I.   HMIS Formats

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	5th 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	5th 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 2010