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Reporting Format 12: Reporting of Death of Women under
, 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 12: Reporting of Death of Women:
District
PHC/CH
Village
Probable cause of Death
Date of Death
Review
Rate of Incentive
Total Incentive Payable
Total Incentive Paid (Amount)
Total Incentive Due (Amount)
Date of Payment
