{{-- @dd($cal_resultes) --}}
Select State/Region Name:
Quarterly report on the ouotcome of TB patient registered 12-15 months earlier (TB - 08)
Name of township Patient registered during
Township code no. of Date of completion of this form:
Name of Township TB coordinator Signature
TB patient type No. of cases registered Treatment outcomes
Cured Treatment completed Failed Died Lost to follow-up Not evaluated Moved to second-line drug
Block 1(A). All TB cases registered during the quarter of the previous year
1. Bacteriologically confirmed new case {{$cal_resultes["08_b1_new_register"]}} {{$cal_resultes["08_b1_new_cured"]}} {{$cal_resultes["08_b1_new_treatComplete"]}} {{$cal_resultes["08_b1_new_fail"]}} {{$cal_resultes["08_b1_new_die"]}} {{$cal_resultes["08_b1_new_Lfollow"]}} {{$cal_resultes["08_b1_new_notEvaluted"]}} {{$cal_resultes["08_b1_new_moveSecond"]}}
2. Bacteriologically confirmed relapse cases {{$cal_resultes["08_b1_relapse_register"]}} {{$cal_resultes["08_b1_relapse_cured"]}} {{$cal_resultes["08_b1_relapse_treatComplete"]}} {{$cal_resultes["08_b1_relapse_fail"]}} {{$cal_resultes["08_b1_relapse_die"]}} {{$cal_resultes["08_b1_relapse_Lfollow"]}} {{$cal_resultes["08_b1_relapse_notEvaluted"]}} {{$cal_resultes["08_b1_relapse_moveSecond"]}}
3. Clinically diagnosed, new and relapse {{$cal_resultes["08_b1_clinically_register"]}} {{$cal_resultes["08_b1_clinically_cured"]}} {{$cal_resultes["08_b1_clinically_treatComplete"]}} {{$cal_resultes["08_b1_clinically_fail"]}} {{$cal_resultes["08_b1_clinically_die"]}} {{$cal_resultes["08_b1_clinically_Lfollow"]}} {{$cal_resultes["08_b1_clinically_notEvaluted"]}} {{$cal_resultes["08_b1_clinically_moveSecond"]}}
4. Retreatment (excluding relapse) {{$cal_resultes["08_b1_retreatment_register"]}} {{$cal_resultes["08_b1_retreatment_cured"]}} {{$cal_resultes["08_b1_retreatment_treatComplete"]}} {{$cal_resultes["08_b1_retreatment_fail"]}} {{$cal_resultes["08_b1_retreatment_die"]}} {{$cal_resultes["08_b1_retreatment_Lfollow"]}} {{$cal_resultes["08_b1_retreatment_notEvaluted"]}} {{$cal_resultes["08_b1_retreatment_moveSecond"]}}
All TB Cases {{$cal_resultes["08_b1_reg_total"]}} {{$cal_resultes["08_b1_cured_total"]}} {{$cal_resultes["08_b1_treatComplete_total"]}} {{$cal_resultes["08_b1_fail_total"]}} {{$cal_resultes["08_b1_die_total"]}} {{$cal_resultes["08_b1_Lfollow_total"]}} {{$cal_resultes["08_b1_notEvaluted_total" ]}} {{$cal_resultes["08_b1_movesecond_total"]}}
Block 1(B). All HIV positive TB cases registered during the quarter of the previous year
1. Bacteriologically confirmed new case {{$cal_resultes["08_b1_newHIV_register"]}} {{$cal_resultes["08_b1_newHIV_cured"]}} {{$cal_resultes["08_b1_newHIV_treatComplete"]}} {{$cal_resultes["08_b1_newHIV_fail"]}} {{$cal_resultes["08_b1_newHIV_die"]}} {{$cal_resultes["08_b1_newHIV_Lfollow"]}} {{$cal_resultes["08_b1_newHIV_notEvaluted"]}} {{$cal_resultes["08_b1_newHIV_moveSecond"]}}
2. Bacteriologically confirmed relapse cases {{$cal_resultes["08_b1_relapseHIV_register"]}} {{$cal_resultes["08_b1_relapseHIV_cured"]}} {{$cal_resultes["08_b1_relapseHIV_treatComplete"]}} {{$cal_resultes["08_b1_relapseHIV_fail"]}} {{$cal_resultes["08_b1_relapseHIV_die"]}} {{$cal_resultes["08_b1_relapseHIV_Lfollow"]}} {{$cal_resultes["08_b1_relapseHIV_notEvaluted"]}} {{$cal_resultes["08_b1_relapseHIV_moveSecond"]}}
3. Clinically diagnosed, new and relapse {{$cal_resultes["08_b1_clinicallyHIV_register"]}} {{$cal_resultes["08_b1_clinicallyHIV_cured"]}} {{$cal_resultes["08_b1_clinicallyHIV_treatComplete"]}} {{$cal_resultes["08_b1_clinicallyHIV_fail"]}} {{$cal_resultes["08_b1_clinicallyHIV_die"]}} {{$cal_resultes["08_b1_clinicallyHIV_Lfollow"]}} {{$cal_resultes["08_b1_clinicallyHIV_notEvaluted"]}} {{$cal_resultes["08_b1_clinicallyHIV_moveSecond"]}}
4. Retreatment (excluding relapse) {{$cal_resultes["08_b1_retreatmentHIV_register"]}} {{$cal_resultes["08_b1_retreatmentHIV_cured"]}} {{$cal_resultes["08_b1_retreatmentHIV_treatComplete"]}} {{$cal_resultes["08_b1_retreatmentHIV_fail"]}} {{$cal_resultes["08_b1_retreatmentHIV_die"]}} {{$cal_resultes["08_b1_retreatmentHIV_Lfollow"]}} {{$cal_resultes["08_b1_retreatmentHIV_notEvaluted"]}} {{$cal_resultes["08_b1_retreatmentHIV_moveSecond"]}}
All HIV Positive TB Cases {{$cal_resultes["08_b1_regHIV_total"]}} {{$cal_resultes["08_b1_curedHIV_total"]}} {{$cal_resultes["08_b1_treatCompleteHIV_total"]}} {{$cal_resultes["08_b1_failHIV_total"]}} {{$cal_resultes["08_b1_dieHIV_total"]}} {{$cal_resultes["08_b1_LfollowHIV_total"]}} {{$cal_resultes["08_b1_notEvalutedHIV_total" ]}} {{$cal_resultes["08_b1_movesecondHIV_total"]}}
Block 1(C). All childhood cases registered during the quarter of the previous year
1. Bacteriologically confirmed new case {{$cal_resultes["08_b1_newChild_register"]}} {{$cal_resultes["08_b1_newChild_cured"]}} {{$cal_resultes["08_b1_newChild_treatComplete"]}} {{$cal_resultes["08_b1_newChild_fail"]}} {{$cal_resultes["08_b1_newChild_die"]}} {{$cal_resultes["08_b1_newChild_Lfollow"]}} {{$cal_resultes["08_b1_newChild_notEvaluted"]}} {{$cal_resultes["08_b1_newChild_moveSecond"]}}
2. Bacteriologically confirmed relapse cases {{$cal_resultes["08_b1_relapseChild_register"]}} {{$cal_resultes["08_b1_relapseChild_cured"]}} {{$cal_resultes["08_b1_relapseChild_treatComplete"]}} {{$cal_resultes["08_b1_relapseChild_fail"]}} {{$cal_resultes["08_b1_relapseChild_die"]}} {{$cal_resultes["08_b1_relapseChild_Lfollow"]}} {{$cal_resultes["08_b1_relapseChild_notEvaluted"]}} {{$cal_resultes["08_b1_relapseChild_moveSecond"]}}
3. Clinically diagnosed, new and relapse {{$cal_resultes["08_b1_clinicallyChild_register"]}} {{$cal_resultes["08_b1_clinicallyChild_cured"]}} {{$cal_resultes["08_b1_clinicallyChild_treatComplete"]}} {{$cal_resultes["08_b1_clinicallyChild_fail"]}} {{$cal_resultes["08_b1_clinicallyChild_die"]}} {{$cal_resultes["08_b1_clinicallyChild_Lfollow"]}} {{$cal_resultes["08_b1_clinicallyChild_notEvaluted"]}} {{$cal_resultes["08_b1_clinicallyChild_moveSecond"]}}
4. Retreatment (excluding relapse) {{$cal_resultes["08_b1_retreatmentChild_register"]}} {{$cal_resultes["08_b1_retreatmentChild_cured"]}} {{$cal_resultes["08_b1_retreatmentChild_treatComplete"]}} {{$cal_resultes["08_b1_retreatmentChild_fail"]}} {{$cal_resultes["08_b1_retreatmentChild_die"]}} {{$cal_resultes["08_b1_retreatmentChild_Lfollow"]}} {{$cal_resultes["08_b1_retreatmentChild_notEvaluted"]}} {{$cal_resultes["08_b1_retreatmentChild_moveSecond"]}}
All childhood TB cases (15 Yrs) {{$cal_resultes["08_b1_regChild_total"]}} {{$cal_resultes["08_b1_curedChild_total"]}} {{$cal_resultes["08_b1_treatCompleteChild_total"]}} {{$cal_resultes["08_b1_failChild_total"]}} {{$cal_resultes["08_b1_dieChild_total"]}} {{$cal_resultes["08_b1_LfollowChild_total"]}} {{$cal_resultes["08_b1_notEvalutedChild_total" ]}} {{$cal_resultes["08_b1_movesecondChild_total"]}}
Block 2: TB/HIV activities (all TB cases registered during the quarter of the previous year)
HIV-positive
TB patients
HIV-positive
TB patients on CPT
HIV-positive
TB patients on ART
{{$cal_resultes["HIV_TB"]}} {{$cal_resultes["HIV_TB_CPT"]}} {{$cal_resultes["HIV_TB_ART"]}}
Countersigned by:
Signature:
Name:
Designation:
@if ($cal_resultes["report_type"]=="Report_view") @endif