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Name of Health Facility : X

1.

 

 

2.

Facility Code : 5
Address of SC: TEST TEST TEST
P.O: x, P.S: x
PIN CODE: 735101

Latitude: 26.4922, Longitude: 88.51503

 
3. a. No. of Sanctioned Bed: 5
b. No. of Functional Bed: 5
c. Is the PHC 24X7(Y/N): Y
d. If No. Specify Cause: 3
e. Delivery performed(Y/N): Y
f. Average no. of deliver per month: 7
g. Indoor Facility Available(Y/N) : Y
h. Average no. of admission per month: 6
i. Average no.of OPD Attendance: 9
j. Laboratory Functional(Y/N): Y
 
 
 
5. a. No. of Doctor Quarter: 1
b. No. of NS Quarter: 1
c. No. of GDA Quarter: 1
d. No. of Sweeper Quarter: 1
e. Toilet Facilty Available?(Y/N): Y
f. Drinking Water Available(Y/N)? Y
g. Specify Source of Water: 1
h. Electricity (Y/N): Y

4. a. Distance in Km. of nearest higher Health Facilty: 2 Km
b. Distance from Block HQ 7 Km
6. Service Given: 1