A story in a small USA town

It is raining, and the little town looks totally deserted. It is tough times, everybody is in debt, and everybody lives on credit.


Suddenly, a rich tourist comes to town. He enters the only hotel, lays a 100 Euro note on the reception counter, and goes to inspect the rooms upstairs in order to choose one.


The hotel proprietor takes the 100 Euro note and runs to pay his debt to the butcher.



The butcher takes the 100 Euro note, and runs to pay his debt to the pig grower.



The pig grower takes the 100 Euro note, and runs to pay his debt to the supplier of his feed and fuel.



The supplier of feed and fuel takes the 100 Euro note and runs to pay his debt to the town's prostitute that in these hard times, gave her "services" on credit.



The hooker runs to the hotel, and pays off her debt with the 100 Euro note to the hotel proprietor to pay for the rooms that she rented when she brought her clients there.



The hotel proprietor then lays the 100 Euro note back on the counter so that the rich tourist will not suspect anything.



At that moment, the tourist comes down after inspecting the rooms, and takes his 100 Euro note, after saying that he did not like any of the rooms, and leaves town.



No one earned anything. However, the whole town is now without debt, and looks to the future with a lot of optimism. And that, ladies and gentlemen, is how the United States is doing business today.

the trams of kolkata

yesterday I took my 1st ride on a tram in Kolkata. It was a nice experience. Passing past the Maidan, it was great to see a stretch of open green amid the concrete jungles of Kolkata...

Back at home I got down to collect some information on the trams of Kolkata.

The Calcutta Tramways Company (1978) Limited (CTC) is a West Bengal, India government-run company which runs trams in Kolkata (formerly known as Calcutta) and buses in and around Kolkata. The Kolkata tram is the oldest operating electric tram in Asia, running since 1902.

Horse-drawn trams in Kolkata, India (life-size model at City Centre arcade)

Timeline:

1873

An attempt was made to run a 2.4-mile (3.9 km) tramway service between Sealdah and Armenian Ghat Street on 24 February. The service was not adequately patronised, and was discontinued on 20 Nov.

1880

The Calcutta Tramway Co. Ltd was formed and registered in London on 22 December. Metre-gauge horse-drawn tram tracks were laid from Sealdah to Armenian Ghat via Bowbazar Street, Dalhousie Square and Strand Road. The route was inaugurated by the Viceroy, Lord Ripon, on 1 November.

1882

Steam locomotives were deployed experimentally to haul tram cars. By the end of the nineteenth century the company owned 166 tram cars, 1000 horses, seven steam locomotives and 19 miles of tram tracks.

1900

Electrification of the tramway, and reconstruction of tracks to 4 ft 8 ¹⁄₂ in (1,435 mm) (standard gauge) was begun.

1902

The first electric tramcar in Asia ran from Esplanade to Kidderpore on 27 March, and on 14 June from Esplanade to Kalighat.

1903

The Kalighat line was extended to Tollygunje, the Esplanade line to Belgachhia (via Bidhan Sarani, Shyambazar), and the Esplanade to Shialdaha route (via Binay Badal Dinesh Bag, Rajib Gandhi Sarani and [present] Mahatma Gandhi Road) opened.

1904

Esplanade to Bagbazar route through College Street opened.

1905

Howrah Station to Bandhaghat route was opened to trams in June. Electrification project completed.

1906

Bowbazar Junction to Binay Badal Dinesh Bag, Ahiritola Junction to Hatibagan Junction routes opened.

1908

Lines to Shibpur via G.T. Road prepared. Esplanade to Shialdaha station via Moula Ali Junction, Moula Ali Junction to Nonapukur, Wattganj Junction to J.Das Park Junction (via Alipur), Mominpur Junction to Behala routes opened.

1910

Shialdaha Station to Rajabazar route opened.

1915

Mirzapur Junction to Bowbazar Junction and Shialdaha Station to Lebutala Junction routes opened.

1920

Strand Road Junction to High Court route opened.

1923

S.C.Mallik Square Junction to Park Circus route (via Royd Street, Nonapukur) opened.

1925

Barhabazar Junction to Nimtala route opened.

1928

Kalighat to Baliganj route opened.

1930

Park Circus line extended to Garhiahat Junction.

1941

Rajabazar line extended to Galiff Street.

1943

The Calcutta system was connected with the Howrah section through the new Howrah Bridge in February. With this extension, the total track length reached 42.0 miles (67.59 km).

1951

The government of West Bengal entered into an agreement with the Calcutta Tramways Company, and the Calcutta Tramways Act of 1951 was enacted. The government assumed all rights regarding the Tramways, and reserved the right to purchase the system (with two years' notice) on 1 January 1972 or any time thereafter.

1967

The Government of West Bengal passed the Calcutta Tramways Company (Taking Over of Management) Act and assumed management on 19 July. On 8 November 1976 the Calcutta Tramways (Acquisition of Undertaking) ordinance was promulgated, under which the company (and its assets) united with the government.

1970

The Howrah sections were closed in October; the 1971/1973 Nimtala route was closed down in May 1973, and realignment of the Howrah Station terminus occurred. Total track length was now reduced to 38 miles (61.2 km).

1980

Tram tracks on Bentinck Street and Ashutosh Mukhopadhyay Road closed for construction of the Kolkata metro; following construction, these stretches were not reopened. Overhead wires were present until 1994 on Bentinck Street. Tracks on Jawaharlal Nehru Road remained after realignment, making a new terminus at Birla Planetarium; the Birla Planetarium route closed in 1991. An overpass was constructed on that road in 2006.

1982

The Sealdah Station terminus (along with the Sealdaha – Lebutala stretch on Bipin Bihari Gangopadhyay Street) closed for construction of an overpass. The site is now occupied by Sealdah Court and a bus terminal.

1985

On 17 April, tracks were extended connecting Manicktola to Ultadanga via Manicktola Main road and C. I. T. Road 3.7 km (2.30 mi). This was the first Tramways extension since 1947.

1986

On 31 December, further extension of tram tracks from Behala to Joka was completed.

1992

Calcutta Tramways Company undertook a new venture by introducing bus service from 4 November, initially with a fleet of 40 buses.

1993

Howrah Station terminus closed and tram tracks removed on Howrah Bridge; the cantilever bridge proved too weak for trams. All routes terminated there were shortened to the Barhabazar (Howrah Bridge) terminus (formerly Barhabazar Junction).

1995

High Court terminus closed for reconstruction of Strand Road. Rails and wires were removed from there and from Strand Road, Hare Street and Shahid Kshudiram Basu Road. The site is now occupied by the newest building of the Kolkata High Court.

2004

Garhiahat Depot – Garhiahat Junction link on Gariahat Road closed for construction of the Gariahat overpass.

2006

Mominpur – Behala stretch on Diamond Harbour Road closed for construction of an overpass at Taratala. Initially, there was a plan to route tracks on that overpass after its completion, but the road was later converted to a National Highway and the plan dismissed. The Behala – Joka stretch is still in existence, along with the Behala terminus.

2007

Wattgunge Junction – Mominpur Diamond Harbour Road, Mominpur – Jatin Das Park Judges Court Road, Jatin Das Park – Kalighat Shyama Prasad Mukherjee Road routes closed for reconstruction. As of October 2011, they have not yet reopened.

2008

Galiff Street terminus realigned. Irregular service from Bagbazar to Galiff Street converted to regular by Route 7/12. Rails and wires removed from part of Bidhan Sarani route (restored by end of year).

Advantages and criticism

Electric trams were the sole public transport until 1920, when the public bus was introduced in Kolkata. However, tram service until the 1950s was quite smooth and comfortable (although most new lines and extensions were built in pre-independence India). In 1950 there were around 300 tram cars, which were regularly operated on many routes in Kolkata and Howrah. Single-car trams operated on the Shibpur line until its closure; all other lines had double cars. Due to the large number of tram cars, the trams ran frequently (about a 5- to 7-minute wait between trams on all routes). This was possible due to less motor traffic on the roads than today. Derailments were very rare because of careful maintenance. All checkups were done at night, the water car was used for track smoothing and the tower car for wire-checking. Each tram was washed in the depot daily. Breakdown vans and overhead-wire inspection vans were ready at many junctions for quick repairs. Regular inspection of tracks, wires and so forth was done carefully. Tracks and track-bed gravel were replaced periodically for smoother service. Anti-tram sentiment began about 1955, and spread around the world. Many countries (both developed and developing) began closing their tram systems, and India was no exception. Tram service closed in Kanpur in 1933, Chennai in 1955, Delhi in 1962 and Mumbai in 1964. Kolkata's network survived, but in a truncated form. At the same time the automobile boom began, quickly spreading throughout India. Many streets were narrow (which was acceptable for tram service), but now cars, buses and lorries also used those roads. The government considered closing the trams, as an alternative to controlling motor traffic. Some routes (Bandhaghat, Shibpur and Nimtala) were closed for that reason, although traffic jams have not been alleviated. Many streets in Kolkata which have no tram line experience daily gridlock. Although most track beds have been converted from stone to concrete, earlier paving of Strand Road closed the High Court route. Construction of the subway line also destroyed an important north-south connection, from Lalbazar to Jatin Das Park via Esplanade and Birla Planetarium. The development of overpasses is another reason for the decline of Kolkata trams. The Sealdah, Gariahat and Taratala overpasses were the main cause for the closing of the Sealdah terminus, Gahriahat link and the Joka route (which also made way for a national highway). There were many closures between 1970 and 1980, and many thought that it was the beginning of the end for trams in Kolkata, but the situation changed after 1990. At that time, many cities around the world began reevaluating tram service. Greater numbers of automobiles increased air pollution. High prices of petrol and diesel fuel on the international market also made electric-powered street rail more attractive. Trams have many advantages:

• Clean and green – enhances the environment; no emissions at street level
• Safe – less prone to accidents
• Speedy – short trip times
• Avoid traffic congestion – through segregation and priority of routes
• Smooth and comfortable
• Pedestrian-friendly
• Civilizing – a city transported by trams is a less lonely place
• Acceptable and accepted – only rail-borne modes of transport can actually get people out of cars
• Reassuring – tram lines give confidence in accessibility
• High capacity – only metro systems have higher carrying capacity
• Affordable – the cheapest form of comfortable mass transit
• Versatile – can run at high speeds on rights-of-way way and can reach inner-city historic centers
• Adaptable – can cope with steep grades and tight curves
• Inspiring – modern trams can be aesthetically pleasing
• Heritage – Tramcars are a part of history.^[2]

Some political leaders (and many environmentalists) favored tram service. As a result the Kolkata tram survived, but not as robustly as it did before 1970. Tramways in Kolkata are now suffering, due to motor traffic and the outdated business model of its operators (the CTC and the government of West Bengal), although there has been some conversion of trackbed from stone to concrete and renovation of rolling stock. Trams were the brainchild of the then-Viceroy of India, Lord Curzon. His motives were to ensure better public transport for the native people, better passage of goods from ports and dockyards to their respective destinations, and rapid mobilisation of police contingents to sites of anti-British protests. Thus, trams were the first mode of police transportation in Kolkata since police cars, vans, buses, lorries and armoured cars were not been introduced until 1917. The trams of Kolkata had played a major role in stopping Hindu-Muslim riots during the pre-independence era; in contrast, many trams were also burned by local people as an act of protest against colonial rule, since the tram was viewed by many Indians as a "British" import. Even after independence, during the 1960s many trams were burned for raising fares by only one paise (1/100 Rupee). The Kolkata tramway has many vintage features. It still uses a trolley pole and foot gong (after a failed experiment with electric horn during the late 1980s), which is rare among international tram systems (except heritage tramways and standard networks like Hong Kong and Toronto). It has tram cars with no front glass or destination board – instead, iron route-boards hang from the front iron net. The last new rolling stock was manufactured in 1987 by Jessop India Ltd, and many trams from 1939 are still running. The recent de-reservation of tram tracks flies in the face of international trends. Although trams are faster, and derailments rare, it is often impossible to get up or down from a moving tram on wide roads such as Acharya Prafulla Chandra Roy Road, Acharya Jagadish Chandra Basu Road, Acharya Satyendra Nath Basu Sarani, Satin Sen Sarani, Syed Amir Ali Avenue, Lila Roy Sarani, Rash Behari Avenue, Deshapran Birendra Shasmal Road or Shyama Prasad Mukhopadhyay Road. Only one new branch (Bidhannagar) and one extension (the short-lived Joka) were built after independence, and no extension of the network is planned. With a mix of good and bad, however, the Kolkata tram is still running as Asia's oldest operating electric tram and the only tram in India.

 The Tram poem

 

presentations we had yesterday

A picture of the presentations we had yesterday 

at Singur Rural Health Training Centre.

seminar at the Rural health training centre, Singur

An ongoing seminar organised by the Department of PHA (AIIHPH) at the Rural health training centre, Singur.

IMPLEMENTATION OF ICDS PROGRAMME IN SINGUR BLOCK AND ITS ROLE IN PUBLIC HEALTH

Today was our presentation on ''IMPLEMENTATION OF ICDS PROGRAMME IN SINGUR BLOCK AND ITS ROLE IN PUBLIC HEALTH''.

It was a gr8 exposure to us students as well as a nice interactive learning experience.

As we were making the slides, it was fun mixed with learning . 

        Special mention must be made of         Dr. Parthasarathi Ram            who did the maximum work on the slides along with the creative inputs from us...

Here is the presentation: IMPLEMENTATION OF ICDS PROGRAMME IN SINGUR BLOCK AND ITS ROLE IN PUBLIC HEALTH

our group enjoying pink floyd on youtube at singur ......

we were sitting in room number 29 in the hostel at singur 

rural hospital when Subhro-da suggested pink floyd ....

soon we were listening to "another brik in the wall''

on youtube.

(in the pic-Sivram-da, Myself, Soumalya-da, Subhro-da, from left to right)

(in the pic-Sivram-da, Myself, Soumalya-da, Chandan-da, Subhro-da, from left to right)

Another Brick in the wall

sitting in our hostel room at Singur earlymorning, the point of gossip turned to music

and soon everyone started humming some of their all time fav songs

And then Subhro-da suggested the immortal song from pink floyd...

our digha trip...

family health care programme POWER POINT PRESENTATION

While working on the programme we came out with an interesting plan to depict our findings. As per the direction from the concerned departments involved and also our Professors' , we made a funny, colourful and interesting POWER POINT PRESENTATION on the topic and we presented it during the day of the report submission. We tried to cover all the work that we had done there within the span of limited number of slides.

I am giving here the link. Some of the features got altered when I uploaded it to google docs but still one can make out the details. I HAVE CHANGED THE NAMES TO PROTECT THE IDENTITY OF THE FAMILY. Here is the link: POWER POINT PRESENTATION

family health care program (FILLED UP QUESTIONNAIRE)

(NOTE:- I have changed the names to protect the identity of the family under study.)

Department of Preventive and Social Medicine

All India Institute of Hygiene and Public Health

FAMILY HEALTH CARE PROGRAMME

URBAN HEALTH CENTER, CHETLA

FILLED UP QUESTIONNAIRE

Identification Particulars:

Name of the Head of Family: SAYAN Singh

Type of family: Joint-family

Address: L/L Rama Mahato, 19B Chetla Hat Road.

Religion: Hindu

Caste: Rajput

State of origin: Bihar

Length of residence: Since birth

Mother tongue: Bhojpuri

Particulars of the family members:

Sl no.

Names

Relation with HOF

Age (yr)

Sex

Marital Status

Education Level

Occupation

Physical Activity

Physiological

Status

CU

Re-marks

1

SAYAN Singh

HOF

30

M

M

Class 10

Group D Worker in UJALA

MW

1

2

Biplab Singh

Father of HOF

60

M

M

Class 5

Retired Car driver, Agriculture In Bihar

SW

1.18

3

Piyali Singh

Wife of HOF

26

F

M

Class 8

Housewife

SW

0.82

4

Rakesh Singh

Younger Brother of HOF

25

M

UM

Class 12

Worker in SUGUNA company

MW

1.18

5

Sweety Singh

Daughter of HOF

5

F

UM

Class 1

0.58

6

Abhinabh Singh

Son of HOF

1yr 3months

M

UM

0.46

Amenities and recreational facilities:
How does the family get information/news?	Newspaper, Radio,Television, interaction with friends and neighbors
Possession of:	Electricity, Fan, Radio, Television, Tape recorder, Mobile, Motorcycle
How do they pass their free time?	Watching TV, Catching up with Friends and Community members, Occasional trips Homeland(Bihar) mostly to attend social functions like marriage ceremony etc.

Social Problems
Any unemployed member in the family?	No
Addiction?	SAYAN Singh (HOF) occasionally takes Smoke less tobacco (Khaini)
Any mother who is unmarried, divorced, or abandoned by husband’s family?	No
Any handicapped or chronically ill family member?	No
Any children above 5 years of age not going to school?	No
Is the mother working anywhere?	No, she is a Housewife
Child labour (any child less than 14 years working)?	No

Monthly expenditure of the family
Food		6,592/-
Fuel		405/-  (gas cylinder)
Clothing		200/-
Education		700/- (tuition for children)
Electricity		400/-
Housing		60/- (rent)
Social functions		300/-
Health and Illness		500/-
Travel/Transport		1,000/-
Recreation		58/-(cable TV)
Any other expenditure	Mobile bill	300/-
	Soap/Detergent/Shampoo	300/-
Total		10,815/-

Monthly income of the family (detailed)	SAYAN Singh ·         5,000/-	Rakesh Singh ·         6,880/-	From Agriculture by  Biplab Singh: ·         2,000/-
Total monthly income of the family	13,880
Per capita monthly income	2,313
Balance income over expenditure	3,065/-(deposited in SBI account as savings)

Socio-economic status based on Kuppuswamy’s modified socio-economic status scale
Criteria	Features	Score
Education	Middle-school	3
Occupation	Semi-skilled	3
Family income per month	13,880/-	10
Total score		16
Socio-economic status		Upper middle(II)

Health facility
Where do you usually go to take treatment?	·         Private sector hospital (CMRI) ·         Govt. facilities are also used occasionally
Why Govt. facilities are not used routinely?	·         Problem matching their free time with the availability of consultant(specialist) doctor ·         Govt. sector hospitals are more time consuming

Schedule for assessment of environmental condition: housing, water supply, disposal of refuse and excreta

Housing:

Site	By lane off the main road
House Type	Mixed
Number of Living Rooms	2 (1st living room inside and 2nd room created by walling and roofing the Veranda into a Kitchen cum Living room)
Total area of the living rooms (Floor Space)	151 sq feet
Per Capita Floor space	25.16 sq feet
Comment on Overcrowding	Present
Cross Ventilation	1st room –absent 2nd room-present
Lighting	Inadequate natural light
Kitchen	In the Veranda room
Smoke Nuisance	absent
Kitchen Garden	absent
Drainage System  Around the house	no open drains, Underground system drains the water into a local canal
Drainage Of Household water	Underground system drains the water into a local canal
Breeding place for mosquitoes	Present near municipality water supply taps
Fly Nuisance	present

WATER SUPPLY

Source of Water	Drinking purpose	Kolkata Municipal Corporation Water Supply from Public Taps
	Cooking purpose
	Washing/Bathing purpose
Distance of Drinking water source		5 meters
Duration of Water Supply		Intermittent	Morning	7 AM to 9:30 AM
			Evening	4 PM to 7 PM
Adequacy of Water Supply		adequate
Collection & Storage of water		Water is collected by buckets and stored in drums and buckets which are kept properly covered.
Treatment of Drinking Water		Boiled water is given to the children

Excreta disposal

Latrine	situated about 20 meters away from the house
Where do family members including children go to defecate	Sanitary latrine

Refuse disposal

Disposal of refuse	Collected from each house by Hand cart and transported to KMC trucks
Disposal of kitchen waste	Waste water and sullage drains into underground sewerage system through opening in the kitchen. Solid waste transported by hand cart as mentioned above.

Assessment of knowledge, practice and utilization of health services

Knowledge regarding	Causation	Modes of prevention	Care seeking behavior
ARI	Exposure to cold	Mustard oil massage before bath	Visit doctor
Diarrhea	Eating with dirty hands & drinking unclean water	Hand-wash before eating & drinking boiled water	Give ORS at home, if no response then visit doctor
Malaria	Mosquito bite	Using mosquito repellant in the evening and sleeping in mosquito-net at night	Visit doctor
Tuberculosis	Spreads through cough of TB patient	Avoid TB patient & keep him in separate room	Visit doctor
HIV/STI	Not known	Not known	Visit doctor

Serial number of wife in the family		1
Age at marriage(years)		16
Age at first pregnancy(years)		21
Total number of live births		2
Total number of abortions/still births		1  (3 years back) (spontaneous abortion)
Total number of current living children:	girl	1
	boy	1
Interval between last two deliveries		2yr,1m,3weeks
Birth spacing/ limiting methods (if currently used, specify )		·         Condom ·         Coitus Interruptus(currently practiced)
Utilization of the following services during last pregnancy : ·         Ante-natal check-up ·         Tetanus toxoid ·         Iron and folic acid tablets consumed ·         Diet ·         Place of delivery ·         Delivery conducted by		Yes          1 (booster) Yes( 5 months before delivery and 2 months after delivery)  Increased Chittaranjan Seva Sadan Hospital,  Kolkata Health Personal

Knowledge and practice

Topic	Knowledge	Practice
Infant feeding practice
·         Colostrum	Should be given to the baby	Both the children received colostrum
·         Exclusive breast feeding	Should be done for 1st 6 months and nothing else should be given without asking the doctor	Both the children received EBF for 1st 6 months of life
·         Complementary feeding	Should be started after 6 months along with breast feeding	Started with mashed rice and vegetables from 6 months onwards along with breast milk.
·         Feeding during illness	Should be done	Gives breast milk during illness.
Antenatal/Natal/Postnatal care
·         Regular checkup	Should be done both during and after childbirth	Visited her doctor as advised
·         Delivery practices	Delivery should be done in hospital	Both her children were delivered at Chittaranjan Seva Sadan Hospital, Kolkata
·         Iron and folic acid prophylaxis	Should be taken if advised by doctor	Took IFA tables(full course not done because she had constipation and a bad taste in mouth)
·         Tetanus toxoid	Should be taken	Received 2 injections during her 1st pregnancy and 1 injection each during the subsequent episodes.
·         Diet	More food should be taken because it will make baby healthy	Used to eat more quantity of food during each of her meals
·         Rest	Needs rest because mother becomes tired easily	Would lie down and watch TV or sleep for sometimes during the afternoon when the household work was done.

Utilization and practice of preventive reproductive health services

A)    Knowledge of family planning
Desirable age of marriage	20 years for both male and female
Have you heard about Family Planning	Yes
Which methods do u know?	Condom / Coitus Interruptus
What is the source of your knowledge?	Husband/Neighbors’ wife
Do you know where MTP serves are available?	Yes , in big hospitals like Chittaranjan Seva Sadan Hospital and Nursing homes
B)    Attitude towards family planning
1)    Number of children the family desires	Husband	Wife
	2	2
2)    Suitable spacing between children	3-4 years
3)    From where are the contraceptives procured?	Nearby Pharmacy shops
4)    Do you have any plans for permanent methods?	No
5)    If needed will you avail MTP services?	Yes
6)    Are you practicing any family planning method?	Yes (condom followed by Coitus Interruptus)
	Regularity of use		After delivery for 1st 4-5 months Condom was used, later they practiced Coitus Interruptus
	Since when		Exact date Not recalled
	Any method used previously and discontinued		Condom (husband doesn’t like using it)
	Any H/O induced abortion?		No(she has a history of spontaneous abortion)

Name of the child	Sweety Singh
Birth history	Date of birth	24/09/06
	Sex	Female
	Birth weight	3.2kg
	Full term/ Pre-term	Full-term
	Place of delivery	Chittaranjan Seva Sadan Hospital, Kolkata
	Birth attendant	Present
	Type of delivery	Normal Vaginal delivery with episiotomy
	Any congenital malformations	No
feeding	Type of food 1st offered	Colostrum
	Was colostrum given to the baby	Yes
	When was breastfeeding started after delivery	2hrs
	Breastfeeding continued exclusively for	6months
	Breastfeeding discontinued from	1and⅟2 years of age because she could eat hear meals properly.
	Semisolid/solid food supplementation started from	6months
	What type of food was given to the child during weaning	Kheer/Khichdi/Milk & biscuit
	Child feeding pattern during episodes of diarrhea/ other illness	Khichdi with Mashed vegetables are offered to the child.

Health checkup of under 5 children:

Immunization status of the child: Sweety Singh (24/09/06)

vaccine	Age at vaccination	From where obtained	remarks
BCG Hep-B	2nd day of life,(25/09/06) 2nd day of life,(25/09/06)	UHC, Chetla
DPT-1 DPT-2,Hep-B DPT-3,Hep-B BPT-B, Vit-A(2) Vit-A(3) Vit-A(4) Vit-A(5)	6weeks,(8/11/06) 11weeks,(13/12/06) 15weeks,(17/01/07) 13/02/08 09/11/09 30/06/10 27/01/11	UHC, Chetla
OPV-1 OPV-2 OPV-3 OPV-B	6weeks, (08/11/06) 11weeks,(13/12/06) 15weeks,(17/01/07) 13/02/08	UHC, Chetla
Measles , Vit-A(1)	9month2weeks(4/07/07)	UHC, Chetla

Findings on history and clinical examination including anthropometry and nutritional assessment (Sweta Singh)

Present illness ,if any (chief complaints)	No
History of significant past illness	Absent
Anthropometry
Weight	20kg
Height	108cm
Mid-arm circumference	13.7cm
Clinical
General appearance	Normal
Hair	NAD
Face	NAD
Eyes	NAD
Lips	NAD
Tongue	NAD
Teeth	NAD
Gums	NAD
Glands/Thyroid	NAD
Skin	NAD
Nails	NAD
Edema	Absent
Rachitic change	Absent
Hepatomegaly	Absent
Calf tenderness	Absent
Ankle and Knee jerks	Normal
Psychological changes	Normal

Name of the child	Abhinabh Singh
Birth history	Date of birth	07/06/10
	Sex	Male
	Birth weight	3.1kg
	Full term/ Pre-term	Full-term
	Place of delivery	Chittaranjan Seva Sadan Hospital, Kolkata
	Birth attendant	Present
	Type of delivery	Normal Vaginal
	Any congenital malformations	No
feeding	Type of food 1st offered	Colostrum
	Was colostrum given to the baby	Yes
	When was breastfeeding started after delivery	4hrs
	Breastfeeding continued exclusively for	6months
	Breastfeeding discontinued from	Continuing till date
	Semisolid/solid food supplementation started from	6months
	What type of food was given to the child during weaning	Kheer/Khichdi/Milk & biscuit
	Child feeding pattern during episodes of diarrhea/ other illness	Breast milk given, Khichdi with Mashed vegetables also offered to the child.

Immunization status of child (Abhinabh Singh, DOB-07/06/10)

vaccine	Age at vaccination	From where obtained	Remarks
BCG Hep-B	2nd day of life(08/06/10) 2nd day of life(08/06/10)	UHC, Chetla
DPT-1 DPT-2 DPT-3	8weeks4days(11/08/10) 13weeks(15/09/10) 23weeks(01/12/10)	UHC, Chetla
OPV-0 OPV-1 OPV-2 OPV-3	2nd day of life(08/06/10) 8weeks4days(11/08/10) 13weeks(15/09/10) 23weeks(01/12/10)	UHC, Chetla
Measles , Vit A	9 months 9 days (16/06/10)	UHC, Chetla

Findings on clinical examination including anthropometry and nutritional assessment (Abhinabh Singh)

Present illness ,if any (chief complaints)	No
History of significant past illness	Absent
Anthropometry
Weight	13kg
Height	85cm
Mid-arm circumference	13.5cm
Clinical
General appearance	Normal
Hair	NAD
Face	NAD
Eyes	NAD
Lips	NAD
Tongue	NAD
Teeth	NAD
Gums	NAD
Glands/Thyroid	NAD
Skin	NAD
Nails	NAD
Edema	Absent
Rachitic change	Absent
Hepatomegaly	Absent
Calf tenderness	Absent
Ankle and Knee jerks	Normal
Psychological changes	Normal

Health check-up of individual family members

Identification
Name	Piyali Singh	SAYAN Singh	Rakesh Singh
Sex	Female	Male	Male
Age	26yrs	30yrs	25yrs
Presenting complaints	No present complaint	No present complaint	No present complaint
Significant past illness	Absent	Absent	Absent
Examination
Height	161cm	170cm	168cm
Weight	45kg	68kg	65kg
BMI	17.36	23.53	23.03
Pulse	82/min	80/min	76/min
BP	100/60mm Hg	110/78mm Hg	116/74mm Hg
Respiration	16/min	17/min	18/min
Pallor	Mild	Absent	Absent
Respiratory System	NAD	NAD	NAD
CVS	NAD	NAD	NAD
Abdomen	NAD	NAD	NAD
Provisional Diagnosis	Mild Anemia	Normal	Normal
Lab investigation	Suggested but not done	……………………..	………………………
Advice on management	Suggested Iron Tablets	………………………	………………………