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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


NRHM Publications
NRHM in the News
The National Health Bill
Directory of Innovation in Health Sector
Segregated Data Analysis Report of NFHS-3 for Adolescents
Five Years of NRHM 2005-2010
Four Years of NRHM 2005-2009 - English, Hindi
Concurrent Assessment of JSY
NRHM-Criteria for State Awards
Ministry of Health & Family Welfare
(Statistics Division)
Nirman Bhawan,
New Delhi - 110108
Tele Fax :011-23061238, 23062647
Email : hmis-nrhm@nic.in

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