ST. ULRIKA HC III - VACCINATION & DEWORMING TALLY SHEET

Select Date:

Monthly Report:

UNDER 1 YEAR

DOSES	STATIC							OUTREACHES
	1	2	3	4	5	6	TOTAL	BBALE-MUKWENDA	BBIIKA MOSQUE	BBIIKA	BUKOBERO	KYABUMBA	KASAMBYA	KABAALE	TOTAL

1 YEAR < 5

DOSES	STATIC							OUTREACHES
	1	2	3	4	5	6	TOTAL	BBALE-MUKWENDA	BBIIKA MOSQUE	BBIIKA	BUKOBERO	KYABUMBA	KASAMBYA	KABAALE	TOTAL

0-5 MONTHS

DOSES	STATIC													OUTREACHES															IN SCHOOLS
	1		2		3		4		5		6		TOTAL		BBALE-MUKWENDA		BBIIKA MOSQUE		BBIIKA		BUKOBERO		KYABUMBA		KASAMBYA		KABAALE		TOTAL		SCHOOL 1		SCHOOL 2		SCHOOL 3		SCHOOL 4		SCHOOL 5		SCHOOL 6		SCHOOL 7		TOTAL
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

6-11 MONTHS

DOSES	STATIC													OUTREACHES															IN SCHOOLS
	1		2		3		4		5		6		TOTAL		BBALE-MUKWENDA		BBIIKA MOSQUE		BBIIKA		BUKOBERO		KYABUMBA		KASAMBYA		KABAALE		TOTAL		SCHOOL 1		SCHOOL 2		SCHOOL 3		SCHOOL 4		SCHOOL 5		SCHOOL 6		SCHOOL 7		TOTAL
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

12-59 MONTHS

DOSES	STATIC													OUTREACHES															IN SCHOOLS
	1		2		3		4		5		6		TOTAL		BBALE-MUKWENDA		BBIIKA MOSQUE		BBIIKA		BUKOBERO		KYABUMBA		KASAMBYA		KABAALE		TOTAL		SCHOOL 1		SCHOOL 2		SCHOOL 3		SCHOOL 4		SCHOOL 5		SCHOOL 6		SCHOOL 7		TOTAL
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F

5-14 YEARS

DOSES	STATIC													OUTREACHES															IN SCHOOLS
	1		2		3		4		5		6		TOTAL		BBALE-MUKWENDA		BBIIKA MOSQUE		BBIIKA		BUKOBERO		KYABUMBA		KASAMBYA		KABAALE		TOTAL		SCHOOL 1		SCHOOL 2		SCHOOL 3		SCHOOL 4		SCHOOL 5		SCHOOL 6		SCHOOL 7		TOTAL
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F