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  ATTENDENCE ROLL OF PULSE POLIO PROGRAMME ON 23 rd FEBRUARY 2

PHC THRIKKARUVA DATE : 23/02/2014

SL NO BOOTH NO NAME OF VOLUNTEER NAME OF BOOTH NATURE : 23/02/2014

1 1

2 1

3 2

4 2

! 3

" 3

# 4

$ 4

% !

10 !

11 "

12 "

13 #

14 #

1! $

1" $

1# %

1$ %

1% 10

20 10

21 11

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22 11

 ATTENDENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME ON 23 rd FEBRUA

SL NO BOOTH NO NAME OF VOLUNTEER NAME OF BOOTH IGNATURE : 23/2/2014

23 12

24 12

2! 13

2" 13

2# 14

2$ 14

2% 1!

30 1!

31 1"

32 1"

33

34

ATTENDENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME FOR THE YEAR FEB

SL NO TEAM NO NAME OF VOLUNTEER NAME OF BOOTH IGNATURE : 24/02/201 GNATURE : 2!/04/201

1 1

2 1

3 2

4 2

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! 3

" 3

# 4

$ 4

% !

10 !

11 "

12 "

13 #

14 #

1! $

1" $

1# %

1$ %

1% 10

20 10

ATTENDENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME FOR THE YEAR FEBRUARY 2014

SL NO TEAM NO NAME OF VOLUNTEER NAME OF BOOTH IGNATURE :24/02/201 G NATURE : 2!/02/201

21 11

22 11

23 12

24 12

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2! 13

2" 13

2# 14

2$ 14

2% 1!

30 1!

31 1"

32 1"

33 1#

34 1#

3! 1$

3" 1$

3# 1%

3$ 1%

3% 20

40 20

ATTENDENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME FOR THE YEAR FEBRUARY 2014

SL NO TEAM NO NAME OF VOLUNTEER NAME OF BOOTH IGNATURE : 24/02/201IGNATUTE : 2!/02/201

41 21

42 21

43 22

44 22

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4! 23

4" 23

4# 24

4$ 24

4% 2!

!0 2!

!1 2"

!2 2"

!3 2#

!4 2#

!! 2$

!" 2$

!# 2%

!$ 2%

!% 30

"0 30

AC'UITTENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME ON 23 FEBRUARY

PHC THRIKKARUVA DATE : 23/02/20

SL NO BOOTH NO NAME OF VOLUNTEER NAME OF BOOTH AMOUNT RECEIVED NATURE : 23/02/201 1 #!/(

2 1 #!/(

3 2 #!/(

4 2 #!/(

8/19/2019 Biju Ben Polio

6/20

! 3 #!/(

" 3 #!/(

# 4 #!/(

$ 4 #!/(

% ! #!/(10 ! #!/(

11 " #!/(

12 " #!/(

13 # #!/(

14 # #!/(

1! $ #!/(

1" $ #!/(

1# % #!/(

1$ % #!/(

1% 10 #!/(

20 10 #!/(

AC'UITTENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME ON 23 FEBRUARY

SL NO BOOTH NO NAME OF VOLUNTEER NAME OF BOOTH AMMOUNT RECEIVED GNATURE : 23/02/201

21 11 #!/(

22 11 #!/(

23 12 #!/(

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24 12 #!/(

2! 13 #!/(

2" 13 #!/(

2# 14 #!/(

2$ 14 #!/(

2% 1! #!/(

30 1! #!/(

31 1" #!/(

32 1" #!/(

33 1# #!/(

34 1# #!/(

AC'UITTENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME FOR THE YEAR FEB

SL NO TEAM NO NAME OF VOLUNTEER NAME OF BOOTH

1 1 #!/( #!/(

2 1 #!/( #!/(

3 2 #!/( #!/(

4 2 #!/( #!/(

! 3 #!/( #!/(

" 3 #!/( #!/(

AMOUNT FOR

24/02/2014

AMOUNT FOR

2!/02/14

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8/20

# 4 #!/( #!/(

$ 4 #!/( #!/(

% ! #!/( #!/(

10 ! #!/( #!/(

11 " #!/( #!/(

12 " #!/( #!/(

13 # #!/( #!/(

14 # #!/( #!/(

1! $ #!/( #!/(

1" $ #!/( #!/(

1# % #!/( #!/(

1$ % #!/( #!/(

1% 10 #!/( #!/(

20 10 #!/( #!/(

 TOTAL AMOUNT 1!00/( 1!00/(

AC'UITTENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME FOR THE YEAR FEB

SL NO TEAM NO NAME OF VOLUNTEER NAME OF BOOTH

21 11 #!/( #!/(

22 11 #!/( #!/(

23 12 #!/( #!/(

24 12 #!/( #!/(

2! 13 #!/( #!/(

AMOUNT FOR

24/02/14

AMOUNT FOR

2!/02/14

8/19/2019 Biju Ben Polio

9/20

2" 13 #!/( #!/(

2# 14 #!/( #!/(

2$ 14 #!/( #!/(

2% 1! #!/( #!/(

30 1! #!/( #!/(

31 1" #!/( #!/(

32 1" #!/( #!/(

33 1# #!/( #!/(

34 1# #!/( #!/(

3! 1$ #!/( #!/(

3" 1$ #!/( #!/(

3# 1% #!/( #!/(

3$ 1% #!/( #!/(

3% 20 #!/( #!/(

40 20 #!/( #!/(

PAGE TOTAL 3000/( 3000/(

AC'UITTENCE ROLL OF PULSE POLIO IMMUNI&ATION PROGRAMME FOR THE YEAR FEB

SL NO TEAM NO NAME OF VOLUNTEER NAME OF BOOTH

41 21 #!/( #!/(

42 21 #!/( #!/(

43 22 #!/( #!/(

44 22 #!/( #!/(

AMOUNT FOR

24/02/14

AMOUNT FOR

2!/02/14

8/19/2019 Biju Ben Polio

10/20

4! 23 #!/( #!/(

4" 23 #!/( #!/(

4# 24 #!/( #!/(

4$ 24 #!/( #!/(

4% 2! #!/( #!/(

!0 2! #!/( #!/(

!1 2" #!/( #!/(

!2 2" #!/( #!/(

!3 2# #!/( #!/(

!4 2# #!/( #!/(

!! 2$ #!/( #!/(

!" 2$ #!/( #!/(

!# 2% #!/( #!/(

!$ 2% #!/( #!/(

 TOTAL AMOUNT 43!0/( 43!0/(

) RS EIGHT THOUSAND AND SEVEN HUNDRED ONLY *

8/19/2019 Biju Ben Polio

11/20

  14

8/19/2019 Biju Ben Polio

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 Y 2014

  UARY 2014

4

8/19/2019 Biju Ben Polio

13/20

4

8/19/2019 Biju Ben Polio

14/20

4

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15/20

  2014

4

14

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  2014

4

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  RUARY 2014

 TOTAL SIGNATUTE

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

8/19/2019 Biju Ben Polio

18/20

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

3000/(

  RUARY2014

 TOTAL SIGNATUTE

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

8/19/2019 Biju Ben Polio

19/20

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

"000/(

  RUARY 2014

 TOTAL SIGNATURE

1!0/(

1!0/(

1!0/(

1!0/(

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1!0/(

1!0/(

1!0/(

1!0/(

1!0/(1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

1!0/(

$#00/(