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Incentive Claim Form should be calculated on monthly basis, that is claim Form should be generated for every month
At any point of time should be able to generate claim Form for selected month
Should the maintain the status of claimed activity and un claimed activity for every beneficiaries
Since some of the activities start and end up after 3 months, 6 months, 9 months and 2 Years, 5 years, so we need to track this activities when it is ended, based on the end date of activity that activity amount can be claimed in that month.
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Name of Data Field | Field Type | Field Type | Validation/ Logic/ Condition |
ASHA Name | Text Box | Auto-Populate | |
Village | Text Box | Free | |
Login Username | Text Box | Auto-Populate | |
ASHA Emp ID | Text Box |
| |
DOB | Text Box | Auto-Populate | |
Age | Text Box | Auto-calculated from Date of Birth. | |
Mobile Number | Text Box | Auto-Populate | |
Alternate Mobile Number | Text Box |
| |
Father/Spouse Name | Radio Button | Choose between Father or Spouse (Radio buttons for selecting either). | |
Date of joining | Text Box | Auto-Populate | |
Bank Account | Text Box | Accepts only numeric values (integer). Length should be between 9-18 digits depending on bank. No special characters allowed. | |
IFSC | Text Box | Non-mandatory Alphanumeric characters (typically 11 characters); Format: 4 letters followed by 7 digits (e.g., | |
Population Covered under ASHA | Text Box | Accepts only numeric values. Should be a positive integer. Max Character Limit is 4 digit | |
ASHA Supervisor Name | Text Box | Accepts alphabetic characters and spaces only | |
ASHA Supervisor Contact No. | Text Box | Accept numeric (integer) value only; Accepts 10 digits only; Should start with 6, 7, 8, or 9; Cannot start with 0; Should not accept all same digits | |
CHO Name | Text Box | Accepts alphabetic characters and spaces only. | |
Mobile No. of CHO | Text Box | Accept numeric (integer) value only; Accepts 10 digits only; Should start with 6, 7, 8, or 9; Cannot start with 0; Should not accept all same digits. | |
Name of AWW | Text Box | Accepts alphabetic characters and spaces only. | |
Mobile No. AWW | Text Box | Accept numeric (integer) value only; Accepts 10 digits only; Should start with 6, 7, 8, or 9; Cannot start with 0; Should not accept all same digits | |
Name of ANM1 | Text Box | Accepts alphabetic characters and spaces only. | |
Mobile number of ANM1 | Text Box | Accept numeric (integer) value only; Accepts 10 digits only; Should start with 6, 7, 8, or 9; Cannot start with 0; Should not accept all same digits. | |
Name of ANM2 | Text Box | Accepts alphabetic characters and spaces only. | |
Mobile number of ANM2 | Text Box | Accept numeric (integer) value only; Accepts 10 digits only; Should start with 6, 7, 8, or 9; Cannot start with 0; Should not accept all same digits. | |
ABHA number | Text Box | Accept a 14-digit alphanumeric value only. | |
ASHA Household Registration | Text Box | Alphanumeric characters. Should follow a specific format if defined for the household registration number. | |
ASHA Family Member | Text Box | Accepts alphabetic characters, numeric, and spaces. Should list the names and relationships of family members | |
Save | Button | Save any changes made to the profile |
Note:
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