USA NO 2/24/2020 State Health Authority 18.03.2020 3/21/2020 no Asymptomatic Surveillance Completed 1 hours stay in Kuala 37 Sujjon APRINDER SINGH 32 M NAURA, BANGA, SBS NAGAR 9872537855 S6695015 Yes MANILA MANILA NO 26.02.2020 State Health Authority 27.02.2020 2/27/2020 No Asymptomatic Surveillance Completed Lampur vill. kazampur, po. usmanpur RAHON teh. nawanshahr 38 Muzaffarpur ARJAN SINGH M P3620304 Yes Italy Italy Italy No 3/3/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed 144515 39 Muzaffarpur ARKAN KEWAL KAUR MALPUR AKKAN NAWANSHAHAR , CITY - NAWANSHAHAR 8968052879 527785632 Yes England England England NO 3/12/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed W NO. 8 NEAR GOVT. PRIMRY SCHOOL BALACHAUR , CITY 40 Balachaur ARORA AKHIL M 9478617108 K3946115 Yes German German German NO 09/03/2020 State Health Authority 3/21/2020 3/22/2020 no Asymptomatic
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