Immunization data entry screen

S No

Name of the Data Field

Field Type

Value/option

Validation/ Logic/ Condition

Infant details

1

Name

default Name is 'Baby of' <Mother Name>

Name of Baby/ Child or
Auto-populate, default Name is 'Baby of' <Mother Name>

2

Mother's Name

Textbox

Auto-populate

3

Date of birth of Baby

Calendar

Auto-populate

Vaccine Details

4

Vaccine Name

Textbox

Auto-Populate from Master

5

Dose Number

Textbox

Auto-Populate from Master

6

Expected Date

Textbox

Auto-Populate from Master

7

Date of Vaccination

Calendar

By default show Today's date.
or date when Vaccine is given

9

Vaccinated Place

Spinner

Choose:

• Sub-Centre
  
• PHC
  
• CHC
  
• Sub-District Hospital,
  
• District Hospital,
  
• Medical College Hospital
  
• Private Hospital
  
• Accredited Private Hospital
  
• VHND
  
• Other

10

Vaccinated By

Spinner

Choose:

• ANM
  
• CHO
  
• MO