Annexure VIII: Mobile team plan and reprortingfor IDCF Name of block / municipal area : __________________________Name of Medical Officer I/c of IDCF:________________________ Mobile No.: _________________ Plan Actuals Team Name of team Vehicle No Mobile No. Date of Place of Estimated Date of visit No. of No of No of No members planned visit under 5 children children children visit children in distributed treated treated the place ORS with ORS with Zinc
Annexure VIII: Mobile team plan and reprortingfor IDCF Name of block / municipal area : __________________________Name of Medical Officer I/c of IDCF:________________________ Mobile No.: _________________ Plan Actuals Team No Name of team members Vehicle No Mobile No. Date of planned visit Place of visit Estimated under 5 children in the place Date of visit No. of children distributed ORS No of children treated with ORS No of children treated with Zinc