2
var denamesForForm6 = new Array(
4
"<font face='Arial' size=3><b>Ante Natal Care</b></font>",
5
"<font face='Arial' size=2>Ante Natal cases Registered</font>",
6
"<font face='Arial' size=2>a) Total</font>",
7
"<font face='Arial' size=2>b) Less than 12 weeks</font>",
8
"<font face='Arial' size=2>No. of pregnant women who had 3 check-ups</font>",
9
"<font face='Arial' size=2>Total No. of high risk pregnant woman referred</font>",
10
"<font face='Arial' size=2>No. of TT doses</font>",
11
"<font face='Arial' size=2>a) TT1</font>",
12
"<font face='Arial' size=2>b) TT2</font>",
13
"<font face='Arial' size=2>c) Booster</font>",
14
"<font face='Arial' size=2>No. of pregnant women under treatment for anaemia</font>",
15
"<font face='Arial' size=2>No. of pregnant women given prophylaxis for anaemia</font>",
17
"<font face='Arial' size=3><b>Natal Care<b></font>",
18
"<font face='Arial' size=2>Total No. of deliveries</font>",
19
"<font face='Arial' size=2>Home deliveries</font>",
20
"<font face='Arial' size=2>a) i) by ANM</font>",
21
"<font face='Arial' size=2> ii) by LHV</font>",
22
"<font face='Arial' size=2>b) by trained Birth Attendants</font>",
23
"<font face='Arial' size=2>c) Untrained Birth Attendants</font>",
24
"<font face='Arial' size=2>Deliveries at sub-centre</font>",
25
"<font face='Arial' size=2>Complicated delivieries referred to PHC / FRU</font>",
27
"<font face='Arial' size=3><b>Pregnancy Outcome</b></font>",
29
"<font face='Arial' size=2>a) Live births</font>",
30
"<font face='Arial' size=2>b) Still births</font>",
31
"<font face='Arial' size=2>Order of Birth in 3.1 (a)</font>",
32
"<font face='Arial' size=2>a) 1st</font>",
33
"<font face='Arial' size=2>b) 2nd</font>",
34
"<font face='Arial' size=2>c) 3rd</font>",
35
"<font face='Arial' size=2>New born status at birth</font>",
36
"<font face='Arial' size=2>a) Less than 2.5 kg</font>",
37
"<font face='Arial' size=2>b) 2.5 kg or more</font>",
38
"<font face='Arial' size=2>c) No. of high risk new borns referred to PHC / FRU</font>",
40
"<font face='Arial' size=3><b>Post Natal Care</b></font>",
41
"<font face='Arial' size=2>No. of women given 3 post natal check-ups</font>",
42
"<font face='Arial' size=2>Complications referred to PHC / FRU</font>",
43
"<font face='Arial' size=3><b>Maternal Deaths</b></font>",
44
"<font face='Arial' size=2>During pregnancy</font>",
45
"<font face='Arial' size=2>During delivery</font>",
46
"<font face='Arial' size=2>within 5 weeks of delivery</font>",
48
"<font face='Arial' size=3><b>RTI / STI</b></font>",
49
"<font face='Arial' size=2>Cases</font>",
50
"<font face='Arial' size=2>a) Detected</font>",
51
"<font face='Arial' size=2>b) Treated</font>",
52
"<font face='Arial' size=2>c) Referred</font>",
54
"<font face='Arial' size=3><b>Immunization</b></font>",
55
"<font face='Arial' size=2>Infant 0 to 1 year</font>",
56
"<font face='Arial' size=2>BCG</font>",
57
"<font face='Arial' size=2>DPT1</font>",
58
"<font face='Arial' size=2>DPT2</font>",
59
"<font face='Arial' size=2>DPT3</font>",
60
"<font face='Arial' size=2>OPV0</font>",
61
"<font face='Arial' size=2>OPV1</font>",
62
"<font face='Arial' size=2>OPV2</font>",
63
"<font face='Arial' size=2>OPV3</font>",
64
"<font face='Arial' size=2>Measles</font>",
65
"<font face='Arial' size=2>Children more than 18 months</font>",
66
"<font face='Arial' size=2>DPT Booster</font>",
67
"<font face='Arial' size=2>OPV Booster</font>",
68
"<font face='Arial' size=3><b>Full Immunization</b></font>",
69
"<font face='Arial' size=2>Children more than 5 years</font>",
70
"<font face='Arial' size=2>DT</font>",
71
"<font face='Arial' size=2>Children more than 10 years</font>",
72
"<font face='Arial' size=2>TT</font>",
73
"<font face='Arial' size=2>Children more than 16 years</font>",
74
"<font face='Arial' size=2>TT</font>",
75
"<font face='Arial' size=3><b>Adverse Reactions reported after Immunization</b></font>",
76
"<font face='Arial' size=2>Vitamin A administration (9 months to 3 years)</font>",
77
"<font face='Arial' size=2>Dose 1</font>",
78
"<font face='Arial' size=2>Dose 2</font>",
79
"<font face='Arial' size=2>Dose 3 - 5</font>",
80
"<font face='Arial' size=3><b>Childhood Diseases</b></font>",
81
"<font face='Arial' size=2>Vaccine preventable diseases</font>",
82
"<font face='Arial' size=2>a) Diptheria</font>",
83
"<font face='Arial' size=2> i) Cases Detected</font>",
84
"<font face='Arial' size=2> ii) Treated</font>",
85
"<font face='Arial' size=2> iii) Referred</font>",
86
"<font face='Arial' size=2> iv) Deaths</font>",
87
"<font face='Arial' size=2>b) Poliomyelitis (AFP)</font>",
88
"<font face='Arial' size=2> i) Cases Detected</font>",
89
"<font face='Arial' size=2> ii) Treated</font>",
90
"<font face='Arial' size=2> iii) Referred</font>",
91
"<font face='Arial' size=2> iv) Deaths</font>",
92
"<font face='Arial' size=2>c) Neo Natal Tetanus</font>",
93
"<font face='Arial' size=2> i) Cases Detected</font>",
94
"<font face='Arial' size=2> ii) Treated</font>",
95
"<font face='Arial' size=2> iii) Referred</font>",
96
"<font face='Arial' size=2> iv) Deaths</font>",
97
"<font face='Arial' size=2>d) Measles</font>",
98
"<font face='Arial' size=2> i) Cases Detected</font>",
99
"<font face='Arial' size=2> ii) Treated</font>",
100
"<font face='Arial' size=2> iii) Referred</font>",
101
"<font face='Arial' size=2> iv) Deaths</font>",
102
"<font face='Arial' size=2>ARI under 5 years (pneumonia)</font>",
103
"<font face='Arial' size=2>a) Treated with Co-trimoxozole</font>",
104
"<font face='Arial' size=2>b) Referred to PHC / FRU</font>",
105
"<font face='Arial' size=2>c) Deaths</font>",
106
"<font face='Arial' size=2>Acute Dianhoeal diseases under 5 years</font>",
107
"<font face='Arial' size=2>a) Treated with ORS</font>",
108
"<font face='Arial' size=2>b) Referred to PHC / FRU</font>",
109
"<font face='Arial' size=2>c) Deaths</font>",
112
"<font face='Arial' size=3><b>Child Deaths</b></font>",
113
"<font face='Arial' size=2>a) with in 1 week</font>",
114
"<font face='Arial' size=2>b) 1 week to 1 month</font>",
115
"<font face='Arial' size=2>c) 1 month to 1 year</font>",
116
"<font face='Arial' size=2>d) 1 year to 5 years</font>",
119
"<font face='Arial' size=3><b>Contraceptive Services</b></font>",
120
"<font face='Arial' size=2>Eligible couples contacted</font>",
121
"<font face='Arial' size=2>Male Sterilisation</font>",
122
"<font face='Arial' size=2>a) Total no of cases motivated</font>",
123
"<font face='Arial' size=2>b) No. of cases followed up</font>",
124
"<font face='Arial' size=2>Female Sterilisation</font>",
125
"<font face='Arial' size=2>a) Total no of cases motivated</font>",
126
"<font face='Arial' size=2>b) No. of cases followed up</font>",
127
"<font face='Arial' size=2>Total IUD insertions</font>",
128
"<font face='Arial' size=2>a) Cases followed up</font>",
129
"<font face='Arial' size=2>b) Complications</font>",
130
"<font face='Arial' size=2>c) Discontinued</font>",
131
"<font face='Arial' size=2> i) Removed</font>",
132
"<font face='Arial' size=2> ii) Expelled</font>",
133
"<font face='Arial' size=2>Total Oral Pill users</font>",
134
"<font face='Arial' size=2>a) Old Users</font>",
135
"<font face='Arial' size=2>b) New Users</font>",
136
"<font face='Arial' size=2>c) Complications</font>",
137
"<font face='Arial' size=2>d) Discontinued</font>",
138
"<font face='Arial' size=2>Total condom users</font>",
139
"<font face='Arial' size=3><b>Abortions</b></font>",
140
"<font face='Arial' size=2>a) No. of women referred to MTP</font>",
141
"<font face='Arial' size=2>b) No. of MTP done</font>",
142
"<font face='Arial' size=2>c) Cases followed up</font>",
143
"<font face='Arial' size=2>d) Complications</font>",
144
"<font face='Arial' size=2>e) Deaths</font>",
146
"<font face='Arial' size=3><b>Communicable Diseases</b></font>",
147
"<font face='Arial' size=2>Malaria</font>",
148
"<font face='Arial' size=2>a) No. of fever identified</font>",
149
"<font face='Arial' size=2>b) No. of blood smear slides sent to PHC</font>",
150
"<font face='Arial' size=2>c) No. of fever cases given presumptive treatment</font>",
151
"<font face='Arial' size=2>d) No. of positive cases of malaria</font>",
152
"<font face='Arial' size=2>e) No. of positive cases given radical treatment</font>",
153
"<font face='Arial' size=2>f) No. of anti-mosquito activities co-ordinated</font>",
154
"<font face='Arial' size=2>g) No. of high risk villages identified</font>",
155
"<font face='Arial' size=2>Tuberculosis</font>",
156
"<font face='Arial' size=2>a) No. of suspected cases</font>",
157
"<font face='Arial' size=2> i) Identified</font>",
158
"<font face='Arial' size=2> ii) Referred</font>",
159
"<font face='Arial' size=2>b) No. of sputum positive cases</font>",
160
"<font face='Arial' size=2>c) No. of TB cases followed up</font>",
179
var slnoForForm6 = new Array(
181
"<font face='Arial' size=3><b>1.</b></font>",
182
"<font face='Arial' size=2>1.1</font>",
185
"<font face='Arial' size=2>1.2</font>",
186
"<font face='Arial' size=2>1.3</font>",
187
"<font face='Arial' size=2>1.4</font>",
191
"<font face='Arial' size=2>1.5</font>",
192
"<font face='Arial' size=2>1.6</font>",
194
"<font face='Arial' size=3><b>2.<b></font>",
195
"<font face='Arial' size=2>2.1</font>",
196
"<font face='Arial' size=2>2.2</font>",
201
"<font face='Arial' size=2>2.3</font>",
202
"<font face='Arial' size=2>2.4</font>",
204
"<font face='Arial' size=3><b>3.</b></font>",
205
"<font face='Arial' size=2>3.1</font>",
208
"<font face='Arial' size=2>3.2</font>",
212
"<font face='Arial' size=2>3.3</font>",
217
"<font face='Arial' size=3><b>4.</b></font>",
218
"<font face='Arial' size=2>4.1</font>",
219
"<font face='Arial' size=2>4.2</font>",
220
"<font face='Arial' size=3><b>5.</b></font>",
221
"<font face='Arial' size=2>5.1</font>",
222
"<font face='Arial' size=2>5.2</font>",
223
"<font face='Arial' size=2>5.3</font>",
225
"<font face='Arial' size=3><b>6.</b></font>",
226
"<font face='Arial' size=2>6.1</font>",
231
"<font face='Arial' size=3><b>7.</b></font>",
232
"<font face='Arial' size=2>7.1</font>",
242
"<font face='Arial' size=2>7.2</font>",
246
"<font face='Arial' size=2>7.3</font>",
248
"<font face='Arial' size=2>7.4</font>",
250
"<font face='Arial' size=2>7.5</font>",
252
"<font face='Arial' size=3>7.6</font>",
253
"<font face='Arial' size=2>8.</font>",
257
"<font face='Arial' size=3><b>9.</b></font>",
258
"<font face='Arial' size=2>9.1</font>",
269
"<font face='Arial' size=2>9.2</font>",
279
"<font face='Arial' size=2>9.3</font>",
283
"<font face='Arial' size=2>9.4</font>",
288
"<font face='Arial' size=3><b>10.</b></font>",
294
"<font face='Arial' size=3><b>11.</b></font>",
295
"<font face='Arial' size=2>11.1</font>",
296
"<font face='Arial' size=2>11.2</font>",
299
"<font face='Arial' size=2>11.3</font>",
302
"<font face='Arial' size=2>11.4</font>",
308
"<font face='Arial' size=2>11.5</font>",
313
"<font face='Arial' size=2>11.6</font>",
314
"<font face='Arial' size=3><b>12.</b></font>",
321
"<font face='Arial' size=3><b>13.</b></font>",
322
"<font face='Arial' size=2>13.1</font>",
330
"<font face='Arial' size=2>13.2</font>",