vice chairman - nrhmmanipur.orgnrhmmanipur.org/wp-content/uploads/2016/11/formats-8-8-17.pdf · 9...

Format for listing SQAC/SISC/DQAC and DISC members in State/UT website

State Manipur

Year 2016-17

Type of Committee SQAC

SNo. Name of Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)

Designation in the state

(Secretary/MD/Director/

Joint Director/Deputy

Director/Empaneled

Gynaecologist/Surgeon

etc) Member Since

(Month/year) Address Contact

number

1 Mr.Sumant Singh Chairperson Secretary Health and FW 20th July 2017 Old

Secreteriate

2 Dr.K Lokendro Vice Chairman Mission Director NHM -do-

Medical

Directorate ,

Lamphelpat

3 Dr. K Rajo singh Convenor Director Family Wellfare -do- B.T. Road 9402880191

4 Dr. Tomcha

Khuman Member Secretary SNO Quality Assurance -do-

Medical

Directorate ,

Lamphelpat 7005225883

5 Dr.O Sanahanbi Member

Principal RHand FW

Training Centre -do-

RD wing


6 Dr. L Ranjit Member Empanelled Gynaecologist -do- RIMS 9436239288

7 Dr. L Deban Singh Member Anaesthesist -do- RIMS

8 Dr. N Jiten Member surgeon -do- JNIMS 9612164939

9 Dr. Ksh Choujit Member Paediatrician -do- JNIMS

10

Member Medicine -do- RIMS

11 Mrs Valte Member Joint Director -do-

Medical

Directorate ,

Lamphelpat

12 Dr. Simte Member MS,DH,CCPUR -do- DH,CCPUR

13 Dr.L sushila Member MO I/c Wangoi CHC -do- CHC,Wangoi 9436038319


State Manipur

Year 2016-17

Type of Committee SISC

SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled

Gynaecologist/Surgeon etc) Member Since


number

1 Dr.K Lokendro Vice Chairman Mission Director NHM -do-

Medical

Directorate ,

Lamphelpat

2 Dr. K Rajo singh Convenor Director Family Wellfare -do- B.T. Road 9402880191

3 Dr. Tomcha

Khuman Member Secretary SNO Quality Assurance -do-

Medical

Directorate ,


4 Dr. L Ranjit Member Empanelled Gynaecologist -do- RIMS 9436239288

5 Dr. N Jiten Member surgeon -do- JNIMS 9612164939


District Bishnupur

Year 2016-17

Type of Committee DQAC

SNo. Name of Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc)

Member

Since


number

1 Bobby Waikhom Chairman Districy Magistrate /DC 5th Aug 2017 DC office BPR 9862574288

2 Dr. H. Babychand

Devi Convenor CMO/DMD -do- CMO Office

BPR 9612811626

3 Dr. Shyam kumar

Pukhrambam Member Secretary District Family welfare

Officer -do- CMO Office

BPR 9862919536

4 W.Wangoleima Devi Member Gynaecologist,DH -do- DH, BPR 9862919536

5 Dr.H. Samananda

Singh Member Surgeon,DH -do- DH, BPR 8729919435

6 N. Suranjoy Singh Member PRDA ,NGO -do- DH, BPR 9856084235

7 A Nilachandra Singh Member

Public Prosecutor cum

Govt. advocate -do-

8 O. Pushpa Devi Member DPM -do-

CMO Office

BPR 9436022335

9

Dr. L . Raichandra

Singh Member District AIDs Officer -do- CMO Office

BPR 9856839874

10 Th . Nabakeshwor Member District Malaria Officer -do- CMO Office

BPR 8974643420

11 Dr. L Kuber singh Member District TB Officer -do- CMO Office

BPR 9856338076

12 Dr. L. Ibomcha Singh Member District Leprosy Officer -do-

CMO Office

BPR 9856135224

13 Dr. Radhapiyari Devi Member District Paediatrician -do-

14 Dr. Tilekeshwori Devi Member District Anaesthesia -do- DH, BPR

15 Sister Pramo Devi Member Nursing District hospital -do- DH, BPR 9612964401


District Bishnupur

Year 2016-17

Type of Committee DISC

SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled

Gynaecologist/Surgeon etc) Member Since


number

1 Bobby

Waikhom Chairperson

D. C. /Chairman, DHS 5th Aug 2017

DC office

BPR 9862574288

2 Dr. H.

Babychand Devi Convenor

CMO -do-

CMO

Office BPR 9612811626

3

Dr. Shyam

kumar

Pukhrambam

Member Secretary

DFWO -do-

CMO

Office BPR 9862919536

4 W.Wangoleima

Devi Member Gynaecologist -do- DH, BPR 9862919536

5

Dr.H.

Samananda

Singh Member Surgeon -do- DH, BPR 8729919435


District Chandel

Year 2016-17- Type of Committee DQAC

SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc)

Member

Since


number

1

Krishna Kumar Chairperson

Deputy Commissioner 14th July ,2017

DC Office

8415960601

2

Dr. Romy Ngouru

Convenor

CMO

March, 2015

Liwa Changning, Chandel - 795135

9402462789

3

Dr. Lakshmi Thumlip

Member Secretary

DIO

March 2016

Keishamthong Bazar, IW

9436894300

4

Dr. Lalthari

Member

Medical Superintendent, DH

14th July,2017

New Checkon 9862923835

5

Dr. Suchitra Thangjam

Member

Gynaecologist, DH

November, 2014

Sangaiprou Mamang Leikai, IE

8416002673

6 Dr. Dorendro

Member

Surgeon, DH

November, 2014 DH,Chandel

9615939672

7 Dr. Member Anaesthetist, DH August, Thoubal 9612164774

Rojenkumar

2016

Haokha Soraren - 795138

8 Dr. Chitrapriya

Member Paediatrician, DH

9 Dr. Adeenpa Chara Member

MO i/c, CHC Chakpikarong

August, 2016

Komlathabi, CDL

9612628506

10 Dr. Vikramjit

Member

MO i/c, SDH Moreh

November, 2014

Lalambung Makhong Takhellambam Leika

9774265911

11 Ts. Khingam

Member

Matron, DH

November, 2014

Chakpikarong Village

8974901659


District Chandel

Year 2016-17


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1

Krishna Kumar Chairperson

Deputy Commissioner 14th July ,2017

DC Office

8415960601

2

Dr. Romy Ngouru

Convenor

CMO

March, 2015

Liwa Changning, Chandel - 795135

9402462789

3

Dr. Lakshmi Thumlip

Member Secretary

DIO

March 2016

Keishamthong Bazar, IW

9436894300

4

Dr. Suchitra Thangjam

Member

Gynaecologist, DH

November, 2014

Sangaiprou Mamang Leikai, IE

8416002673

5 Dr. Dorendro

Member

Surgeon, DH

November, 2014 DH,Chandel

9615939672


District Churachandpur

Year 2016-17-


SNo. Name of Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc) Member Since


number

1 Shyam lal Poonia Chairperson DC 27th April 2017 DC Office

2 Dr. Kim Convenor CMO -do- CMO Office 9862066482

3 Dr.VC Tonsing

Member

Secretary DFWO -do- PPC,CCPur 7005159949

4 Dr.J. Son Gokham

Samte Member Medical Superintendent -do-

9856289252

5 Dr. Ch Chourjit Member Gynaecologist -do-

9436036184

6 Ch. Nandamani Member Surgeon -do-

7

Dr. Tinglonlei

Thangluai Member Anaesthesist -do- 8

9

2 Dr. Nenkhanmang Member Secretary Deputy Medical

Superintendent -do-

3 Dr. Tinglonlei

Thangluai Member i/c Operation theatre -do-

4 Dr. Seanbawi

Vaiphei Member Surgeon -do-

5 Dr. Lalzuitluangi Member i/c Gynae and obst. -do-

6 Dr. Goutam Member Pathology -do-

7 Smt. Chinzaniang Member Nursing Superintendent -do-

8 Smt.Vungkhoniang Member Ancillary Services -do-

9 Smt. Bindiya L Member DQAC -do-

10 Dr. C Lalbiakdiki Member Physician -do-

11 Smt. Zenngaihlun Member DPM -do-


District Churachandpur

Year 2016-17-


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1

Shyam lal

Poonia Chairperson DC 27th April 2017 DC Office

2 Dr. Kim Convenor CMO -do- CMO Office 9862066482

3

Dr.VC

Tonsing Member Secretary DFWO -do- PPC,CCPur 7005159949

4

Dr. Ch

Chourjit Member Gynaecologist -do-

9856289252

5

Ch.

Nandamani Member Surgeon -do- 9436036184


District Imphal East

Year 2016-17


SNo. Name of Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc)

Member

Since


number

1 Th. Chitra Devi Chairperson

Deputy Commissioner

27/08/2016

DC Office,

Porompat 9612169299

2

Dr. Kh. Indra Singh

Convenor

CMO -do-

CMO Office ,

Porompat

3

Dr. T. Nilakanta

Member Secretary

DFWO -do-

CMO Office,

Porompat 9856619592

4

Dr. L. Ranbir Singh

Member

Medical Superintendent, JNIMs -do- Kwakeithel

5 Dr. Ch Manglem

Member Gynaecologist, JNIMS -do- Khongman Mangjil 9436025952

6

Dr. S. Thoibahenba

Member

Anaesthetist, DH -do-

Dept. of

Anaesthesist,JNIMS 9436039818

7

P. Landhoni Devi

Member

Nursing Supdt, JNIMS -do-

8 G. Sunitikumar Member

Advocate -do-

Sharma

9 Dr. L. Vikramjit Member DNO, NPPCD -do-

CMO Office,

Porompat

10 Dr. L. Suranjoy Member DNO, NCD -do-

CMO Office,

Porompat

11

Dr. Hmanglamkhup Kom

Member

DDO -do-

CMO Office,

Porompat

12

Dr. L. Romila Devi

Member

DAPCO -do-

CMO Office,

Porompat

13

Dr. Naseera Begum

Member

DLO -do-

CMO Office,

Porompat

14 Dr. RK Niranjan Member

MO i/c, Sagolmang CHC -do-


District Imphal East

Year 2016-17


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1 Th. Chitra Devi

Chairperson

Deputy Commissioner

27/08/2016

DC Office,

Porompat 9612169299

2

Dr. Kh. Indra Singh

Convenor

CMO -do-

CMO

Office ,

Porompat

3

Dr. T. Nilakanta

Member Secretary

DFWO -do-

CMO

Office,

Porompat 9856619592

4

Dr. Ch Manglem

Member Gynaecologist, JNIMS -do-

Khongman

Mangjil 9436025952

5

Dr. Robindro Member

Surgeon, JNIMS -do-

Singjamei

Bazar 9402881986


District Imphal West

Year 2016-17


SNo. Name of Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc)

Member

Since

(Month/year) Address

Contact

number

1 N. Jeoffery

Chairman Deputy Commissioner 1st Aug 2017

Sagolband, Imphal 03852451188

2

Dr. Kulla

Convenor

CMO -do-

Chingmeirong 8974009603

3 Dr. L. Indira

Member Secretary

DFWO -do- Kongba Bazar 9612687395

4 Dr. L Ranjit Singh Member Gyanecologist,RIMS -do-

Dept. of

Gyane,RIMS 9436239288

5 Dr. Deban Singh Member Anaesthesist,RIMS -do-

Dept of

Anaesthesist,RIMS

6

Th. Sudhir

Chandra Member Surgeon,RIMS -do-

Dept. of Surgery,

RIMS

7 Thoibiton Member DPM -do-

Uripok Achom

Leikai 8974258533

8 Dr. Gopal Member DAO -do- CMO Office

9 Dr. Thoinao Member DMO -do- CMO Office 9436207010

10 Dr. Memcha Member DTO -do-

Office of RNTCP


11 Dr. Modhubala Member DLO -do-

CMO

Office,Lamphelpat

12 Sunta Devi Member Princpal FWTC -do-

RD Wing,

Lamphelpat


District Imphal West

Year 2016-17- Type of Committee DISC

DISC

SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1 N. Jeoffery

Chairman Deputy Commissioner 1st Aug 2017

Sagolband, Imphal 03852451188

2

Dr. Kulla

Convenor

CMO -do-

Chingmeirong

3 Dr. L. Indira

Member Secretary

DFWO -do- Kongba Bazar 9612687395

4

Dr. L Ranjit

Singh Member Gyanecologist,RIMS -do-

Dept. of

Gyane,RIMS 9436239288

5

Th. Sudhir

Chandra Member Surgeon,RIMS -do-

Dept. of

Surgery, RIMS


District Senapati

Year 2016-17-


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc)

Member

Since


number

1

Athem

Muivah

Chairperson

Deputy Commissioner

19/06/2017

986400910

2

Dr. H. Loli Mao

Convenor

CMO

20/05/2015

8416074460

3

Dr. Yule

Member

Medical Superintendent, DH

-do-

9436031789

4

Dr. Sokha

Member

DIO, SPT

-do-

9612669452

5

Dr. Sanchungla

Member

Gynaecologist, DH

-do-

6

Dr. Ashiikho

Member

Anaesthetist, DH

-do-

9436027529

7

Ms. Elizabeth RK

Member

DPM

-do-

9402665687

8

Mr. John

Member

Senapati Town Committee

-do-

9

Mr. P. Pungdi Celestin

Member

President, SDSA

-do-

8974601724

10 Mr. Aree Member President, SDWA -do-

8974280113


District Senapati

Year 2016-17


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1

Athem

Muivah

Chairperson

Deputy Commissioner

19/06/2017

9436891081

2

Dr. H. Loli Mao

Convenor

CMO

20/05/2015

8416074460

3

Dr. Sokha

Member

DIO, SPT

-do-

9612669452

4

Dr. Sanchungla

Member

Gynaecologist, DH

-do-

District Tamenglong

Year 2016-17


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/

Member)




Director/Empaneled


etc)

Member

Since


number

1

Shri Armstrong Pame

Chairman

Deputy Commissioner 4th July 2017

2

Dr. Chambo Gonmei

Convenor

CMO -do-

8132820883

3

Dr. Sunil Kamei Member Secretary

DIO/DFWO

-do-

8414882929

4

Dr. Mutum Davison Member

Empanelled Gynaecologist -do-

5

Dr.

Guidiathiu

Kahmei Member MS, DH -do-

6 Mr. Julius Member

Advocate -do-

SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1

Shri M. Luikham

Chairman

District Collector

4th March, 2016

2

Dr. Chambo Gonmei

Convenor

CMO -do-

8132820883

3

Dr. Sunil Kamei Member

DIO/DFWO

-do-

8414882929

4

Dr. Mutum Davison Member

Empanelled Gynaecologist -do-

District Tamenglong

Year 2016-17


District: ThoubaI

Year: 2016-17

Type of Committee: DQAC

Sl. Name of member Designation in the Designation in the State Member since Address Contact No.

No. Committee (Secretary/MD/Director/ Joint (Month/Year)

(Chairperson/Vice Director/Dy. Director/

Chairman/Convenor/ Empanelled Gynaecologist/

Member Secretary) Surgeon etc.)

1. L Nabakishore Chairman Deputy Commissioner 1st June2017

2. Dr. Jayanta Convenor CMO -do- Sagolband Moirang

Leirak

3. Dr. Akendra Member Secretary DFWO -do- Sagolband

4 Dr. Hemanta Member MS DH , Thoubal

4. Dr.Th. Imochoubi Member Gynaecologist, DH -do- Keishampat

6. Dr. H. Subashchandra Member Anaesthetist, DH -do- Lamphel

Singh Supermarket

7. Dr. W. Ruhinikumar Member Paediatrician, CHC Sugnu -do-

8. Dr. K. Jaya Devi Member Medical Specialist, CHC -do-

Heirok

9. Dr. Th. Rajen Singh Member MO i/c, CHC Yairipok -do-

10. Shri P. Indramani Singh Member Advocate -do-

11. Dr. N. Nabakishore Member Medical Professional, IMA -do-

12 Basanta Member DPM -do- 9856434623

Listing DISC members in State/UT website

District: Thoubal

Year: 2016-17

Type of Committee: DISC

Sl. Name of member Designation in the Designation in the State Member since Address Contact No.

No. Committee (Secretary/MD/Director/ (Month/Year)

(Chairperson/Vice Joint Director/Dy. Director/

Chairman/Convenor/ Empanelled Gynaecologist/

Member Secretary) Surgeon etc.)

1. L Nabakishore Chairman Deputy Commissioner

3. Dr. Akendra Member Secretary DFWO -do- Sagolband

4 Dr. Jayanta Singh Convenor DFWO -do- Sagolband Moirang 8974009015

Leirak

4. Dr.Th. Imochoubi Member Gynaecologist, DH -do- Keishampat 4.


District Ukhrul

Year 2016-17


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1

Harmeet singh Ahuja

Chairperson

Deputy Commissioner

2

Dr. Mingyola

Convenor

CMO/DMD

11th March, 2016

CMO

Office, Ukhrul

9612936766

3

Dr. AS Kapangring

Member Secretary

DIO/DFWO

11th March, 2016

CMO

Office, Ukhrul

8414819221

4

Dr. Yuithingla

Member

Medical Superintendent i/c

3rd October, 2016

CMO

Office, Ukhrul

9862491850

5

Dr. Angamla

Member

MS, Leishiphung Christian Hospital

11th March, 2016

LC

Hospital,

Ukhrul

9862917355


District Ukhrul

Year 2016-17


SNo. Name of

Member

Designation in the

Committee

(Chairperson/Vice

Chairperson/

Convener/Member

Secretary/ Member)




Director/Empaneled


etc) Member Since


number

1

Pradip Chandran

Chairperson

Deputy Commissioner

3rd October, 2016

8731068874

2

Dr. Mingyola

Convenor

CMO/DMD

11th March, 2016

Ukhrul

9612936766

3

Dr. AS Kapangring

Member Secretary

DIO/DFWO

11th March, 2016

Ukhrul

8414819221

Annual /Biannual Report Format

State MANIPUR

Report Type: (Annual /Biannual)

Reporting period

I. Family Planning performance

Services Q1 Q2 Q3 Q4 Total

Interval Minilap 10 55 13 18 96

Laparoscopy 38 120 24 13 195

PPS 62 82 88 86 318

Female Sterilization 110 257 126 117 610

Male sterilization 2 41 43 5 91

IUCD 973 1416 986 994 4369

PPIUCD 93 254 252 198 797

PPIUCD Acceptance

(Out of total public

health institutional

deliveries)

1.6 4.3 3.2 3.1 3.1

ASHA Scheme Performance:

Services Q1 Q2 Q3 Q4 Total

HDC

(percentage

distribution

of condoms,

OCP and

ECP)

8575/ 32646/

1123 ( No. of

the

contraceptiv

e

distributed)

52695/15029/197

5 ( No. of the

contraceptive

distributed)

54277/11866

/3971 ( No.

of the

contraceptiv

e

distributed)

50402/9268/448

5 ( No. of the

contraceptive

distributed)

1,65,949/59,54

1/ and 6,828

ESB

Schemes

(To be filled

by states

where

scheme is

implemente

d)

Not functional in some districts

PTK

Utilization

12931

8089

4552

*Non

reporting of

3 districts

2205

*Non reporting

of 6 districts

27777

Status of FPIS Claims

S.N

o

STA

TE

FRESH/NEW

CLAIMS SUBMITTED IN

2016-17 ( April

2016 to March 2017)

OUTSTANDING CLAIMS

from previous years (before

April 2016)

CLAIMS PAID IN 2016-17 CLAIMS REJECTED

(2016-17) OUTSTANDING CLAIMS TILL 31st MARCH 2017

Co

mp

licat

ion

De

ath

Failu

re

Co

mp

licat

ion

De

ath

Failu

re

Complication Death Failure

COMPLICATION DEATH FAILURE N

o. o

f Fr

esh

/ne

w

Co

mp

licat

ion

Cla

ims

sub

mit

ted

in 2

01

6-1

7 p

aid

Tota

l Am

ou

nt

No

. of

ou

tsta

nd

ing

Co

mp

licat

ion

Cla

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fro

m p

revi

ou

s ye

ars

pai

d in

20

16

-17

Tota

l Am

ou

nt

No

. of

Fre

sh/n

ew

de

ath

Cla

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sub

mit

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in 2

01

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aid

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l Am

ou

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. of

ou

tsta

nd

ing

de

ath

Cla

ims

fro

m

pre

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us

year

s p

aid

in 2

01

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7

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l Am

ou

nt

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. of

Fre

sh/n

ew

fai

lure

Cla

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sub

mit

ted

in

20

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-17

pai

d

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l Am

ou

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. of

ou

tsta

nd

ing

fai

lure

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m

pre

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us

year

s p

aid

in 2

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7

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l Am

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ou

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nt

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nt

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. of

co

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ion

Cla

ims

(su

bm

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d in

ye

ar 2

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7)

no

t p

aid

Am

ou

nt

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of

old

pe

nd

ing

co

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ion

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fr

om

pre

vio

us

year

s n

ot

pai

d

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ou

nt

No

. of

de

ath

Cla

ims

(su

bm

itte

d in

ye

ar

20

16

-17

) n

ot

pai

d

Am

ou

nt

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of

old

pe

nd

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ath

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ims

fro

m

pre

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us

year

s n

ot

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d

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. of

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(su

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) n

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ing

fai

lure

cla

ims

fro

m

pre

vio

us

year

s n

ot

pai

d

Am

ou

nt

MANIPUR 2 0 5 0 0 3 2

Rs. 41,095/- 0 0 0 0 0 0 2

Rs. 60,000/- 3

Rs. 90,000/- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Specify reasons for claim rejection (Death/complication/failure)

Status of Death Audit

Name of State Number of Death reported Number of death audits

conducted

Number of deaths attributed to

sterilization

Reason of death Action taken

MANIPUR 0 0 0 NA NA

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