ACTION PLAN FORMAT (MICROPLANNING )FOR MOBILE HEALTH TEAM UNDER RBSK 2018-19 Name & Contact Name of the Name & Contact No(AYUSH-Male): Dr Debasish No(Pharmacist): Name of the MMT(MMT1/MMT2):MMT 1 Name & Contact No(AYUSH-Female): Name & Contact No(ANM/SN):Nirmal ku Panda (8457025537) Block:BHAPUR Maharana (9938496536) Tapaswinee Sahoo(9348225461) Total No Of Children Distanc Pre Schooling Category in School/+2 College e from Name of The (School / Of School Visit Date Sl No Name of The Institution AWC Code School Code assigne 0 to 3 years 3 Years to 6 Years Total Contact No. (HM/ AWW) Contact No of ASHA DAY Village AWC) (Res/ Non Femal MM/DD/YY d HQ of Male Total Res.) e MHT MFMFMF 1 SUNDAY 0 0 01-04-18 Sunday 21385010414/21385010 2 CDPRASAD Cdprasasd- 1& hadi sahi AWC 8km 18 25 15 22 33 47 0 9437634358/9777957421 8280430795 02-04-18 Monday 21385010416/21385010418 3 CDPRASAD Cdprasad -3& anandpur AWC 9KM 13 18 13 13 26 31 0 9938736233/917800594 8280431478 03-04-18 Tuesday 419 4 CDPRASAD gobardhan prasad AWC 21385010417 9KM 19 17 13 16 32 33 0 9178092346 8280430792 04-04-18 Wednesday 5 CDPRASAD gobardhan prasad sara sahi AWC 21385010417 10KM 14 15 10 13 24 28 0 9178092346 8280430792 05-04-18 Thursday 21385010415/21385010 6 CDPRASAD Cdprasasd -2 & kurubenga AWC 11KM 23 8 10 11 33 19 0 7894369617/9668074877 8280430794 06-04-18 Friday 420 7 DEIC REFERAL DAY 0 0 0 07-04-18 Saturday 8 SUNDAY 0 0 0 08-04-18 Sunday 9 PMSMA 0 0 0 09-04-18 Monday 10 Badasahara badasahara -1 awc 21385010401 6KM 17 18 14 11 31 29 0 9937964728 8280430802 10-04-18 Tuesday 11 Badasahara badasahara -2 awc 21385010402 6KM 22 17 14 18 36 35 0 8658255983 8280430802 11-04-18 Wednesday 12 Badasahara sanasahara & nakadei awc 21385010403/408 10KM 33 16 23 12 56 28 0 9937161012/7894066712 8280430803 12-04-18 Thursday 13 Badasahara baliapata+ramapada awc 21385010407/409 10KM 30 24 26 22 56 46 0 9937860712/9437108477 8280431486 13-04-18 Friday 14MAHA BIUBHA SANKRANTI 0 0 0 14-04-18 Saturday 15 SUNDAY 0 0 0 15-04-18 Sunday 16 Badasahara jamusahi+P jamusahi awc 21385010405/406 9KM 17 16 25 16 42 32 0 9437108477/7894133601 8280431486 16-04-18 Monday 17 Badasahara gopalprasad awc 21385010404 10KM 23 9 20 14 43 23 0 9777116149 8280430804 17-04-18 Tuesday 18 NIMANI NIMANI awc 21385010410 13KM 29 19 22 25 51 44 0 7326040256 8280430793 18-04-18 Wednesday 19 NIMANI NIMANI tala sahi awc 21385010410 12KM 10 6 7 9 17 15 0 7326040256 8280430793 19-04-18 Thursday 20 NIMANI Arakhpali awc 21385010412 14KM 13 10 13 11 26 21 0 9938328465 8280430805 20-04-18 Friday 21 DEIC REFERAL DAY 0 0 0 21-04-18 Saturday 22 SUNDAY 0 0 0 22-04-18 Sunday 23 NIMANI Kalika prasad awc 21385010411 13KM 11 15 12 8 23 23 0 9178504315 8280430805 23-04-18 Monday 24 NIMANI Badabhuin awc 21385010413 12KM 18 15 12 10 30 25 0 8018295040 8280430805 24-04-18 Tuesday 25 SALAPADA Salapada/kulab awc 21385010510/517 6KM 17 23 27 11 44 34 0 9583766092/9439011735 8280430786 25-04-18 Wednesday 26 SALAPADA Barabati awc 21385010511 8KM 29 22 21 17 50 39 0 9178064147 8280430806 26-04-18 Thursday 27 MONTHLY MEETING 0 0 0 27-04-18 Friday 28 DEIC REFERAL DAY 0 0 0 28-04-18 Saturday 29 SUNDAY 0 0 0 29-04-18 Sunday 30 TERTIARY REFER 0 0 0 30-04-18 Monday 31 SALAPADA mituani awc 21385010513 7KM 28 24 14 12 42 36 0 9938374251 8280430807 01-05-18 Tuesday 32 SALAPADA Nuagaon/Mardabadi awc 21385010512/514 13KM 22 25 22 21 44 46 0 7894184236/9937468402 8280430806 02-05-18 Wednesday 33 SALAPADA manibandha/kendupalui awc 21385010512516/515 6KM 14 21 10 8 24 29 0 8763213985/9556501319 8280430936 03-05-18 Thursday 34 GOLAPOKHARI Golapokhari/Marichia awc 21385010501/509 8KM 26 20 14 17 40 37 0 9668143816/8895277086 8280431488 04-05-18 Friday 35 DEIC REFERAL DAY 0 0 0 05-05-18 Saturday 36 SUNDAY 0 0 0 06-05-18 Sunday 37 GOLAPOKHARI Jagdishprasad awc 21385010502 4KM 19 10 13 9 32 19 0 8658404465 8280430800 07-05-18 Monday 38 GOLAPOKHARI begunia awc 21385010506 7KM 18 7 17 10 35 17 0 9861842727 8280430799 08-05-18 Tuesday 39 PMSMA 0 0 0 09-05-18 Wednesday 40 GOLAPOKHARI Tarabalo -1 awc 21385010503 8KM 14 7 8 8 22 15 0 9938687470 9437604944 10-05-18 Thursday 41 GOLAPOKHARI tarabalo -2 awc 21385010504 8KM 23 13 15 19 38 32 0 9938455736 9437604944 11-05-18 Friday 42 DEIC REFERAL DAY 0 0 0 12-05-18 Saturday 43 SUNDAY 0 0 0 13-05-18 Sunday 44 GOLAPOKHARI NK Prasad awc 21385010505 10KM 25 12 22 11 47 23 0 9778124463 8280430797 14-05-18 Monday 45 PENSION SCREENING 0 0 0 15-05-18 Tuesday 46 GOLAPOKHARI Karadapali awc 21385010507 5KM 20 15 17 18 37 33 0 8018591565 8280430800 16-05-18 Wednesday 47 GOLAPOKHARI Pathapur awc 21385010508 6KM 18 17 16 14 34 31 0 9668289089 8280430800 17-05-18 Thursday 48 BHAPUR Bhapur -1/Hadisahi awc 21385010101/113 1KM 25 23 9 8 34 31 0 8763112526/9778179515 8280431476 18-05-18 Friday 49 DEIC REFERAL DAY 0 0 0 19-05-18 Saturday 50 SUNDAY 0 0 0 20-05-18 Sunday 51 BHAPUR Bhapur-2 awc 21385010102 1KM 18 16 3 7 21 23 0 8984303086 8280431476 21-05-18 Monday 52 BHAPUR Mandarberini/bhapur-3 awc 21385010104/103 4KM 20 21 17 5 37 26 0 9937654852/8658267257 8280430788 22-05-18 Tuesday 53 BHAPUR Nihalprasad/manapur awc 21385010105/111 3KM 22 15 14 14 36 29 0 9668632072/7377472544 8280430788 23-05-18 Wednesday 54 BHAPUR Eolpada/khairigadia awc 21385010106/110 8KM 20 23 10 16 30 39 0 9078714771/9438826334 8280430788 24-05-18 Thursday 55 BHAPUR Mahulia/Jaharkota awc 21385010107/109 5KM 14 18 8 11 22 29 0 9668632072/9437696793 8280430787 25-05-18 Friday 56 DEIC REFERAL DAY 0 0 0 26-05-18 Saturday 57 SUNDAY 0 0 0 27-05-18 Sunday 58 BHAPUR Durgapur/Tangisahi awc 21385010108/112 5KM 17 12 17 16 34 28 0 9668257133/7873414415 8280430787 28-05-18 Monday 59 BAIGUNIA Baigunia-1 awc 21385010311 12KM 28 13 10 9 38 22 0 7873303535 8280430762 29-05-18 Tuesday 60 MONTHLY MEETING 0 0 0 30-05-18 Wednesday 61 TERTIARY REFER 0 0 0 31-05-18 Thursday 62 BAIGUNIA baigunia -2 awc 21385010312 13KM 15 22 14 7 29 29 0 9178999392 8280431475 01-06-18 Friday 63 DEIC REFERAL DAY 0 0 0 02-06-18 Saturday 64 SUNDAY 0 0 0 03-06-18 Sunday 65 BAIGUNIA baigunia -3 awc 21385010313 13KM 27 23 9 15 36 38 0 9583804399 8280430746 04-06-18 Monday 66 BAIGUNIA baigunia-4 awc 21385010314 13KM 20 17 7 9 27 26 0 9583227205 8280430746 05-06-18 Tuesday 67 BAIGUNIA khuntupada awc 21385010315 17KM 15 13 7 14 22 27 0 9556369043 8280430746 06-06-18 Wednesday 68 BAIGUNIA borogaon awc 21385010316 17KM 17 18 7 10 24 28 0 9938755157 8280430743 07-06-18 Thursday 69 BAIGUNIA borogaon awc 21385010316 17KM 18 17 7 11 25 28 0 9938755157 8280430743 08-06-18 Friday 70 DEIC REFERAL DAY 0 0 0 09-06-18 Saturday 71 SUNDAY 0 0 0 10-06-18 Sunday 72 PMSMA 0 0 0 11-06-18 Monday 73 BAIGUNIA nuapli/kunjaban prasad awc 21385010317/320 20KM 27 16 20 16 47 32 0 9178381287/9777769207 8280430746 12-06-18 Tuesday 74 BAIGUNIA dhalabandha/kesharsingh awc 21385010318/319 16KM 28 12 15 12 43 24 0 8895349848/9556418973 8280431485 13-06-18 Wednesday 75 PAHILI RAJO 0 0 0 14-06-18 Thursday 76 RAJA SANKRANTI 0 0 0 15-06-18 Friday 77 IDUL FITAR 0 0 0 16-06-18 Saturday 78 SUNDAY 0 0 0 17-06-18 Sunday 79 BHAGABAN PUR bhagaban pur-1/khalipatana awc 21385010321/325 18KM 11 15 21 11 32 26 0 7894872332/9777000221 8280431484 18-06-18 Monday 80 BHAGABAN PUR bhagaban pur -2 awc 21385010322 19KM 22 14 18 15 40 29 0 8018985740 8280431484 19-06-18 Tuesday 81 BHAGABAN PUR luniauti/tikiripada awc 21385010323/326 20KM 21 22 17 12 38 34 0 8018804100/9938174668 8280430763 20-06-18 Wednesday 82 BHAGABAN PUR bhokilapada/betakholi awc 21385010324/327 21KM 30 15 27 24 57 39 0 9938150404/9938704502 8280430763 21-06-18 Thursday 83 BHAGUAPALI SARBESWAR UPME SCL 21160101801 23KM 0 0 50 53 103 9583876143 22-06-18 Friday 84 DEIC REFERAL DAY 0 0 0 23-06-18 Saturday 85 SUNDAY 0 0 0 24-06-18 Sunday 86 BHAGUAPALI Baghuapali high school SCL 21160100951 NON RES 13KM 0 0 60 54 114 9853225387 25-06-18 Monday 87 BHAGUAPALI baladia nuagaon high scl SCL 21160101002 NON RES 13KM 0 0 55 77 132 9090448856 26-06-18 Tuesday 88 BHAGUAPALI olash ugme SCL 21160101501 NON RES 20KM 0 0 62 48 110 9777002370 27-06-18 Wednesday 89 MONTHLY MEETING 0 0 0 28-06-18 Thursday 90 TERTIARY REFER 0 0 0 29-06-18 Friday 91 DEIC REFERAL DAY 0 0 0 30-06-18 Saturday 92 SUNDAY 0 0 0 01-07-18 Sunday 93 0 0 108 02-07-18 Monday BHAGUAPALI bandhadwar ugme/suamdhipa ps SCL 21160101101/21160101901 NON RES 17KM 63 45 9438510284/9937717126 94 0 0 110 03-07-18 Tuesday BHAGUAPALI bandhadwar ugme/suamdhipa ps SCL 21160101101/21160101901 NON RES 17KM 64 46 9438510284/9937717126 patharpunjips/baladianua gaon 95 0 0 130 04-07-18 Wednesday BHAGUAPALI ups SCL 21160101701/101001 NON RES 14KM 73 57 9178395061/9556288319 96 0 0 116 05-07-18 Thursday BHAGUAPALI bhaguapali up/dhalabandha up SCL 21160100901/102201 NON RES 16KM 69 47 9937681599/9928055922 bhaguapali me/baladia nuagaon 97 0 0 141 06-07-18 Friday BHAGUAPALI me SCL 21160100902/101003 NON RES 18KM 82 59 9938236733/9437800641 98 DEIC REFERAL DAY 0 0 0 07-07-18 Saturday 99 SUNDAY 0 0 0 08-07-18 Sunday 100 PMSMA 0 0 0 09-07-18 Monday 101 BHAPUR Bhapur nodal school SCL 21160104102 RES 1KM 0 0 42 67 109 9778123202 10-07-18 Tuesday 102 BHAPUR Bhapur nodal school SCL 21160104102 RES 1KM 0 0 42 66 108 9778123202 11-07-18 Wednesday 103 BHAPUR Bhapur nodal school SCL 21160104102 RES 1KM 0 0 43 65 108 9778123202 12-07-18 Thursday balunkeswar bidyapitha/tangi 104 21160104103/901 0 0 246 13-07-18 Friday BHAPUR sahi ps SCL NON RES 5KM 113 133 7894128941/9937885121 105 RATHA YATRA 0 0 0 14-07-18 Saturday 106 SUNDAY 0 0 0 15-07-18 Sunday 107 BHAPUR elopada ugme SCL 21160104201 NON RES 4KM 0 0 77 60 137 7894648500 16-07-18 Monday jaharkota pps/khairigadia 9439491857/8984008070/