Daily Linelist Report for Malaria
Test
Name Antige
Sr. Date of Patient Ag Se Address & Slide Result PV/
Ward of n Kit
No. Collection Name/ Reg. e x Phone no. no. (Pos./N [Link].
Centre no.
eg.)
1 4A KEMH ### Mohan/1447581 258 Positive P. vivax
4A KEMH ### 207 Positive [Link]
Nilesh/636431
20 KEMH 6/28/2025 Nawaz/67328 256 positive P. vivax
20 KEMH 6/28/2025 Ram/67352 263 positive p. vivax
20 KEMH 6/28/2025 Tayyab/67446 324 positive mixed
ems KEMH 6/30/2025 Dhiraj / 68212 216 positive P. vivax
20 KEMH 6/30/2025 Nikky Jaiswal / 68269 276 P. vivax
ems KEMH 6/30/2025 Virendra / 68117 135 P. vivax
ems KEMH 7/1/2025 shalan/19063 79 f dahisar 60 [Link]
7718967725
fever o KEMH 7/1/2025 shivam/2511 169 [Link]
20 KEMH 2/7/2025 Bandish/69023 49 p. falci
2 KEMH 2/7/2025 Priyanshi [Link] + p. falci
20 KEMH 3/7/2025 Nigam Male 365 positive p. vivax
20 KEMH 4/7/2025 Dilip 60 M 60 positive [Link]
[Link] KEM 4/7/2025 Sahjad 34 M 7276097219 188 positive [Link]
20 KEM 4/7/2025 Justin 21 M 216 positive [Link]
20 KEM 4/7/2025 Sunil M 8856950648 202 positive [Link]
m
20A KEM 7/5/2025 Haridwar 30 m 8692969447 positive P. vivax
f opd KEM 7/5/2025 Suleman Positive P. vivax
12 KEM 7/5/2025 Sunil positive P. vivax
kem 7/5/2025 Rohit positive p. falci
20 kem 7/5/2025 Ravindra positive p. falci
FORM L
(Daily Reporting Format - IDSP)
Name of the Laboratory:
Hospital Name: Seth G. S. Medical College &
Pathology
State: MaharasDistrict : Mumbai City: Mumbai
Officer-in-Charge Name: Signature:
12/20/2024
Name of Name of
P.
test & No. test & No.
P. Vivax Falciparu Mixed
Diseases of of
Malaria m Malaria
Samples Samples Malaria
Tested positive
RMAT : RMAT :
Malaria
PSMP - 175 PSMP: 1 0 1 0
Other
(Specify)