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Passport City Other than Date of leaving Date of Arrival from SOURCE OF Date of Receipt Observation Ever developed symptoms Currently Date of Hospital Where Date of Discharge Sample Date of Sample Result of Lab where Under surveillance/Migrated/Surveillance Home If Migrated (Out of Other State Date of S.No Block District* Name Age* Sex* Address* Contact Number* Traceable* Country of Visit* Provinces in China * Current Status* Remarks* Number* China* China* Affected Country* INFORMATION* of Information* started from* (during surveillance period)* Hospitalised* Hospitalisation* isolated/admitted* from Hospital* Collected* Collection* Sample* samples sent* completed* Quarantined/Hospitalized* India/Other State)* Name* Reporting* 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 NAGAR , CITY - NAWAN 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 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 6 NSR SAREEN RAVINDER KUMAR 73 M RAILWAY ROAD, DANA MANDI NAWANSHAHR , CITY - SBS NAGAR 9876080211 M6299972 Yes UK UK UK No 3/12/2020 State Health Authority 3/21/2020 3/23/2020 no Asymptomatic Surveillance Completed 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 9 Mukandpur AIWINDER SINGH M VILL-MALLA SADHIAN, PO-BISLA, SBS NAGAR , CITY - SBS NAGAR 9464239645 N2223607 Yes Italy Italy Italy NO 3/9/2020 State Health Authority 3/20/2020 3/21/2020 No Asymptomatic Surveillance Completed 10 Sujjon AJIT RAM M VILL, MALLA SODHIAN PO. BISLA TEH. BANGA , CITY - SBS NAGAR 8968117960 L1087614 Yes Dubai Dubai Dubai NO 3/15/2020 State Health Authority 3/21/2020 3/24/2020 no Asymptomatic Surveillance Completed 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 Surveillance Completed 13 Balachaur AKASHDEEP M VILL RATTAEWAL THE BALACHAUR SBS NAGAR , CITY - SBS NAGAR 7355428348 S5964338 Yes Dubai Dubai Dubai No 3/9/2020 State Health Authority 17.03.2021 3/23/2020 no Asymptomatic Surveillance Completed 14 Mukandpur AKASHDEEP M VILL- BAGORA, TEH BANGA PO JAGATPUR CITY- SBS NAGAR , CITY - SBS NAGAR 7888768293 P3618670 Yes Dubai Dubai Dubai NO 3/14/2020 State Health Authority 3/20/2020 3/21/2020 No Asymptomatic Surveillance Completed 15 Muzaffarpur AMANDEEP M VILL- SULTANPUR PO- RAHON , CITY - SBS NAGAR 9781080624 N8418327 Yes Dubai Dubai Dubai NO 3/15/2020 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 3/15/2020 State Health Authority 3/12/2020 3/21/2020 no Asymptomatic Surveillance Completed 18 NSR AMANDEEP KUMAR 28 M b5/51, garhshankar road NAWANSHAHR nawanshahr 144514 95306-45110 K1456103 Yes USA USA USA No 3/1/2020 State Health Authority 3/17/2020 3/18/2020 no Asymptomatic Surveillance Completed 19 Saroya AMANPREET SINGH 21 M VPO SAROA TEH BALCHAUR , CITY - SBS NAGAR 94171779191 M8547366 Yes Newzealand Newzland Newzland No 3/9/2020 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 3/10/2020 State Health Authority 3/19/2020 3/21/2020 no Asymptomatic Surveillance Completed 3 Hours stay at Beijing Airport, 21 NSR AMARDEEP 43 M h.no. b-12/123, moh. ravidass nagar CITY NSR nawanshahr 144514 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 China BHUPINDER NURSHING HOME ,VILL- SABJI MANDI ROAD,TEH- RAHON , CITY - 22 Rahon AMARJEET KAUR F 9876988742 J8074560 Yes Singapur Austrila Austrila NO 3/21/2020 State Health Authority 3/24/2020 3/24/2020 No Asymptomatic Surveillance Completed SBS NAGAR 23 NSR AMARJIT M hno.b-10/324 ambedkar nagar CITY NSR nawanshahr 144514 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 Vancouver 24 Balachaur Amarjit Kaur 60 F VPO Mehandpur, Tehs. Balachaur, Distt. SBS Nagar 98723-91916 AB158913 Yes 1 hr stay at Hong kong airpiort Hongkong, China 1/30/2020 1/31/2020 Self 2/8/2020 2/8/2020 NO Asymptomatic Surveillance Completed Canada 25 NSR AMARJIT KAUR F guru angad nagar, st. no. 1, chandigarh road CITY NSR nawanshahr 144514 T6023191 Yes USA USA USA No 2/6/2020 State Health Authority 3/23/2020 3/23/2020 NO Asymptomatic Surveillance Completed 26 Muzaffarpur AMARJIT KAUR F VILL SHAKOHPUR PO SAHLON , TEH NAWASHAHR , CITY - SBS NAGAR 9501961832 N5271717 Yes Austriya Austriya Austriya NO 3/14/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed 27 Sujjon AMARJIT KUMAR M VILL SOTRAN PO BANGA , CITY - MAWASHAHAR 987837532 L1064106 Yes Dubai Dubai Dubai NO 3/13/2020 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 3/14/2020 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 3/14/2021 State Health Authority 3/29/2020 3/29/2020 no Asymptomatic Surveillance Completed 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, SBS NAGAR, PUNJAB , 31 NSR AMARJIT SINGH 48 M 9653004742 P4271781 Yes America America America No 3/21/2020 State Health Authority 3/21/2020 3/24/2020 NO Asymptomatic Surveillance Completed CITY - SBS NAGAR 32 Rahon AMINDER SINGH 31 M MOH RAVIDASSPUR RAHLON , CITY - NAWASHEHR 9592321070 S9776319 Yes Dubai Dubai Dubai NO 3/16/2020 State Health Authority 3/21/2020 3/21/2020 No Asymptomatic Surveillance Completed List No- 81 33 Sujjon AMJAD KHAN M VILLAGE AND POST OFFICE MANGUWAL , CITY - SBS NAGAR 7626843586 P3614780 Yes Abudhabi Abudhabi Abudhabi no 3/19/2020 State Health Authority 3/30/2020 3/30/2020 No Asymptomatic Surveillance Completed 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 35 Muzaffarpur AMRIK SINGH M VILL.BHARTA KHURD,TEH. BALACHAUR , CITY - SBS NAGAR 9878221894 L9464139 Yes Dubai Dubai Dubai NO 3/17/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed 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 37 Sujjon APRINDER SINGH 32 M NAURA, BANGA, SBS NAGAR 9872537855 S6695015 Yes 1 hours stay in Kuala Lampur MANILA MANILA NO 26.02.2020 State Health Authority 27.02.2020 2/27/2020 No Asymptomatic Surveillance Completed 38 Muzaffarpur ARJAN SINGH M vill. kazampur, po. usmanpur RAHON teh. nawanshahr 144515 P3620304 Yes Italy Italy Italy No 3/3/2020 State Health Authority 17.03.2020 3/22/2020 no Asymptomatic Surveillance Completed 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 40 Balachaur ARORA AKHIL M W NO. 8 NEAR GOVT. PRIMRY SCHOOL BALACHAUR , CITY - SBS NAGAR 9478617108 K3946115 Yes German German German NO 3/9/2020 State Health Authority 3/21/2020 3/22/2020 no Asymptomatic Surveillance Completed 41 NSR ARORA ASHISH 27 M b/14,348 NAWANSHAHR laroyian mohalla 144514 98141-51288 J6786023 Yes 3 hr stay at China Canada
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