Under Passport Date of leaving Date of Arrival from SOURCE OF Date of Receipt of Observation Ever developed symptoms (during Currently Date of Hospital Where Date of Discharge Sample Date of Sample Result of Lab where samples Home If Migrated (Out of Other State Date of #Helper Table - S.No Block District* Name Age* Sex* Address* Contact Number* Traceable* Country of Visit* City Other than China* Provinces in China * Current Status* surveillance/Migrated/Surveillance Remarks* Number* China* Affected Country* INFORMATION* Information* started from* surveillance period)* Hospitalised* Hospitalisation* isolated/admitted* from Hospital* Collected* Collection* Sample* sent* Quarantined/Hospitalized* India/Other State)* Name* Reporting* Labs completed* 1 Saroya CRAMPTON ELIZABETH MARY 48 Female S/O SATPAL CHECHI VPO JEETPUR,THE BALACHAUR,DISTT SBS NAGAR 99143-31646 LL926579 Yes 1 HOUR STAY IN SINGAPUR NEWZEALAND NEWZEALAND NO 2/24/2020 State Health Authority 28.02.2020 2/29/2020 No Asymptomatic No NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA the pessenger had not visited china, by Singapore 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 NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List-72 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 No No No No No No No No Under surveillance Home Quarantined NA NA List-72 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 NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List-72 SHAHAR 5 Saroya OWENS MAXWELL WILLIAM 22 Male S/O SATPAL CHECHI VPO JEETPUR,THE BALACHAUR,DISTT SBS NAGAR 99143-31646 LK746473 Yes 1 HOUR STAY IN SINGAPUR NEWZEALAND NEWZEALAND NO 2/24/2020 State Health Authority 28.02.2020 2/29/2020 No Asymptomatic No NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA the pessenger had not visited china, by Singapore 6 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 NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List-72 7 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 No No No No No No No No Under surveillance Home Quarantined NA NA List No-76 8 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 NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List-72 9 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 No No No No No No No No Under surveillance Home Quarantined NA NA List-72 10 Mukandpur AIWINDER SINGH M VILL-MALLA SADHIAN, PO-BISLA, SBS NAGAR , CITY - SBS NAGAR 9464239645 N2223607 Yes Italy Italy Italy NO 09/03/2020 State Health Authority 3/20/2020 3/21/2020 No Asymptomatic No No No No No No No No Under surveillance Home Quarantined NA NA List No- 81 11 Sujjon AJIT RAM M VILL, MALLA SODHIAN PO. BISLA TEH. BANGA , CITY - SBS NAGAR 8968117960 L1087614 Yes Dubai Dubai Dubai NO 15/03/2020 State Health Authority 3/21/2020 3/24/2020 no Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List No- 81 12 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 No No No No No No No No Under surveillance Home Quarantined NA NA List no-53 13 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 14 Balachaur AKASHDEEP M VILL RATTAEWAL THE BALACHAUR SBS NAGAR , CITY - SBS NAGAR 7355428348 S5964338 Yes Dubai Dubai Dubai No 09/03/2020 State Health Authority 17.03.2021 3/23/2020 no Asymptomatic No No No No No No No No Under surveillance Home Quarantined NA NA List No- 81 VILL- BAGORA, TEH BANGA PO JAGATPUR CITY- SBS NAGAR , CITY - SBS 15 Mukandpur AKASHDEEP M 7888768293 P3618670 Yes Dubai Dubai Dubai NO 14/03/2020 State Health Authority 3/20/2020 3/21/2020 No Asymptomatic No No No No No No No No Under surveillance Home Quarantined NA NA List No- 81 NAGAR KIRPAL SAGAR ACADEMY KIRPAL SAGAR (NEAR RAHON), DISTT SHAHEED 16 Muzaffarpur AKRAMI SEDIGHE 45 M +91 94781 44857 V47561655 Yes Iran Iran Iran no 3/5/2020 State Health Authority 13.03.2020 3/14/2020 no Asymptomatic No NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA (List No-50) BHAGAT SINGH NAGAR,NAWASHAH 17 NSR AKWINDER KAUR 25 F HNO 171 HARGOBIND NAGAR KULAM RD. DURGAPOR NAWANSH AR INDIA 99159-06661 K2358681 Yes Austrila Austrila Austrila No 3/8/2020 State Health Authority 3/17/2020 3/18/2020 no Asymptomatic No No No No No No No No Under surveillance Home Quarantined NA NA List no-57 18 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 NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List No- 81 (Negative for E gene bye real time PCR dated 12-03-2020) Passenger Symptomatic & Admitted 19 NSR Amandeep Kaur 25 F Friends Colony, SBS Nagar 98780-44977 Yes Bankok Singapur Australia NO 3/10/2020 Self 3/10/2020 3/10/2020 Yes Symptomatic Yes 10.03.2020 Admitted NO Yes 10.03.2020 Negative GMC, Amritsar Under surveillance Hospitalized NA 11.03.2020 in Civil Hospital Nawanshahr 10-03-2020, Sample sent to GMC, Amritsar 20 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 No No No No No No No No Under surveillance Home Quarantined NA NA List no-57 21 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 No No No No No No No No Under surveillance Home Quarantined NA NA List No- 81 22 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 No No No No No No No No Under surveillance Home Quarantined NA NA List No-64 VPO RAIPUR DABBA P.S. MUKANDPUR TEH NAWANSHAHR DIS TT S. B. S. 23 Mukandpur AMANDEEP SINGH M J1846276 Yes Italy Italy Italy No 2/4/2020 State Health Authority 2/19/2020 2/19/2020 No Asymptomatic No No No No No No No No Under surveillance Home Quarantined NA NA List No- 71 NAGAR 144511 24 Saroya AMANPREET SINGH 30 Male vill dayal ps pojewal POJEWAL po saruya teh balachaur 144524 97812-46858 U0866724 Yes 2 hour stay in Thailand Australia Australia NO 27.02.2020 State Health Authority 2/28/2020 2/28/2020 no Asymptomatic No NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA the pessenger had not visited china (List 7-10) 25 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 No No No No No No No No Under surveillance Home Quarantined NA NA List No- 81 26 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 No No No No No No No No Under surveillance Home Quarantined NA NA List No- 81 27 NSR AMARDEEP 43 M h.no. b-12/123, moh. ravidass nagar CITY NSR nawanshahr 144514 83607-51215 P0210899 Yes 3 Hours stay at Beijing Airport, China Australia Beijing, China 1/25/2020 1/25/2020 State Health Authority 2/20/2020 2/20/2020 NO Asymptomatic NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA Observation period completed BHUPINDER NURSHING HOME ,VILL- SABJI MANDI ROAD,TEH- RAHON , CITY - 28 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 No No No No No No No No Under surveillance Home Quarantined NA NA SBS NAGAR 29 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 NO NO NO NO NO NO NO NO Under surveillance Home Quarantined NA NA List No- 71 30 Mukandpur Amarjit Kaur 25 Female vpo SDR NSR urapar 144422 R5209507 Yes State Health Authority Under surveillance Home Quarantined Person depart from India on dated 12-02-2020 31 NSR AMARJIT KAUR F guru angad nagar, st.