ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK

ACTION PLAN OF YEAR:APR-2018

District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purnachandra Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
School/ Anganwa Categ.Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Name of the Insti. AWC di Code. School Code. Non_Res) from Hq Male Femal Total (HM/AWW) no. ASHA Visit Date
1 Referral Day 02.04.18 Monday
2 Out Post U.P.S. School 21261400401 Non_Res 62 70 132 9938360530 03.04.18 Thursday
3 Out Post&Urdu P.S. School 21261401304 Non_Res 64 62 126 7894303927 04.04.18 Wednesday
4 Balarampur AWC&PS SC&A 21260128651 Non_Res 62 57 125 9777713712 05.04.18 Thursday
5 Chudihadi&Golapama PS School 21261400101 Non_Res 65 58 123 06.04.18 Friday
6 Kandhpada& PS School 21261401402 Non_Res 58 57 115 07.04.18 Saturday
Sunday
7 Referral Day 09.04.18 Monday
8 Bhataguda TRW School 21260108001 Res 89 111 200 9437702886 10.04.18 Tuesday
9 Janakpur& PS School 21260126201 Non_Res 61 60 121 7894063560 11.04.18 Wednesday
10 Majhipad& PS School 21261401503 Non_Res 52 50 102 9437315186 12.04.18 Thursday
11 Beheraguda AWC&PS SC&A 21260105901 Non_Res 81 77 158 9439198660 13.04.18 Thursday
12 Musiguda AWC&PS SC&A 21260106701 Non_Res 73 89 162 9777847220 14.04.18 Saturday
Sunday
13 Referral Day 16.04.18 Monday
14 Amgachhpada AWC AWC 57 58 115 7077704624 17.04.18 Tuesday
15 Laxmipur AWC AWC 21260126201 80 81 161 7894063560 18.04.18 Wednesday
16 Balgopal& AWC AWC 76 74 150 9938222038 19.04.18 Thursday
17 Goudbanktipada&Hill AWC AWC 81 89 170 9437658075 20.04.18 Friday
18 Kalimandirpada AWC-1&2 AWC 91 81 172 9777114526 21.04.18 Saturday
Sunday
19 Referral Day 23.04.18 Monday
20 Purnapada AWC-1 AWC 63 69 132 9777306570 24.04.18 Tuesday
 21 Purnapada AWC-2 AWC 48 64 112 8093785826 25.04.18 Wednesday
22 Pardesipada AWC-1 AWC 70 52 122 7504929633 26.04.18 Thursday
23 Pardesipada AWC-2 AWC 60 61 121 9658660729 27.04.18 Friday
24 Police Colony AWC AWC 54 57 111 9437938841 28.04.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:MAY-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
24 Referral Day 28.05.18 Monday
1 T.V. Centre AWC-1 AWC 55 50 115 7377383677 01.05.18 Tuesday
2 T.V. Centre AWC-2 AWC 49 48 97 7377383677 02.05.18 Wednesday
3 K Farm&Parmndpur AWC AWC 75 80 155 7684869887 03.05.18 Thursday
4 Lohrpada&Nbpada AWC AWC 91 77 168 9439455577 04.05.18 Friday
5 Rammandirpada AWC-1&2 AWC 64 67 131 9938397742 05.05.18 Saturday
Sunday
6 Referral Day 07.05.18 Monday
7 Sabrpada&SNpada AWC AWC 94 82 176 9556062555 08.05.18 Tuesday
8 S.taxClny&Sgpada AWC AWC 80 70 150 7538010931 09.05.18 Wednesday
9 B.B. Pada AWC-1&2 AWC 71 69 140 9777636515 10.05.18 Thursday
10 Chamarpada AWC AWC 63 58 121 8455040154 11.05.18 Friday
11 G.M.Pada&Irr Col. AWC AWC 85 74 129 9853223225 12.05.18 Saturday
Sunday
12 Referral Day 14.05.18 Monday
13 Ramsagarpada AWC-1&2 AWC 74 82 156 7873628965 15.05.18 Tuesday
14 Ramnagarpada AWC-1 AWC 80 91 171 9439662744 16.05.18 Wednesday
15 Ramnagarpada AWC-2 AWC 83 72 155 9758229791 17.05.18 Thursday
 16 Tarinipada AWC AWC 68 66 134 9178028332 18.05.18 Friday
17 Satnamipada AWC-1 AWC 70 76 146 9438378831 19.05.18 Saturday
Sunday
18 Referral Day 21.05.18 Monday
19 Mahavirpada AWC-1&2 AWC 50 55 105 9937626592 22.05.18 Tuesday
20 Tentuligachpada AWC-2 AWC 45 70 115 9937457996 23.05.18 Wednesday
21 Narenkhola AWC AWC 44 58 102 9938209678 24.05.18 Thursday
22 Sitaburdi AWC AWC 57 64 121 9178068783 25.05.18 Friday
23 Gopabandhunagar AWC AWC 63 59 122 9437735109 26.05.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:JUNE-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purnachandra Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
21 Referral Day 25.06.18 Monday
22 Dhobapada AWC AWC 77 72 149 8280115538 26.06.18 Tuesday
23 Khedapda&Malipd AWC AWC 77 73 150 9437411841 27.06.18 Wednesday
24 Madanmohan AWC-1 AWC 78 73 151 8895415799 28.06.18 Thursday
1 Madanmohan AWC-2 AWC 79 101 180 7077856471 01.06.18 Friday
2 Siba&Sisumandir AWC AWC 72 48 120 7873436426 02.06.18 Saturday
Sunday
3 Referral Day 04.06.18 Monday
4 R.E.O Colony AWC1&2 AWC 95 85 180 9178851931 05.06.18 Tuesday
5 Khariar Checkgate AWC AWC 50 48 98 7683020327 06.06.18 Wednesday
6 Arkabahali AWC-2 AWC 52 50 102 9556354199 07.06.18 Thursday
7 Herateka AWC AWC 45 61 106 9777713712 08.06.18 Friday
8 Deypur AWC AWC 88 53 141 9438061069 09.06.18 Saturday
 Sunday
9 Referral Day 11.06.18 Monday
10 Chanchra&Badpda AWC1&2 AWC 80 84 164 9438735863 12.06.18 Tuesday
11 Statue&Bidyamnd AWC AWC 90 80 170 9937714210 13.06.18 Wednesday
12 Raja-Holiday Thursday
13 Beldar& Godampada AWC AWC 77 98 175 8596045674 29.06.18 Friday
14 Goslpada&Haliapd AWC AWC 70 71 141 8093824142 30.06.18 Saturday
Sunday
15 Referral Day 18.06.18 Monday
16 Ichhapur& AWC AWC 75 80 155 9937788698 19.06.18 Tuesday
17 Attanguda AWC AWC 55 66 121 8658653164 20.06.18 Wednesday
18 Jhikimiki&Salepali AWC AWC 72 60 132 8658268919 21.06.18 Thursday
19 Sagada AWC AWC 55 54 109 7735224329 22.06.18 Friday
20 Upkabhata AWC AWC 63 72 135 9437405545 23.06.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:JULY-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Oujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
1 Referral Day 02.07.18 Monday
2 Mahavirpada& Gpada PS School 21261400402 Non_Res 62 58 120 03.07.18 Tuesday
3 Palsipada PS&AWC SC&AWC 21260106201 Non_Res 91 100 191 9437293878 04.07.18 Wednesday
4 Arkabahalipada UPS AWC 21261400501 Non_Res 82 78 160 9437157839 05.07.18 Thursday
5 Gobra&Badili PS School 21260116601 Non_Res 58 57 115 9437169247 06.07.18 Friday
6 Dangripadar PS School 21260127901 Non_Res 69 63 132 9692998829 07.07.18 Saturday
Sunday
7 Referral Day 09.07.18 Monday
 8 Muncipal HS School 21261400803 Non_Res 91 44 135 9439455562 10.07.18 Tuesday
9 Muncipal HS School 21261400804 Non_Res 91 44 135 9439455562 11.07.18 Wednesday
10 Tarini UPS School 21261401006 Non_Res 85 101 186 9437140673 12.07.18 Thursday
11 Sadeigarh& Gbpada PS School 21261400804 Non_Res 65 85 150 8280295977 13.07.18 Friday
12 Pardesipada&Nktgd PS School 21261400902 Non_Res 66 94 160 9688496270 31.07.18 Saturday
Sunday
13 Referral Day 16.07.18 Monday
14 Town HS School 21261401006 Non_Res 94 79 173 9438260799 17.07.18 Tuesday
15 Town HS School 21261401006 Non_Res 94 78 172 9438260799 18.08.18 Wednesday
16 Town HS School 21261401006 Non_Res 94 78 172 9438260799 19.07.18 Thursday
17 Purnapada PUPS School 21261401102 Non_Res 77 83 160 9437119664 20.07.18 Friday
18 Doordarsan Ups PS&AWC SC&AWC 52 56 108 21.07.18 Saturday
Sunday
19 Referral Day 23.07.18 Monday
20 Red Cross Blind Domb B&Domb School 21260119803 Res 91 41 132 24.07.18 Tuesday
21 Nehru Sevasang PS&AWC Sc&AWC 21260119872 Non_Res 50 60 120 7605978876 25.07.18 Wednesday
22 Gothbhata TRW School 21260119001 Res 8 132 140 9438418127 26.07.18 Thursday
23 Sahaktinagarpada AWC-1&PS AWC 66 64 130 27.07.18 Friday
24 Shaktinagarpada AWC-2 AWC 80 75 155 28.07.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:AUG-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
24 Referral Day 27.08.18 Monday
1 BWP-Brajmohan HS U.P.S. School 21261400701 Non_Res 163 23 186 7978737355 28.08.18 Tuesday
2 BWP-Brajmohan HS BM H.S. School 21261400702 Non_Res 186 0 186 7978737355 01.08.18 Wednesday
 3 Badpada UPS School 21261401301 Non_Res 45 55 110 9658592764 02.08.18 Thursday
4 Police HS HS School 21261400302 Non_Res 80 80 160 03.08.18 Friday
5 Dakabahali AWC AWC 58 52 110 8457983148 04.08.18 Saturday
Sunday
6 Referral Day 06.08.18 Monday
7 Govt.Girl H.S. H.S. School 21261400104 Non_Res 0 194 194 9439209231 07.08.18 Tuesday
8 Govt.Girl H.S. H.S. School 21261400105 Non_Res 0 194 194 9439209231 08.08.18 Wednesday
9 Govt.Girl H.S. H.S. School 21261400106 Non_Res 0 194 194 9439209231 09.08.18 Thursday
10 REO Colony& UPS School 21261400904 Non_Res 76 74 150 9437224308 10.08.18 Friday
11 Kasakendu PS&AWC SC&AWC 21260122101 Non_Res 56 65 121 7326083464 11.08.18 Saturday
Sunday
12 Referral Day 13.08.18 Monday
13 Kuliamal AWC AWC 48 54 102 9438610509 14.08.18 Tuesday
14 Kuliamal U.G.H.S School 21260116101 Non_Res 68 72 140 9937125885 29.08.18 Wednesday
15 Kuliamal U.G.H.S School 21260116301 Non_Res 68 72 140 9937125885 16.08.18 Thursday
16 Funda TRW School 21260116501 Res. 46 128 174 7749030752 17.08.18 Friday
17 Loharakuni PS&AWC SC&AWC 21260116301 Non_Res 61 54 115 8455029102 18.08.18 Saturday
Sunday
18 Referral Day 20.08.18 Monday
19 Central School 1st-5th School 21261401002 Non_Res 95 85 180 21.08.18 Tuesday
20 Central School 1st-5th School 21261401002 Non_Res 95 85 180 30.08.18 Wednesday
21 Sohagpur TRW School 21260105601 Non_Res 80 90 170 9777734020 23.08.18 Thursday
22 Deypur DebkiUPS School 21260105001 Non-Res 122 66 188 9437624484 24.08.18 Friday
23 Deypur AWC AWC 90 54 144 9438061069 25.08.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:SEPT-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
 Total Number of children in
Name of the School/ Anganwa Categ. (Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution Anganwadi di Code. School Code. Non_Res) from Male Female Total (HM/AWW) no. ASHA Visit Date
19 Referral Day 24.09.18 Monday
20 Dhanrabhata PS&AWC Sc&AWC 21260102401 Non-Res 66 113 179 9777495208 25.09.18 Tuesday
21 Tengnabahali PS&AWC Sc&AWC 21260103401 Non-Res 48 61 109 9692753692 26.09.18 Wednesday
22 Pokharighat AWC AWC 65 60 125 7894295258 27.09.18 Thursday
23 Pokhrighat PUPS School 21260103101 82 82 164 8763537789 28.09.18 Friday
1 Chancher AWC AWC 60 60 120 9777495208 01.09.18 Saturday
Sunday
2 03.09.18 Monday
3 Central School 6th-10th School 21260401002 Non-Res 110 90 200 04.09.18 Tuesday
4 Central School 6th-10th School 21260401002 Non-Res 110 90 200 05.09.18 Wednesday
5 Arkabahalipada UPS School 21261400501 Non-Res 75 85 160 9437157839 06.09.18 Thursday
6 Sardhapur& PS School 21260109401 Non-Res 56 52 108 9237405162 07.09.18 Friday
7 Chandili PUPS SC&AWC 21260126001 Non-Res 74 72 146 9437938466 08.09.18 Saturday
Sunday
8 Referral Day 10.09.18 Monday
9 Deypur Dhableswr HS School 21260105051 Non-Res 121 65 186 11.09.18 Tuesday
10 Deypur Dhableswr HS School 21260105051 Non-Res 126 60 186 12.09.18 Wednesday
11 Holiday-Ganesh Puja 13.09.18 Thursday
12 Holiday-Nuakhai 14.09.18 Friday
13 G.Bandopala PS&AWC Sc&AWC Non_Res 72 70 142 7608853104 15.09.18 Saturday
Sunday
14 Referral Day 17.09.18 Monday
15 Police Reserb PS School 21261400303 Non_Res 89 76 165 9777224751 18.09.18 Tuesday
16 Police Reserb PS School 21261400303 Non_Res 89 76 165 9777224751 19.09.18 Wednesday
17 Police UPS School 21261400306 52 68 120 7894084112 20.09.18 Thursday
24 Practicing PS&AWC SC&AWC 21261400107 Non_Res 55 60 115 9437624576 29.09.18 Friday
18 Sarlanji PS&AWC Sc&AWC 21260120001 Non_Res 82 73 135 9437732994 22.09.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:OCT-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
 S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution Anganwadi di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
1 Referral Day 01.10.18 Monday
24 Amjor P.U.P.S SC&AWC 21260123001 Non_Res 68 62 130 8895088312 30.10.18 Tuesday
2 Adarsh Vidyalaya Adarsh Bidyalaya School 21260106702 Non_Res 80 80 160 9556734907 03.10.18 Wednesday
3 Adarsh Vidyalaya Adarsh Bidyalaya School 21260106702 Non_Res 80 80 160 9556734907 04.10.18 Thursday
4 BWP-Bapuji UPS School 21261401302 Non_Res 58 57 105 8763441168 05.10.18 Friday
5 BWP-Bapuji UPS School 21261401302 Non_Res 62 67 129 9178072139 06.10.18 Saturday
Sunday
6 Referral Day 08.10.18 Monday
7 Pipli&Bholia AWC AWC 68 62 130 9178684204 09.10.18 Tuesday
8 Jugsaipatna U.G.H.S School 21260111101 Non_Res 85 64 149 9777555814 10.10.18 Wednesday
9 Sagada AWC AWC 56 53 109 7735224329 11.10.18 Thursday
10 Dakibandel & AWC AWC 81 72 153 9439198660 12.10.18 Friday
11 Dalguma PS&AWC SC&AWC 21260129203 Non_Res 76 72 148 9692933557 13.10.18 Saturday
Sunday
12 Referral Day 15.10.18 Monday
13 Holiday-Dasahara 16.10.18 Tuesday
14 Holiday-Dasahara 17.10.18 Wednesday
15 Holiday-Dasahara 18.10.18 Thursday
16 Holiday-Dasahara 19.10.18 Friday
17 Tikrapada AWC AWC 62 67 129 20.10.18 Saturday
Sunday
18 Referral Day 22.10.18 Monday
19 Attanguda AWC AWC 52 64 116 8658653164 23.10.18 Tuesday
20 Labneswar&Liling PS&AWC SC&AWC 21260124101 Non_Res 80 78 158 31.10.18 Wednesday
21 Attanguda U.G.H.S School 21260105801 Non_Res 95 84 179 9937553302 25.10.18 Thursday
22 Attanguda U.G.H.S School 21260105801 Non_Res 95 83 178 9937553302 26.10.18 Friday
23 Attanguda U.G.H.S School 21260105801 Non_Res 95 83 178 9937553302 27.10.18 Saturday
 Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:NOV-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
Referral Day 26.11.18 Monday
Tentulikhunti AWC AWC 53 63 116 9173258652 27.11.18 Tuesday
Amgachhpada AWC AWC 57 46 103 8457963643 28.11.18 Wednesday
BWP-Manikeswari HS School 21261400106 Non_Res 105 101 206 9437735677 01.11.18 Thursday
BWP-Manikeswari HS School 21261400106 Non_Res 100 100 200 9437735677 02.11.18 Friday
BWP-Manikeswari HS School 21261400106 Non_Res 100 100 200 9437735677 03.11.18 Saturday
Sunday
4 Referral Day 05.11.18 Monday
5 Gananathpur UGHS School 21260109101 Non_Res 96 98 194 9438061128 06.11.18 Tuesday
6 Holiday-Diwali 07.11.18 Wednesday
7 Bgmandir&H.pada AWC AWC 76 75 151 9938222038 08.11.18 Thursday
8 Gbpada&HillTown AWC AWC 87 92 179 9437658075 09.11.18 Friday
9 Kalimandirpada AWC-1&2 AWC 98 90 188 9777114526 10.11.18 Saturday
Sunday
10 Referral Day 12.11.18 Monday
11 Kutrukhamar UPS School 21260116901 Non_Res 78 77 155 9439499350 13.11.18 Tuesday
12 Kutrukhamar UPS School 21260116901 Non_Res 78 77 155 9439499350 14.11.18 Wednesday
13 Thuapadar UPS School 21260127901 Non_Res 75 75 150 9556273476 15.11.18 Thursday
14 Thuapadar UPS School 21260127901 Non_Res 73 68 141 9658660729 16.11.18 Friday
15 Arkabhali AWC-1 AWC 56 65 111 9556273476 17.11.18 Saturday
Sunday
16 Referral Day 19.11.18 Monday
 17 Purnapada AWC-1 AWC 63 69 132 9658660729 20.11.18 Tuesday
18 Purnapada AWC-2 AWC 48 64 112 9437938841 29.11.18 Wednesday
19 Pardesipada AWC-1 AWC 70 52 122 9777306570 22.11.18 Thursday
20 Pardesipada AWC-2 AWC 60 61 121 8093785826 30.11.18 Friday
21 Police Colony AWC AWC 54 57 111 7504929633 24.11.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:DEC-2018
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Femal Total (HM/AWW) no. ASHA Visit Date
20 Referral Day 24.12.18 Monday
21 Holiday-X Mass Day 25.12.18 Tuesday
22 Titijhola AWC AWC 58 51 109 9938842080 26.12.18 Wednesday
23 Titijhola PUPS School 21260112901 Non_Res 92 90 182 9692959047 27.12.18 Thursday
24 Chamarpada AWC AWC 64 57 121 8455040154 28.12.18 Friday
1 GolapmanjariPada&Ir AWC AWC 85 74 129 9853223225 01.12.18 Saturday
Sunday
2 Referral Day 03.12.18 Monday
3 Irrigation Colony UPS School 21261400201 Non_Res 74 70 144 9437363228 04.12.18 Tuesday
4 Irrigation Colony UPS School 21261400201 Non_Res 74 70 144 9437363228 05.12.18 Wednesday
5 Sabrpada& AWC AWC 98 86 184 9556062555 06.12.18 Thursday
6 SaletaxColony& AWC AWC 81 71 152 7538010931 07.12.18 Friday
7 B.B. Pada AWC-1&2 AWC 72 68 140 9777636515 08.12.18 Saturday
Sunday
8 Referral Day 10.12.18 Monday
9 Malgaon UGHS 21260117801 Non_Res 75 70 145 9438684827 11.12.18 Tuesday
10 Malgaon UGHS 21260117801 Non_Res 75 70 145 9438684827 12.12.18 Wednesday
 11 T.V. Centre AWC-1 AWC 53 51 104 7377383677 13.12.18 Thursday
12 T.V. Centre AWC-2 AWC 50 52 102 7377383677 14.12.18 Friday
13 Kandpada&K Farm AWC AWC 83 92 175 9437733042 15.12.18 Saturday
Sunday
14 Referral Day 17.12.18 Monday
15 Malgaon UGMES School 21260117802 Non_Res 73 70 143 8895934760 18.12.18 Tuesday
16 Malgaon UGMES School 21260117802 Non_Res 72 70 142 8895934760 19.12.18 Wednesday
17 Phukjodi PUPS School 21260108401 Non_Res 63 56 119 9938303863 20.12.18 Thursday
18 Lohrpada&Nbpada AWC AWC 93 79 172 9439455577 21.12.18 Friday
19 Rammandirpada AWC-1&2 AWC 65 68 133 9938397742 22.12.18 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:JAN-2019
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch.Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ. (Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Female Total (HM/AWW) no. ASHA Visit Date
23 Referral Day 28.01.19 Monday
24 Tarinimandirpada& AWC AWC 67 65 132 9178038332 29.01.19 Tuesday
1 Thuapadar HS School 21260127902 Non_Res 80 95 175 9777009559 02.01.19 Wednesday
2 Thuapadar HS School 21260127902 Non_Res 80 95 175 9777009559 03.01.19 Thursday
3 Saktinagarpada AWC-1 AWC 69 76 145 9438378831 04.01.19 Friday
4 Saktinagarpada AWC-2 AWC 78 76 154 9853301991 05.01.19 Saturday
Sunday
5 Referral Day 07.01.19 Monday
6 Bhataguda TRW School 21260108001 Res 89 111 200 9437702886 08.01.19 Tuesday
7 Parmanandpur & AWC AWC 80 74 154 8763885576 09.01.19 Wednesday
8 Dewansahipada AWC-1 AWC 48 50 98 7577614985 10.01.19 Thursday
9 Telgubantipada & AW-1&2 AWC 76 85 161 9437839558 11.01.19 Friday
 10 Gopabandhunagar AWC AWC 63 60 123 9437735109 12.01.19 Saturday
Sunday
11 Referral Day 14.01.19 Monday
12 Medinipur HS School 21260119751 Non_Res 82 120 202 9438205430 15.01.19 Tuesday
13 Medinipur HS School 21260119751 Non_Res 82 120 202 9438205430 16.01.19 Wednesday
14 Medinipur AWC AWC 46 44 90 7894063560 17.01.19 Thursday
15 Ramnagarpada& AWC AWC 82 93 175 9439662744 18.01.19 Friday
16 Ramnagarpada AWC-2 AWC 85 74 159 9758229791 19.01.19 Saturday
1 Sunday
17 Referral Day 21.01.19 Monday
18 Gothbhata TRW School Res 7 132 139 9438418127 22.01.19 Tuesday
19 Tentulikhunti PUPS School 21260127801 Non_Res 75 73 148 9438379004 30.01.19 Wednesday
20 Tentulikhunti PUPS School 21260127801 Non_Res 75 72 147 9438379004 24.01.19 Thursday
21 Sitaburdi AW-1&2 AWC 56 64 120 9178068783 25.01.19 Friday
22 Ramsagarpada AW-1&2 AWC 76 84 160 7873628965 31.01.19 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:FEB-2019
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalani Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Femal Total (HM/AWW) no. ASHA Visit Date
22 Referral Day 25.02.19 Monday
23 Chancher UGHS School 21260102301 Non_Res 103 80 183 8895951619 26.02.19 Tuesday
24 Chancher AWC AWC 60 62 122 9777495208 27.02.19 Wednesday
1 Jamunabahal AWC AWC 54 68 122 7894084112 28.02.19 Thursday
2 Dhobapada& AWC AWC 77 71 148 8280115538 01.02.19 Friday
3 Khedapda& Malipada AWC AWC 78 72 150 9437411841 02.02.19 Saturday
Sunday
 4 Referral Day 04.02.19 Monday
5 Funda TRW School 21260116501 Res. 46 128 174 7749030752 05.02.19 Tuesday
6 Deypur HS School 21260104001 Res. 90 80 170 9178114447 06.02.19 Wednesday
7 Deypur HS School 21260104001 Res. 90 80 170 9178114447 07.02.19 Thursday
8 Beldarpada& AWC AWC 77 98 175 8596045674 08.02.19 Friday
9 Gosalpada& AWC AWC 72 73 145 8093824142 09.02.19 Saturday
Sunday
10 Referral Day 11.02.19 Monday
12 Talbelgaon& Kguda AWC AWC 71 81 152 7894063458 12.02.19 Wednesday
12 Gudialipadar PUPS&AW SC&AWC 21260109201 Non_Res 95 95 190 9668652889 13.02.19 Wednesday
13 Madanmohan& AWC-1 AWC 78 72 150 8895415799 14.02.19 Thursday
14 Madanmohan AWC-2 AWC 56 49 105 7077856471 15.02.19 Friday
15 Sibamandir& AWC AWC 73 48 121 7873436426 16.02.19 Saturday
Sunday
16 Referral Day 18.02.19 Monday
17 Talbelgaon PUPS School 21260126901 114 94 208 9457293840 19.02.19 Tuesday
12 Singhjharan PUPS School 21260118001 Non_Res 78 73 151 9938396244 20.02.19 Wednesday
13 Gudialipadar PUPS&AW SC&AWC 21260109201 Non_Res 95 96 191 9668652889 21.02.19 Thursday
14 Statue& AWC AWC 98 82 170 9937714210 22.02.19 Friday
15 Tentuligachhpada AWC AWC 48 70 118 9937457996 23.02.19 Saturday
Sunday

ACTION PLAN FORMAT (MICRO PLANNING) FOR MOBILE HEALTH TEAM UNDER RBSK
ACTION PLAN OF YEAR:MAR-2019
District:KALAHANDI Block:BHAWANIPATNA MHT UID: MHT-1 BORDA
Staff Details Name Mob
S&ME Department Women & Child Dev. Depy.
AYUSH Doctor (M) Dr.Purna Ch. Panda 9938432831
Name of the B.E.O. Jagannath Purohit Name of the C.D.P.O.
Smt.M.Sudharani AYUSH Doctor (F) Dr.Kamalini Dash 9437702388
Mob No. 9437938588 Mob No. 9437645763 Pharmacist Ramakanta Bhoi 9861151361
Office No. Office No. ANM Mrs.Soudamini Nag 8895537757
Driver Rishi Pujari 7682076580
Total Number of children in
Name of the School/ Anganwa Categ.(Res/ Distance institution Contct no. Of Contact
Day
SL NO. Name of the village Institution AWC di Code. School Code. Non_Res) from Hq Male Femal Total (HM/AWW) no. ASHA Visit Date
21 Referral Day 25.03.19 Monday
22 Kutrukhamar UPS School 21260116901 Non_Res 78 77 155 9439499350 26.03.19 Tuesday
23 Kutrukhamar UPS School 21260116901 Non_Res 76 74 150 9439499350 27.03.19 Wednesday
24 Karlakote PUPS School 21260117601 Non_Res 62 71 133 9437624752 28.03.19 Thursday
1 Karlakote AWC AWC 56 53 109 9777396841 01.03.19 Friday
2 R.E.O Colony AWC-1&2 AWC 95 86 181 9178851931 02.03.19 Saturday
Sunday
3 Referral Day 04.03.19 Monday
4 Manoharpur PUPS School 21260119601 Non_Res 69 64 133 9178231206 05.03.19 Tuesday
5 Jagannathpur PS&AWC SC&AWC 21260119101 Non_Res 80 94 174 9777009221 06.03.19 Wednesday
6 Salebhata HS School 21260118451 Non_Res 70 75 145 9556259800 07.03.19 Thursday
7 Khariar Checkgate AWC AWC 55 49 104 7683020327 08.03.19 Friday
8 Arkabahali AWC-2 AWC 53 50 103 9556354199 09.03.19 Saturday
Sunday
9 Referral Day 11.03.19 Monday
10 Salebhata UPS&AWC SC&AWC 21260118401 Non_Res 80 77 157 8763535346 12.03.19 Tuesday
11 Kusumdara PS&AWC SC&AWC 21260117701 Non_Res 76 60 136 8658289403 13.03.19 Wednesday
12 K.Barojhola&Kpsra AWC AWC 75 88 163 9777690169 14.03.19 Thursday
13 Malgon&L.kuni AWC AWC 85 80 165 7894153093 15.03.19 Friday
14 Jaleswar&Dewnsh AWC AWC 74 71 145 943715186 16.03.19 Saturday
Sunday
15 Referral Day 18.03.19 Monday
16 K.Bjhla&G.Barojhol PS School 21260108201 51 53 104 9777839277 19.03.19 Tuesday
17 Thakarbaba AS Ashram School 100 100 200 9178072139 20.03.19 Wednesday
18 Khairmal PUPS School 21260117201 73 74 147 9668701388 29.03.19 Thursday
19 Tikrapada AWC AWC 65 66 131 9178072140 22.03.19 Friday
20 Uper Rachuguda AWC AWC 74 54 128 9178000572 23.03.19 Saturday
Sunday