PM POSHAN

🇮🇳

Pradhan Mantri Poshan Shakti Nirman (PM POSHAN)

School Monthly Data Capture Format (MDCF)

📋 নির্দেশনা / Instructions: ফর্ম পূরণের সময় নিচের রেজিস্টারগুলো কাছে রাখুন:

1. Enrolment Register
2. Account
3. Bank Account Pass Book
4. Cooking Cost Details

1

School Details / বিদ্যালয়ের বিবরণ

Month – Year / মাস-বছর

UDISE Code

School Name / বিদ্যালয়ের নাম

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School Type / ধরন

Government Local Body EGS / AIE Centers NCLP Madras / Maqtab

Category / বিভাগ

Primary Upper Primary Primary with Upper Primary

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State / UT

District / জেলা

Block / NP

Village / Ward

Kitchen Type Select type School Kitchen NGO SHG Centralized Kitchen

NGO / SHG Name

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Total Enrolment / মোট ভর্তি

2

Meals Availed Status / খাবার গ্রহণের তথ্য

Particulars	Bal Vatika (Pre-Primary)	Primary (Class I–V)	Upper Primary (Class VI–VIII)
Number of School Days during Month
Actual Days MDM Served
Total Meals Served during Month

3

Fund Details (in ₹) / তহবিলের বিবরণ

Component	Opening Balance (₹)	Received during Month (₹)	Expenditure during Month (₹)	Closing Balance (₹)
Cooking Cost – Bal Vatika
Cooking Cost – Primary
Cooking Cost – Upper Primary
Cook Cum Helper
School MME Expenses

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Closing Balance matches Bank Account Closing Balance? / ব্যাংক ব্যালেন্সের সাথে মেলে?

✅ Yes ❌ No

4

Cook Cum Helper Payment Details / রাঁধুনীর বিবরণ

S.No.	Cook Name	Gender (M/F)	Category	Payment Mode	Amount Received (₹)

5

Food Grains Details (in KG) / খাদ্যশস্যের বিবরণ

Category	Food Item	Opening Balance (KG)	Received during Month (KG)	Consumption during Month (KG)	Closing Balance (KG)
Bal Vatika	🌾 Wheat
	🍚 Rice
Primary	🌾 Wheat
	🍚 Rice
Upper Primary	🌾 Wheat
	🍚 Rice

6

Children Health Status / শিশু স্বাস্থ্য তথ্য

Children (Class 1–8) who received 4 IFA Tablets – Boys

Children (Class 1–8) who received 4 IFA Tablets – Girls

Children Screened by Mobile Health (RBSK) Team

Children Referred by Mobile Health (RBSK) Team

7

School Inspection / বিদ্যালয় পরিদর্শন

School Inspection done during the month?

✅ Yes ❌ No

By Members of Task Force

Yes No

By District Officials

Yes No

By Block / Taluka Level Officials

Yes No

By SMC Members

Yes No

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Number of Untoward Incidents Occurred

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Signature of SMC Chairperson / Gram Pradhan

Signature of Head Teacher

✅ Form Submitted Successfully!

আপনার Received Copy PDF ডাউনলোড করুন।

✅ Submitted! PDF downloading…