| Empanelment Cover Agreement No: {{agreement_no}} | ||
| Name of Scheme: {{scheme_name}} | ||
| Scheme ID: {{scheme_id}} | No. of GP Covered: {{gp_count}} | No. of Villages: {{village_count}} |
| O&M Agreement No: | {{om_agreement_no}}{{#if empanelment_agreement_date}} Dt.{{empanelment_agreement_date}}{{/if}} | |
| S.No. |
Date of measurement |
All Habitation |
Residual Chlorine (in PPM) |
Remarks Sample will be deemed failed for less than 0.2 ppm residual chlorine |
|---|---|---|---|---|
| {{../sNo}} | {{../date}} | {{/if}}{{name}} | {{value}} |