STI Reporting Format 2025-26.xlsx

	A	H	K	L	N	O	P	Q	R
1	STI/RTI MONTHLY REPORTING FORMAT FOR DSRC/TI NGOs यह शीट केवल MS Office 10 पर ही काम करती है। आप से अनुरोध है की जिस सिस्टम पर MS ऑफिस 10 हो उसी पर यह फाइल डाउनलोड करे, डाटा भरे और अपलोड करे।
2	USER ID			YEAR
3	DISTRICT			MONTH
4	FACILITY			LOCATION
5	CATEGARY
6	Section 1 : No. of Patients Availed STI/RTI services in this month
7	Type of Patients						Total
8							Total
9							Male	Female	TS/TG
10	Clinic visit with STI/RTI complaint and were diagnosed with an STI/RTI
11	• Clinic visit with STI/RTI complaint but were NOT diagnosed with an STI/RTI. • Clinic visit for Syphilis Screening (Excluding ANC) • For TI-NGOs-RMC,PT,Syphilis Screening( whichever applicable)
12	Follow up visit for the index STI/RTI complaint
13	Total No of visits						0	0	0
14	Section 2 : STI syndromic diagnosis
15	(Should be filled by all STI/RTI service providers for first clinic visit only)
16	Age Group & Sex
17	Diagnosis	Male	Female		TS/TG		Total
18	Diagnosis	Male	Female		TS/TG		Total
19	1.Vaginal/ Cervical Discharge(VCD)
20	2.Genital Ulcer (GUD)-non herpetic						0
21	3.Genital ulcer(GUD)– herpetic						0
22	4.Lower abdominal pain (LAP)
23	5.Urethral discharge (UD)						0
24	6.Ano-rectal discharge (ARD)						0
25	7.Inguinal Bubo(IB)						0
26	8.Painful scrotal swelling (SS)						0
27	9. Genital warts						0
28	10.Other STIs						0
29	11. Serologically +ve for syphilis (Auto filled with Number of patients found Syphilis positive with RPR)						0
30	12. No. of people living with HIV/AIDS (PLHAs) who attended with STI/RTI during the month (Referred from ART)						0
31	Total No of cases	0	0		0		0
33	Section 3. Details of other services provided to patients attending STI/RTI clinics in this month
34	To be filled in by all STI/RTI Service Providers
35	Service					Male	Female	TS/TG	Total
36	1. Number of patients counseled								0
37	2. Number of condoms provided								0
41	3. Number of partner notification undertaken								0
42	4. Number of partners managed								0
46	5. Number of patients referred to other services								0
47	6. No. of patients screened for syphilis (by dual RDT kits)								0
48	7. No. of patients found syphilis reactive out of above								0
49	8. No. of patients referred to ICTC/PPTCT for syphilis confirmatory test								0
50	9. No. of confirmatory test done with RPR/VDRL at ICTC/PPTCT (out of above)								0
51	10. No. of STI attendees referred from ICTC/PPTCT/General Lab (already tested for Syphilis & HIV)								0
52	11. No. of patients tested for Syphilis by RPR/VDRL at ICTC/PPTCT (during non availability of dual RDT kits)								0
53	12. Total no. of patients found syphilis postive with RPR/VDRL (out of total test reported in row- 9,10 & 11)								0
54	13. No. of total titer done out of total RPR/VDRL positive patients (out of above)								0
55	14. No. of pateints treated for Syphilis (out of total syphilis postive patients)								0
56	15. No. of patients screened for HIV (by dual RDT kits)								0
57	16. No. of patients found HIV reactive out of above								0
58	17. No. of patients referred to ICTC/PPTCT for HIV confirmatory test								0
59	18. No. of confirmatory test done out of above (at ICTC/PPTCT)								0
60	19. No. of patients tested for HIV at ICTC/PPTCT (during non availability of dual RDT kits)								0
61	20. Total no. of patients found HIV postive (out of total test reported in row-18 & 19)								0
62	21. No. of patients (HIV+) linked to ART out of above								0
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