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Reporting Format 11: Monthly BCM & AF review
, Asha Id HRMIS-ASHA-
Asha
Details
Asha Id
HRMIS-ASHA-
District Name
Block Name
Facility Type
Health Facility
Name of Asha
Financial Year
Financial Month
Reporting
Format 11: Monthly BCM & AF review:
Date of meeting
Member presents
MO:
DCM:
AF:
ASHA:
ANM:
BCM:
BAM:
BDM:
Topics discussed
Rate of Incentive
Total Incentive Payable
Total Incentive Paid (Amount)
Total Incentive Due (Amount)