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ATTENDENCE ROLL OF PULSE POLIO PROGRAMME ON 23 rd FEBRUARY 2014

PHC THRIKKARUVA
SL. NO. BOOTH NO
1

10

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21

11

NAME OF VOLUNTEER

DATE : 23/02/2014
NAME OF BOOTH

SIGNATURE : 23/02/2014

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ATTENDENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME ON 23 rd FEBRUARY 2014


SL NO

BOOTH NO

23

12

24

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25

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NAME OF VOLUNTEER

NAME OF BOOTH

SIGNATURE : 23/2/2014

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ATTENDENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME FOR THE YEAR FEBRUARY 2014
SL. NO.

TEAM NO.

NAME OF VOLUNTEER

NAME OF BOOTH

SIGNATURE : 24/02/2014
SIGNATURE : 25/04/2014

10

11

12

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19

10

20

10

ATTENDENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME FOR THE YEAR FEBRUARY 2014
SL. NO.

TEAM NO.

21

11

22

11

23

12

24

12

NAME OF VOLUNTEER

NAME OF BOOTH

SIGNATURE :24/02/2014
SIGNATURE : 25/02/2014

25

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13

27

14

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14

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15

30

15

31

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33

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18

36

18

37

19

38

19

39

20

40

20

ATTENDENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME FOR THE YEAR FEBRUARY 2014
SL. NO.

TEAM NO.

41

21

42

21

43

22

44

22

NAME OF VOLUNTEER

NAME OF BOOTH

SIGNATURE : 24/02/2014
SIGNATUTE : 25/02/2014

45

23

46

23

47

24

48

24

49

25

50

25

51

26

52

26

53

27

54

27

55

28

56

28

57

29

58

29

59

30

60

30

ACQUITTENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME ON 23 FEBRUARY 2014


PHC THRIKKARUVA
DATE : 23/02/2014
SL. NO. BOOTH NO

NAME OF VOLUNTEER

NAME OF BOOTH

AMOUNT RECEIVED
SIGNATURE : 23/02/2014

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

10

75/-

11

75/-

12

75/-

13

75/-

14

75/-

15

75/-

16

75/-

17

75/-

18

75/-

19

10

75/-

20

10

75/-

ACQUITTENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME ON 23 FEBRUARY 2014


SL NO

BOOTH NO

NAME OF VOLUNTEER

NAME OF BOOTH

AMMOUNT RECEIVED
SIGNATURE : 23/02/2014

21

11

75/-

22

11

75/-

23

12

75/-

24

12

75/-

25

13

75/-

26

13

75/-

27

14

75/-

28

14

75/-

29

15

75/-

30

15

75/-

31

16

75/-

32

16

75/-

33

17

75/-

34

17

75/-

ACQUITTENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME FOR THE YEAR FEBRUARY 2014
AMOUNT FOR
24/02/2014

AMOUNT FOR
25/02/14

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

75/-

SL. NO.

TEAM NO.

NAME OF VOLUNTEER

NAME OF BOOTH

75/-

75/-

75/-

75/-

75/-

75/-

10

75/-

75/-

11

75/-

75/-

12

75/-

75/-

13

75/-

75/-

14

75/-

75/-

15

75/-

75/-

16

75/-

75/-

17

75/-

75/-

18

75/-

75/-

19

10

75/-

75/-

20

10

75/-

75/-

1500/-

1500/-

TOTAL AMOUNT

ACQUITTENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME FOR THE YEAR FEBRUARY2014
NAME OF VOLUNTEER

NAME OF BOOTH

AMOUNT FOR
24/02/14

AMOUNT FOR
25/02/14

SL. NO.

TEAM NO.

21

11

75/-

75/-

22

11

75/-

75/-

23

12

75/-

75/-

24

12

75/-

75/-

25

13

75/-

75/-

26

13

75/-

75/-

27

14

75/-

75/-

28

14

75/-

75/-

29

15

75/-

75/-

30

15

75/-

75/-

31

16

75/-

75/-

32

16

75/-

75/-

33

17

75/-

75/-

34

17

75/-

75/-

35

18

75/-

75/-

36

18

75/-

75/-

37

19

75/-

75/-

38

19

75/-

75/-

39

20

75/-

75/-

40

20

75/-

75/-

3000/-

3000/-

PAGE TOTAL

ACQUITTENCE ROLL OF PULSE POLIO IMMUNIZATION PROGRAMME FOR THE YEAR FEBRUARY 2014
NAME OF VOLUNTEER

NAME OF BOOTH

AMOUNT FOR
24/02/14

AMOUNT FOR
25/02/14

SL. NO.

TEAM NO.

41

21

75/-

75/-

42

21

75/-

75/-

43

22

75/-

75/-

44

22

75/-

75/-

45

23

75/-

75/-

46

23

75/-

75/-

47

24

75/-

75/-

48

24

75/-

75/-

49

25

75/-

75/-

50

25

75/-

75/-

51

26

75/-

75/-

52

26

75/-

75/-

53

27

75/-

75/-

54

27

75/-

75/-

55

28

75/-

75/-

56

28

75/-

75/-

57

29

75/-

75/-

58

29

75/-

75/-

4350/-

4350/-

TOTAL AMOUNT

( RS EIGHT THOUSAND AND SEVEN HUNDRED ONLY )

ARY 2014

EBRUARY 2014

R FEBRUARY 2014

25/04/2014

25/02/2014

25/02/2014

UARY 2014
02/2014

23/02/2014

UARY 2014

23/02/2014

AR FEBRUARY 2014
TOTAL
150/150/150/150/150/150/-

SIGNATUTE

150/150/150/150/150/150/150/150/150/150/150/150/150/150/-

3000/-

AR FEBRUARY2014
TOTAL
150/150/150/150/150/-

SIGNATUTE

150/150/150/150/150/150/150/150/150/150/150/150/150/150/150/-

6000/-

AR FEBRUARY 2014
TOTAL
150/150/150/150/-

SIGNATURE

150/150/150/150/150/150/150/150/150/150/150/150/150/150/-

8700/-

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