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2020032617.Pdf Hospital Where Date of Under Date of leaving Date of Arrival from Affected Date of Receipt of Observation started Ever developed symptoms (during Currently Date of Sample Date of Sample Result of Lab where samples Home If Migrated (Out of Other State Date of S.No Block District* Name Age* Sex* Address* Contact Number* Passport Number* Traceable* Country of Visit* City Other than China* Provinces in China * SOURCE OF INFORMATION* Current Status* isolated/admitted Discharge from surveillance/Migrated/Surveillance Remarks* China* Country* Information* from* surveillance period)* Hospitalised* Hospitalisation* Collected* Collection* Sample* sent* Quarantined/Hospitalized* India/Other State)* Name* Reporting* * Hospital* completed* 1 NSR NEHA 26 Female h.no. b-14/348, SBS NAGAR LAROYIAN MOHALLA 144514 98141-51288 J8698032 Yes 3 hr stay at China Canada China 43857 43858 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined Out of India NA NA Observation period completed 2 NSR ARORA PRAYAG 3 Male hno. b/14,348 CITY NSR laroyian mohalla 144514 98141-51288 N3107132 Yes 3 hr stay at China Canada China 43857 43858 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined Out of India NA NA Observation period completed 3 NSR ARORA ASHISH 27 Male b/14,348 NAWANSHAHR laroyian mohalla 144514 98141-51288 J6786023 Yes 3 hr stay at China Canada China 43857 43858 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined Out of India NA NA Observation period completed 4 NSR SADHRA PUSHVA SOGY 32 Female h.no 998 SBS NAGAR laroyian mohalla 144514 98765-29482 J7551120 Yes 4 hr stay at China Canada China 43858 43859 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 5 NSR Nitin Sehgal 26 Male b-6/486 vikas nagar rahon road CITY NSR NAWANSHAHR 144514 98767-30341 P5087749 Yes 20 hours stay at Shanghai Airport Canada Shanghai Airport 43854 43855 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined Out of India NA NA Observation period completed 6 NSR Prem Lata 52 Female b-6/379/1, rahon road, vikas nagar CITY NSR near dr.rajpal, nawanshahr 144514 98140-85775 N7077045 Yes 8 hours stay at Shanghai Airport Canada Shanghai Airport 43861 43861 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 7 NSR NANNUAN GURSIMRAT SINGH 18 Male b-6/453, friends colony, saloh road CITY NSR nawanshahr 144514 98889-95099 S2506662 Yes Hebei, China Hebei, China Hebei, China 43857 43858 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 8 Sujjon BALDEV SINGH 79 Male V.P.O. NAURA PS. BANGA DISTT. NAWANSHAHR PIN- 1445 08 98727-69179 J0991723 Yes 10 hr stay at Shanghai, China Canada Shanghai, China 43855 43856 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 9 Sujjon GURDEV SINGH 71 Male vpo mandhali via kultham BEHRAM teh banga 144501 84374-13642 L1079986 Yes 2 hr stay at Dubai England Dubai 43855 43856 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 10 Sujjon DARSHAN KAUR 73 Female VPO.NAURA PS.BANGA DISTT.NAWANSHAHR 87280 91907 H4688280 Yes 4 hr stay at Beijing airport china California USA Beijing airport 23/01/2020 23/01/2020 State Health Authority 43880 43884 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Shifted to Model Town Saloh Road SBS Nagar 87280 91907 11 Sujjon POONI LAKHWINDER SINGH 31 Male vpo.behram BEHRAM teh.banga 144504 98776-41481 P4901720 Yes 4 hr stay at Beijing airport Toronto, Canada Beijing, China 43854 43855 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 12 Sujjon DHILLON AMRIT PAL KAUR 30 Female vpo. bharoli BEHRAM nawanshahr 144503 73460-79060 N9152544 Yes 2 hr stay at Beijing airport Austrila Beijing, China 43855 43856 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 13 Sujjon BALDEV KAUR 48 Female vpo SDR BANGA pathlawa 144510 90419-84120 R2602264 Yes 5 hr stay at Shanghai, China Toronto, Canada Shanghai, China 43858 43859 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 14 Rahon HARPREET SINGH 29 Male mohalla rajputan vpo rahon RAHON tehsil nawanshahr 144517 97818-21322 L5624120 Yes 13 hr sat at China airport Canada China 43845 43846 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 15 Balachaur Deepika Puri 23 F Ward No:7 Near Durga Mnadir Balachaur 9417252384 M0678741 Yes 4 hr stay at China Newzealand China 43851 21-01-2020 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 16 Balachaur Barjinder Singh S/o Rajinder Singh 26 M Bir Sarkar, P.O Marja Jattan 98721-05537 N6756189 Yes 4 hr stay at China Toranto by China China 43860 43860 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 17 Balachaur Gurmukh Singh 25 Male VILL TAUNSA PO RAIL MAJRA SBS NAGAR PIN 144533 90411-94381 N1286692 Yes 2 Hours stay at Shanghai Airport China Jilim city, China 43863 43863 State Health Authority 43865 43865 NO ASymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined Out of India NA NA Double Case reported by Daily already enter 18 Balachaur Bahadar Singh Rapri s/o Sawarn Singh 48 M V.P.O Garhi Kangoan 7087766438 P4233382 Yes 5 hr stay at China Vancouver to China China 43856 43856 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 19 Balachaur Jaswinder kaur D/o Joginder Singh 30 f V.P.O Garhi Kangoan 9465761703 L6576161 Yes 3 hr stay at China Newzealand to China China 43857 43858 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 20 Banga TUTEJA VIKAS 22 M h.no.9/397, adrash nagar CITY BANGA banga 144505 90565-12414 N2516388 Yes 3 hr stay at Shanghai, China Canada Shanghai, China 43859 43860 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 21 Saroya Jaspreet Singh 26 Male VPO Rakkran Dhahan, Teh. Balachaur, Distt. SBS Nagar 94638-48690 L1068106 Yes 2 hour stay in China Australia Guangzhou, China 43856 43856 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined Out of India NA NA Observation period completed 22 Saroya Navdeep Kaur 26 Female VPO Rakkran Dhahan, Teh. Balachaur, Distt. SBS Nagar 97793-76030 J3232834 Yes 2 hour stay in China America Guangzhou, China 43861 43861 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 23 Saroya Pardeep Kaur 24 Female VPO Chankoi, Teh. Balachaur, Distt. SBS Nagar 94636-73628 M0264729 Yes 2 hour stay in China Canada Guangzhou, China 43854 43854 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 24 Saroya Mohinder Kaur 63 Female VPO Chhdauri, Teh. Balachaur, Distt. SBS Nagar 98158-53768 T0464089 Yes 1 hour stay in China Newzeland Guangzhou, China 43846 43846 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 25 Muzaffarpur BALJINDER KAUR Maan 35 Female vpo: shahabpur SDR NSR tehsil nawanshahr 144515 98724-43650 S2522532 Yes 3 hr stay at Beijing airport Sari, Canada Beijing, China 43860 43861 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 26 Muzaffarpur Harbhajan Singh 63 Male S/o Atma Singh VPO Daulatpur, Muzaffarpur, SBS Nagar 97797-07287 M9622912 Yes 8 hours stay at Shanghai Airport Sari, Canada Shanghai, China 43857 43857 Self 43867 43867 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 27 Muzaffarpur Sukhjeet Kaur 60 Female W/o Harbhajan Singh VPO Daulatpur, Muzaffarpur, SBS Nagar 97797-07287 N2223987 Yes 8 hours stay at Shanghai Airport Sari, Canada Shanghai, China 43857 43857 Self 43867 43867 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 28 Muzaffarpur SODHI SINGH 58 M vpo muzaffarpur RAHON teh nawanshahr 144515 94171-33905 N3403954 Yes 8 hr stay at china USA China 43859 43860 State Health Authority 43880 43880 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed 29 Mukandpur Harbhjan Singh 74 M VPO URAPAR TEH P.S.
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