CEMOC Verification Form
Facility Selection
Select District
Choose district...
Please select a district.
Select Block
Choose block...
Please select a block.
Select Facility
Choose facility...
Please select a facility.
FRU
Is FRU?
Yes
No
Please choose Yes or No.
Human Resources
Discipline
Sanctioned
GDMO
MO Specialist
Senior Resident
CEmOC trained
Anaesthesia
1
Obstetrics and Gynaecology
2
Paediatrics
2
Deliveries
Total number of normal deliveries between April 2025 and March 2026
Please enter normal deliveries.
Total number of LUCS deliveries between April 2025 and March 2026
Please enter LUCS deliveries.
Issues
Can LUCS be started after vacancy fill up?
Yes
No
Cause of non-function
OT room
Select...
Functional
Not present
Need repair
Labour room
Select...
Functional
Not present
Need repair
Equipment not available - list missing equipments
Support staff not available - list category and number of staff required
Remarks
Remarks
Reset
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