Monthly Report Format 12: Reporting of Death of Women:
District
Details
District Name
Health Facility
Block Name
Facility Type
Financial Year
Financial Month
Reporting
Category: Format 12: Reporting of Death of Women:
Data Table
District
PHC/CHC
Village
Probable cause of Death
Date of Death
Review
Rate of Incentive
Total Incentive payable
Total Incentive Paid
Total Incentive Due
