A. Forms to be submitted by States/U.T.s to Government of India
S.No | Form No. | Form Name | Periodicity | Submission Date | Download | Last Update Date |
1. | NRHM/GOI/1/A | Annual Consolidated | Annual | 30th April | ||
2. | NRHM/GOI/2/Q | Quarterly Consolidated | Quarterly | 20th of Month following respective Quarter | ||
3. | NRHM/GOI/3/M | Monthly Consolidated | Monthly | 20th of following Month |
B. Forms for use within States for internal reporting (Not to be sent to GOI)
S.No | Form No. | Form Name | Periodicity | Submission Date | Download | Last Update Date |
4. | NRHM/SG/1/A | Annual format for State | Annual | 15th April | ||
5. | NRHM/SG/2/Q | Quarterly format for State HQ | Quarterly | 20th of Month following respective Quarter | ||
6. | NRHM/DHQ/1/A | Annual format for District | Annual | 5th April | ||
7. | NRHM/DHQ/2/Q | Quarterly format for District | Quarterly | 10th of Month following respective Quarter | ||
8. | NRHM/DHQ/3/M | Monthly format for District HQ | Monthly | 10th of following Month |
C. Facility Level Forms for internal reporting
S.No | Form No. | Form Name | Periodicity | Submission Date | Download | Last Update Date |
9. | NRHM/DH/3/M | Monthly format for District Hospitals and equivalent hospitals | Monthly | 5td of following Month | ||
10. | NRHM/SDH/3/M | Monthly format for Sub-District Hospitals and equivalent hospitals | Monthly | 5th of following Month | ||
11. | NRHM/CHC/3/M | Monthly format for CHC’s and equivalent hospitals | Monthly | 5th of following Month | ||
12. | NRHM/PHC/3/M | Monthly format for PHC’s and equivalent facilities | Monthly | 5th of following Month | ||
13. | NRHM/HSC/3/M | Monthly format for SC’s and equivalent facilities | Monthly | 5td of following Month |
D. Facility Level Forms for Infrastructure reporting
S.No | Form No. | Form Name | Periodicity | Submission Date | Download | Last Update Date |
14. | NRHM/DH/A/200 | Format for District Hospitals - 101 to 200 Beds | Annual | 30th April | 27th April 2010 | |
15. | NRHM/DH/A/300 | Format for District Hospitals - 201 to 300 Beds | Annual | 30th April | 27th April 2010 | |
16. | NRHM/DH/A/500 | Format for District Hospitals - 301 to 500 Beds | Annual | 30th April | 27th April 2010 | |
17. | NRHM/SDH/A/50 | Format for Sub-District Hospitals - 31 to 50 Beds | Annual | 30th April | 27th April 2010 | |
18. | NRHM/SDH/A/100 | Format for Sub-District Hospitals - 51 to 100 Beds | Annual | 30th April | 27th April 2010 | |
19. | NRHM/CHC/A | Format for CHC’s | Annual | 30th April | 27th April 2010 | |
20. | NRHM/PHC/A | Format for PHC’s | Annual | 30th April | 27th April 2010 | |
21. | NRHM/HSC/A | Format for SC’s | Annual | 30th April | 27th April 2010 |
E. NVBDCP
S.No | Form No. | Form Name | Periodicity | Submission Date | Download | Last Update Date |
1. | NRHM/NVBDCP/M/1 | Format for District | Monthly | 20th of following Month | 26th May |