JJM-WQMIS

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Financial Year *

State

District

Block

Gram panchayat

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S.No.	State Name	No. of villages	No. of villages where Parameters tested						No. of villages tested	No. of villages tested*	No. of FTK utilised	Nos. of Villages without FTK testing	No. of Sample tested	Nos. of members	Amount of Honorarium paid per test	Nos. of schools where FTK tests demonstrated	Nos. of AWCs where FTK tests demonstrated
S.No.	State Name	No. of villages	pH	FRC	Turbidity	TDS	Total Hardness	Region specific Geogenic	No. of villages tested	No. of villages tested*	No. of FTK utilised	Nos. of Villages without FTK testing	No. of Sample tested	Nos. of members	Amount of Honorarium paid per test	Nos. of schools where FTK tests demonstrated	Nos. of AWCs where FTK tests demonstrated
	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q

Column H: Region specific Geogenic contamination: Arsenic/ Fluoride/ Nitrate/ Iron.(). Ref. by C17A

Column I: Parameters such as pH, FRC, TDS, Total Hardness, As, F, Fe, Nitrate (Even if any parameter is tested villages counted as tested)( )

Column J: Both Turbidity & FRC tested with single sample, minimum two samples per month ( )

Column K: Nos. of Non-Expired FTK devices being utilised/ deployed ( )

Column L: For calculation (Total no of villages – No. of villages tested through FTK for any parameters)

Column M: Tested for any parameter ( )

Column N: Nos. of AWC workers, Asha, women VWSC members & women SHG members