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INSPECTION REPORT ON THE ACCOUNTS OF THE OFFICE OF THE DEPUTY DIRECTOR OF HEALTH SERVICES, DISTRICT FOR THE PERIOD FROM 02/2017 TO 12/2017

DATES OF AUDIT: 02.01.2018 TO 23.01.2018

PART-I: INTRODUCTION

OVERVIEW

Functional/Geographical Jurisdiction : The Deputy Director of Health Services has the jurisdiction of two Health Unit Districts viz. Vellore and Tirupathur and implements Public Health Programme , Technical Guidance and Supervision covering 10 Block Primary Health Centres, 35 Additional Primary Health Centres, 4 Urban Primary Health Centres and 231 Health Sub Centres

Relative Significance of the unit in the overall Hierarchy of the Department : The Deputy Director of Health Services, Vellore is functioning under direct administrative control of the Director of Public Health and Preventive Medicine, Chennai

Budget/Financial Performance

Year Budget Revised Expenditure Estimate Estimate 2014-215 268396875 326570947 332378113

2015-2016 336401760 390055122 364978903

2016-2017 373924232 393392402 377102999

2017-2018 396615561 399034230 328370756 (Up to 12/2017)

Regular Activites carried out by the auditee unit : The DDHS,Vellore had implemented the following programme namely Communicable Disease Control Programme, AIDS Control Programme, Maternal and Child Health, Immunization programme, School Health Programme, National Programmes like eradication of 2

Malaria, Leprosy, TB, Blindness control and Iodine Deficiency programme, Special Programme like Pulse Polio Immunization, Dr.Muthulakshmi Reddy Maternity Beneficiary Scheme, Special Medical Camp, Menstrual Hygiene programme, NRHM scheme, Konnoli Kappom Thittam, Amma Arokia Thittam and Amma Baby Care Thittam.

Scope of Audit : It is a Low Risk audit and focused on the implementation of Health welfare scheme and budgetary control mechanism.

Subject matter selected if any : Nil

Complete List of PHCs under the Juridiction of DDHS, Vellore : List Enclosed

Audit Sample As per the Headquarters Lr. No.Pr.AG (G&SSA)/SS-I/Civil 1/I/ 2017- 18/Dated: 02/01/2018 Mudur, Punnai, were selected for test audit.

Audit Criteria

1. IPHS guidelines and other Scheme Guidelines issued by the Government

2. Government Orders, Executive instruction and circulars.

3. Budget and Accounting Manual

4. Financial Code

5. Tamil Nadu Treasury Code

The Previous audit of this office was conducted from 27/02/2017 to 14/03/2017 covering the period from March 2015 to January 2017. During the present audit, taken up from 02nd January 2018 to 23rd January 2018, activities and transaction pertaining to the period from February 2017 to December 2017 were test checked.

Part-II : Audit Findings List Enclosed.

Part-III – Follow up Findings : Outstanding from Previous Reports : Enclosed

Part-IV : Best Practices : Nil

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Part-V : Acknowledgement : The audit acknowledges the co-operation extended by the Deputy Director of Health Services, Vellore and staff in completing audit successfully

The following Persons held the charge of the post of Deputy Director of Health Services, Vellore during the period covered by audit.

S.No Name Shri/Smt/Sel. From To

1. Dr. K. S. T. Suresh, MBBS,DCH,DPH,MPH 27.06.2016 Till date

The Local audit was conducted by the following officials

S.No Name and Designation Shri/Smt/Sel. 1. V. Padmanabham , Audit Officer 2. J. Joab Jaidev Royan, Asst. Audit Officer 3. K. Raja Kumar , Senior Auditor from (02/1/18 to 19/1/18)

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SUMMARY OF OBJECTIONS

PART II B

Para No. Gist of objections 1. RKSK-DELAYED/NON IMPLEMENTATION/USAGE OF FUNDS OF CERTAIN SCHEME COMPONENTS 2. NON-RETURN OF BALANCE FUND BY PWD-RS. 6.01 LAKH 3. RETURN OF AMOUNTS CREDITED TO BENEFICIARY ACCOUNTS OF DR. MUTHULAKSHMI REDDY MATERNITY BENEFIT SCHEME- UPHC MUDHUR-RS. 2.08 LAKH, UPHC PUNNAI – RS. 1.56 LAKH 4. NON FULFILLMENT OF INDIAN PUBLIC HEALTH STANDARDS NORMS - COMMUNITY HEALTH CENTRE, PUNNAI, MUDUR, AND THIMIRI 5. NON ESTABLISHEMENT OF TELEMEDICINE CENTRE IN THONGUMALAI HEALTH SUB CENTRE 6. NON FUNCTIONING OF EQUIPMENTS IN GOVERNMENT PUBLIC HEALTH CENTER, PUNNAI - RS. 1,09,175 7.(a) BUILDINGS TO BE DEMOLISHED IN PUNNAI PHC 7.(b) OLD AND DILAPIDATED BUILDINGS TO BE DEMOLISHED- MUDHUR UPHC 8. PROBABLE ENCROACHMENT OF PHC LAND – PUNNAI PHC

9. INTERNAL AUDIT NOT CONDUCTED

Part III 1. NON-DISPOSAL OF USED X-RAY FILMS AND WASTE HYPOSOLUTION AT GOVERNMENT PHC, PUNNAI – Rs. 1,320/-

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Part-IIB

1. RKSK-DELAYED/NON IMPLEMENTATION/USAGE OF FUNDS OF CERTAIN SCHEME COMPONENTS

The Rashtriya Kishori Swasthya Karyakram (RKSK) Scheme was launched on 7th of January 2014 to address the health and development needs of the adolescent population which is 21% of India’s population. Administrative sanction to implement the scheme in Tamilnadu was accorded vide GO (Ms) No. 65 Health and Family Welfare (EAPII (1)) Department dt. 05.03.2015. The seven critical components of this strategy are Coverage, Content, Communities, Clinics, Counseling, Communication and Convergence. The six strategic priorities of the Scheme are Nutrition, Sexual and Reproductive Health, Non communicable diseases, Substance misuse, injuries and violence and mental health of the adolescents.

In the first phase, the scheme was proposed to be implemented in 9 High priority districts which includes . The Mission Director, SHS, is permitted to establish Adolescent Friendly Health Clinics (AFHC) in 185 Health Institutions and to place 370 Adolescent Health Counselors only on contract basis (Outsourcing) at the rate of two Counselors per clinic. In Vellore district inclusive of Tirupattur HUD, AFHCs were established in Govt. Vellore Medical College Hospital, Dist. Hqrs hospital, 7 Sub District hospitals and 20 Block Primary Health Centres.

Funds to the tune of Rs. 8,01,01,600/- (Rs. 3.23 crore + Rs.4.77 crore) for various activities under RKSK were released to the DDHS of the districts vide Proceedings of the Mission Director, SHS Nos.. 4026/P/SHS/2014 dt. 25.03.2015 and 4026/P/SHS/2014-2 dt. 23.03.2015. Out of this an amount of Rs. 1,46,58,100/- was released to DDHS, Vellore, and credited to the ICICI bank account 614301014854 on 26.03.2015 (8655600+5588900+413600) under various components as shown in the Annexure.

It was noticed that the amount of Rs. 1.46 crore received on 26.03.2015 remained unutilized upto end of 2015-16. In 2016-17 funds for the setting up of clinics at DH/MCH/CHC alone were fully utilized. In 2017-18, funds towards provision of training for ANM/LHV for Peer Educator Programme at district and 6

Block level and provision of kits to Peer Educators were partially utilized. However, it was noticed that funds provided for organizing Adolescent Health Day and Sensitization for representatives of PTA were not utilized at all since 2015. The Adolescent Health Day is to be organized every quarter in 2998 villages in Vellore district at the rate of Rs. 2500/- per Health Day. The major amounts fully unspent and partially spent is as below:

Sl Component name Amount Amount Closing Remarks No. Sanctioned spent balance (Rs.) (Rs.) (Rs.) 1 Adolescent Health 74,95,000 0 74,95,000 Amount sanctioned in Day 2015. Not utilised at all. 2 Sensitization for 5,12,000 0 5,12,000 Amount sanctioned in representatives of 2015. Not utilised at all. PTA 3 Incentives for Peer 7,85,650 0 7,85,650 Amount sanctioned in Educators 2015. Not utilised at all. 4 Travel expenses by 3,000 0 3,000 Amount sanctioned in APM 2015. Not utilised at all.

The amount not spent at all worked out to Rs. 87,92,650/- from 26.03.2015 in respect of 4 components. Components where meager expenditure was incurred is as below:

Sl Component name Amount Amount Closing Remarks No Sanctioned spent balance . (Rs.) (Rs.) (Rs.) 1 Kit to Peer Educators 39,28,250 5,87,023 33,41,227 Amount spent in 2017-18 only. 2 Sensitization for PRI, 3,52,000 5,600 3,46,400 Amount spent in NGOs, and PPP at PHC 2017-18 only. level 3 Training for Peer Educator 26,22,700 9,86,260 16,36,440 Amount received in programme at District and 2016-17 and spent in Block level 2017-18 only. 4 Mobility support for 8,000 1,600 6,400 Amount spent in Counsellors 2016-17 only 5 Incentives for mobilising 41,200 1,800 39,400 Amount spent in adolescents form AHD 2017-18 only. 6 Adolescent Health Club 1,81,600 20,000 1,61,000 Amount spent in 2016-17 only

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Out of a total receipt of Rs. 1,74,54,800/- an amount of Rs. 1,45,57,768/- is available as Closing balance as on date with an expenditure of only Rs. 28,97,032/- which is only16.59% of the sanction for the period from 26.03.2015 till date.

This is brought to notice.

The department has given an interim reply.

2. NON-RETURN OF BALANCE FUND BY PWD-RS. 6.01 LAKH

The approved Civil works for 2013-14 interalia comprised of the upgradation of 60 PHCs into 30 bedded PHCs through NHM. The PHCs were to be upgraded at a cost of Rs. 87 lakh each (GO (Ms) No. 216 Health and Family Welfare (EAPII-2) Department dt. 24.7.15) and 30% of the total cost amounting to Rs. 1566.00 lakh was remitted to SBI, Treasury Branch, Thousand lights, Chennai vide challan No. 1073 dt. 08.01.2015 to get the work executed through the PWD (GO (Ms) No. 116 Health and Family Welfare (EAPII-2) Department dt. 25.03.11). Subsequently, the revised cost of upgradation, due to revision in the Schedule of Rates, and as sanctioned by the Mission Director, SHS, worked out to Rs. 105 lakh. The balance 70% of the cost and the escalation cost of the upgradation worked out to Rs. 4734 lakhs (70%= Rs3654 lakh +Escalation cost Rs. 1080 lakh) and the same was remitted into the SBI, Treasury Branch, vide challan no. 918 dt. 05.02.2015.

In Vellore HUD, the PHCs of Lalapet, Kaniyambadi, Mudhur and Punnai were upgraded and the new buildings were completed during the period 10.02.2016 to 21.11.16. The details of the sanction and the expenditure incurred for the upgradation is as below:

(Rs. In lakh)

Sl. Name of Sanction Expenditure Balance (Rs.) Remarks No. PHC (Rs.) (Rs.) 1 Mudhur 105.00 103.78 1.22 Completed on 20.02.2016 2 Kaniyambadi 105.00 103.78 1.22 Completed on 10.02.2016 3 Punnai 105.00 103.48 1.52 Completed on 21.11.2016 4 Lalapet 105.00 102.95 2.05 Completed on 07.10.2016 T O T A L 6.01 8

It is not known whether the PWD had returned the balance amount of Rs. 6.01 lakh to the SHS, who is the funding authority for the deposit work.

The balance amount of Rs. 6.01 lakh may be obtained from the PWD and refunded to the SHS under intimation to Audit.

The department has given an interim reply.

3. RETURN OF AMOUNTS CREDITED TO BENEFICIARY ACCOUNTS OF DR. MUTHULAKSHMI REDDY MATERNITY BENEFIT SCHEME- UPHC MUDHUR-RS. 2.08 LAKH, UPHC PUNNAI – RS. 1.56 LAKH

A scrutiny of the records, relating to Dr. Muthulakshmi Reddy Maternity Benefit Scheme, maintained at the UPHCs Mudhur, and Punnai, revealed that there was return of funds credited by ECS to the beneficiary accounts as shown in the Annexure-I and II respectively. The ECS returns amounted to Rs.2,08,000/- and Rs. 1,56,000/- respectively.

On this being pointed out the BMO of the PHC, Mudhur, replied that most of the amounts have been credited back to the beneficiary account after due rectification of the deficiencies for which they have been returned un-credited. However, no evidence to this effect has been produced to Audit. The details of return for the year 2017-18 have not been produced to Audit.

On this being pointed out the BMO of the PHC, Punnai, replied that action would be taken to rectify and re-credit the amounts to the beneficiaries account after due rectification of the deficiencies for which they have been returned un-credited. The details of ECS returns for the year 2017-18 (4/2017 to 12/2017) have not been produced to Audit.

The details of the beneficiaries may be ascertained from the subsidiary registers available with the PHC/VHN and action taken to credit the funds to the beneficiaries under intimation to Audit as the beneficiaries have been deprived of their dues as per the Scheme.

The action taken in this regard may be furnished to Audit.

The department has given an interim reply. 9

4. NON FULFILLMENT OF INDIAN PUBLIC HEALTH STANDARDS NORMS - COMMUNITY HEALTH CENTRE, PUNNAI, MUDUR, AND THIMIRI

The Community Health Centre (CHC) is designed to provide referral health care for cases from the Primary Health Centre (PHC) level and for cases in need of specialist care approaching the centre directly. CHC is a 30 bedded hospital providing specialist care in medicine, obstetrics and Gynecology, Surgery, Pediatrics, Dental and AYUSH. Not only does the system require up gradation to handle higher patient load, but emphasis also needs to be given to quality aspects to increase the level of patient satisfaction. In order to ensure quality of services, the Indian Public Health Standards (IPHS) is being set up for Community Health Centre so as to provide a yardstick to measure the services being provided there. As per the IPHS guidelines, the following Medical/Para medical and other administrative staffs are essential to provide quality services and the actual men-in-position held with the Community Health Centre, Punnai is given as below :-

S.No Personnel Essential Qualification Men-in Vacant as per Position IPHS norms

1. Block Medical 1 Senior most - 1 Officer/ Medical specialist/ GDMO Superintendent with trained in PDC

2. General Surgeon 1 MS/DNB (General - 1 surgery)

3. Obstetrician & 1 DGO/MD/ DNB - 1 Gynaecologist

4. Paediatrician 1 DCH/ MD - 1 Pediatrics/DNB 5. Anaesthetist 1 MD - 1 (Anesthesia)/DNB/D A/ LSAS trained MO

6. Dental Surgeon 1 BDS 1 0

7. General duty Medical 2 MBBS 2 0 officer

8. Medical Officer 1 Graduate in AYUSH 1 0 AYUSH 10

9. Staff Nurse 10 - 2 8

10. Pharmacist 1 - 0 1

11 Pharmacist-Ayush 1 - 1 0

12. Lab Technician 2 - 0 2

13. Radiographer 1 - 1 0

14 Ophthalmic Assistant 1 - 1 0

15 Dental Assistant 1 - 1 0

16. Cold chain & vaccine 1 - 0 1 Logistic Assistant

17. OT Technician 1 - 0 1

18. Multi Rehabilitation/ 1 - 0 1 community based rehabilitation worker

19. Counselor 1 - 1 0

20. Registration Clerk 2 - 0 2

21. Statistical Asst /Data 2 - 1 1 Entry Operator

22. Accounts Assistant 1 - 1 0

23. Administrative 1 - 1 0 Assistant

24. Dresser 1 - 0 1

25. Ward boys/ Nursing 5 - 0 5 orderly

26. Driver 3 - 1 2

TOTAL 45 15 30

As seen from the above men-in-position, essential Specialist doctors/ Para medical staffs/administrative staff as per IPHS norms 2012 required were not posted and the percentage of vacancy of staff position was 66.66%. Due to non posting of essential manpower, providing quality essential services to the rural people was denied. 11

Similarly, it was noticed that the equipment availability under various department of this CHC has not fulfilled the IPHS norms. The percentage of non- availability of essential equipments and drugs were 51.76% and 59.65% respectively which ultimately affects the effective and efficient functionality of the hospital. The objective of IPHS to provide health care that is quality oriented to the needs of rural people of the Community Health Centre, PUNNAI is not achieved.

Further in respect of Community health centres Mudur and Thimiri the percentage of essential manpower, equipments and drugs not available as per the IPHS norms is detailed below

CHC CHC Thimiri Mudur Manpower 46% 51%

Equipments 41% 52%

Drugs 40% 29%

The above lapses are pointed out.

The department has given an interim reply.

5. NON ESTABLISHEMENT OF TELEMEDICINE CENTRE IN THONGUMALAI HEALTH SUB CENTRE

As per Government Order G.O.(Ms) No.163 dated 08.05.2012 Government proposed to establish 31 telemedicine CENTREs in peripheral Primary Health centres with an objective to provide health care service on pilot basis for which an amount of Rs. 1,88,00,000/- was sanctioned as non recurring expenditure. Out of this Rs. 93,00,000/- was allocated to 31 peripherals centre (Rs.3,00,000/- each) for the procurement of computers, UPS, Multipara monitor with computer interface through the Director of Public Health and Preventive Medicine (DPH).

In Vellore district, Thongumalai Health Sub Centre which comes under block, was identified for the establishment of the telemedicine centre.

However, on scrutiny of related records and on an enquiry from Block Medical Officer, , it was ascertained that only the building was constructed 12 by the PWD and is being utilized as Additional Primary Health centre, Pinjamanthai since 22/02/2014. Equipment to the tune of Rs.3,00,000/- and furniture were not procured and installed even after a lapse of 5 years.

The non installation of equipments and furniture leads to the non fulfillment of the objective of establishing telemedicine centre. Early action may be taken to procure and install the necessary equipments and furniture under intimation to audit.

The department has given an interim reply.

6. NON FUNCTIONING OF EQUIPMENTS IN GOVERNMENT PUBLIC HEALTH CENTER, PUNNAI - RS. 1,09,175

On a Physical examination of Government Public Health Center, Punnai it was noticed that certain essential equipments were not put in to use as detailed below:-

Sl. No. Name of the Equipments Amount Reason for non in Rs. functioning 1. Fully Automatic Steam 39,520/- Steam not Generated since Generator no 3 phase current and sufficient water supply. 2. Tread Mill with Stabilizer 32,500/- Belt Scratch 3. Steam bath Lying type - No 3 Phase Current 4. Steam bath Sitting type - 5. CCTV camera and its 37,155 Reason not stated accessories Total 1,09,175 In respect of serial No. 1 to 4 the equipments related to the AYUSH clinic in siddha wing. In respect of Sl.No 5 The CCTV camera was installed on 22/3/2016 and was not put in to use and the date from which it was not functioning was not made available to audit.

The non functioning of equipments leads to the deprival of the benefits to the patients. Hence early action may be taken to rectify and put the equipments in to use under intimation to audit.

The department has given an interim reply. 13

7. (a)BUILDINGS TO BE DEMOLISHED IN PUNNAI PHC

On an inspection of the Punnai PHC compound it was noticed that about five quarters and an old Outpatient ward were in disuse due to structural weakness. The buildings were also in a dilapidated condition. It was ascertained that the buildings were not in use for about 15 years. The total area of the unused buildings is about 6,000 sq. ft. and the approximate cost is Rs. 5,00,000/-. The buildings were handed over to the PHC way back in 1970. There were no electrical fittings, furniture or equipments housed in these buildings. The electrical connections to the buildings have been cut but minimum charges are being paid to the EB even though the buildings are not in use.

The buildings were inspected by the PWD authorities and also by the DDHS, Vellore, on their regular inspection visits. A new outpatient block was constructed and is being used to overcome the lack of the old building. The Block Medical Officer, Punnai PHC, had also written to the DDHS, Vellore, in 5/2016 and 7/2016 to take necessary action to get the buildings demolished. However, no action to demolish the buildings has materialized.

The required certificates may be obtained from the PWD authorities and the buildings demolished at the earliest as their existence is a safety threat to the patients and the staff. It would also prove detrimental to the growth of the PHC as vast space is being occupied wastefully. The electric consumption charges of about Rs.7,836/- (Rs. 2612/- x 3) is also being paid wastefully and is a drain on the meager financial resources of the PHC.

This is brought to notice for expeditious remedial action.

The department has given an interim reply.

7.(b) OLD AND DILAPIDATED BUILDINGS TO BE DEMOLISHED-

MUDHUR UPHC

The following buildings in Mudhur UPHC are not being put to use for more than 5 years as they have become structurally weak and dilapidated. The buildings have to be demolished under proper orders from the competent authority and after getting the concurrence of the PWD. 14

Mudhur PHC

1. Old ANM quarters 2. BMO quarters 3. Driver quarters

In letter No. 94408/PHC6/A2/17 dt. 25.10.17 of DPH&PM, Chennai-6, all DDHS were requested to get the buildings of PHC&HSCs under their respective control verified with regard to structural stability and ensure that in case any particular wing is functioning in a dilapidated building it is vacated forthwith by making alternate arrangements. It was noticed that the RKSK clinic is functioning from a room in a staff nurse quarters which was in a poor condition.

The buildings may be certified as unusable and demolished to make more profitable use of the space for the development of the PHCs. The action taken in this regard may be furnished to Audit. 8. PROBABLE ENCROACHMENT OF PHC LAND – PUNNAI PHC:

The land for the PHC Punnai was obtained through a Gift Deed Document no. 3519 of 1963 registered in the Sub-Registrar Office, , on 26th September, 1963. The Survey number is 307 with an extent of 0.26 cents out of 0.76 cents. The total area of the Punnai PHC is stated to be three and a half acres.

In the land adjacent to the new Outpatient Block, there is a temple (Padavattamman Temple), a Panchayat Union Middle school and the Town Panchayat over head tank with its pump room. It was stated by the Block Medical Officer, that the land on which the temple stands falls within the PHC land even though the fencing laid excludes the temple land from the PHC campus. Contradictory claims notwithstanding, there is no clarity as to the status of the temple and the school adjoining the campus. Some construction activity is also being undertaken by the school. There appears to be a probable encroachment as the sketch of the PHC and the Field Map copy is not available with the PHC.

In view of the above, the PHC may approach the Revenue Officials like the VAOs, Sub-Registrar, Arakkonam, Thasildar etc. with the available land records and to stake a claim for the land due to it and to rule out any possible encroachment of the 15

PHC land. Any probable encroachment would be detrimental to the growth of the PHC.

The action taken in this regard may be furnished to Audit.

The department has given an interim reply.

9. INTERNAL AUDIT NOT CONDUCTED

According to G.O.Ms.No.598, Finance/LF dated 03.08.92, Internal Audit should be conducted periodically once in a year, which should be preceded by the Accountant General.

However, it was found that the Internal Audit of the Deputy Director of Health Services Vellore have been conducted up to 30.06.2014 only, thereafter, internal audit has not been conducted till date

Therefore, this matter may be taken up with the Director of Public Health & Preventive Medicine Chennai to conduct the Internal Audit up to date under intimation to Audit.

For Sr. Deputy Accountant General/SS-I

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Part-III

1.NON-DISPOSAL OF USED X-RAY FILMS AND WASTE HYPOSOLUTION AT GOVERNMENT PHC, PUNNAI – Rs. 1,320/-

On a scrutiny of the Stock Register in respect of the used X-ray films and hypo solution in the selected Block Primary Health Centre, Punnai in Vellore district, it was seen that the following quantities of these items are available in stock without disposal. The approximate rate adopted: Used X-Ray film – Rs.40/- per Kg. and Hypo solution Rs.30/- per litre Sl. Items Period Quantity Amount No. (RS.) 1. X-ray Films (Kgs) 2013 to 2017 3 Kgs 120 2. Used Hypo Solution 2013 to 2017 40 litters 1200 Total 1,320

Early action may be taken to dispose of the waste hypo solution to the best advantage of the Government and amount realized may be remitted into government account under intimation to audit. The department has given an interim reply.

Sr. Audit Officer/C-2

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Annexure-I

Return of ECS amount – Dr. Muthulakshmi Reddy Maternity Benefit Scheme-Mudhur

Sl no Beneficiary name Amount (Rs.) Date of return by Bank 1 Lakshmi 4000 21.10.14 2 Sathya 4000 21.10.14 3 Lakshmi 4000 28.10.14 4 Geetha 4000 15.11.14 5 Shaiha 4000 15.11.14 6 Pushpa 4000 15.11.14 7 Ammu 4000 27.12.14 8 Sathya 4000 27.12.14 9 Sugirtha Raj 4000 25.03.15 10 Durga Devi 4000 08.06.15 11 Malini 4000 08.06.15 12 Lakshmi 4000 08.06.15 13 Jeevitha 4000 08.06.15 14 Vanmathy 4000 28.07.15 15 Vanmathy 4000 28.07.15 16 Lakshmi 4000 27.07.15 17 Saritha 4000 20.07.15 18 Mythili 4000 20.07.15 19 Mangamma 4000 26.08.15 20 Velankanni 4000 26.08.15 21 Jayalakshmi 4000 26.08.15 22 Santhi 4000 26.08.15 23 Santhi 4000 26.08.15 24 Velankanni 4000 26.08.15 25 Lakshmiprabha 4000 26.08.15 26 Vanmathy 4000 26.08.15 27 Tamilarasi 4000 26.08.15 28 Salma 4000 26.08.15 29 Prema 4000 26.08.15 30 Famitha 4000 17.08.15 31 Tamilarasi 4000 17.08.15 32 Mythili 4000 09.09.15 33 Mangamma 4000 09.09.15 34 Jeevitha 4000 01.10.15 35 Durga Devi 4000 01.10.15 36 Jayanthi 4000 01.10.15 37 Sowmiya 4000 01.10.15 38 Saritha 4000 01.10.15 39 Saritha 4000 01.10.15 40 Devi 4000 01.10.15 41 Iswarya 4000 01.10.15 42 Famitha 4000 01.10.15 18

43 A.Roshan 4000 2016 44 A.Roshan 4000 2016 45 A.Roshan 4000 2016 46 Vimala. B 4000 2016 47 Jayanthi . D 4000 2016 48 Jayanthi . D 4000 2016 49 Jayanthi . D 4000 2016 50 Geetha 4000 2016 51 Renuka 4000 2016 52 Sugirtharaj 4000 2016 T OT A L 208000

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Annexure-II

Return of ECS amount – Dr. Muthulakshmi Reddy Maternity Benefit Scheme-Punnai

Sl no Beneficiary name Amount (Rs.) Date of return by Bank 1 Rekha 4000 20.01.16 2 Vijaya 4000 01.03.16 3 Banupriya 4000 01.03.16 4 Veenitha 4000 01.03.16 5 Sowmiya 4000 01.03.16 6 Amina 4000 01.03.16 7 Rekha 4000 18.03.16 8 Jeevitha 4000 18.03.16 9 Rekha 4000 18.03.16 10 Rajalakshmi 4000 18.03.16 11 Rajalakshmi 4000 18.03.16 12 Thamilarasi 4000 18.03.16 13 Sandhiya 4000 02.04.16 14 Hemalatha 4000 06.04.16 15 Rajalakshmi 4000 13.05.16 16 Shenbagavalli 4000 13.05.16 17 Senbagavalli 4000 10.06.16 18 Veenitha 4000 10.06.16 19 R. Thenmozhi 4000 06.08.16 20 Sangeetha 4000 06.08.16 21 Vijaya 4000 16.08.16 22 Banupriya 4000 08.09.16 23 Rekha 4000 08.09.16 24 Renuga 4000 03.10.16 25 Sangeetha 4000 07.10.16 26 Jayalakshmi 4000 04.11.16 27 Prabhavathi 4000 10.11.16 28 Gayathri 4000 10.11.16 29 Sangeetha 4000 24.11.16 30 Revathi 4000 14.12.16 31 Sangeetha 4000 10.02.17 32 Suganya 4000 10.02.17 33 Pumala 4000 15.03.17 34 Pavithra 4000 15.03.17 35 Savitha 4000 27.03.17 36 Jayashree 4000 27.03.17 37 Chitra 4000 31.03.17 38 Devi 4000 31.03.17 39 Kalaivani 4000 31.03.17 T OT A L 156000