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Use of family planning method (tracked monthly)
Contraceptive method type (IUCD, sterilization, condoms, oral pills, injectable)
Pregnancy test result (+ve / -ve / Not done)

1B. PREGNANT WOMAN (PW) REGISTRATION — Section II

PW Index Fields:

Serial No.
MCTS/RCH ID No. of Pregnant Woman
Name of Pregnant Woman
Name of Husband
Aadhaar No.
Bank Account No.
Bank Name/Branch
JSY beneficiary status (Yes/No)
JSY Payment received (Yes/No)
Page number

PW-1 Format (Registration / General Information):

Sr. No.
MCTS/RCH ID No.
Name of pregnant woman
Address
Husband's name
Mobile No. (specify whose: self/husband/family)
Religion
Caste (SC / ST / Other)
BPL / APL status
Age / Date of Birth
Date of LMP (Last Menstrual Period)
Date of Registration
Weeks of pregnancy at registration
Registered within 12 weeks (Yes/No)
Weight at registration (Kg)
Expected Date of Delivery (EDD)
Blood group (result or "Not Done")
Past history of illness
Past obstetric history:
- Total pregnancies
- Details of last two pregnancies (complications)
- Outcome of previous pregnancies
Expected place of delivery
Expected facility for delivery
VDRL / RPR test date
VDRL / RPR test result
HIV screening test date
HIV screening test result

PW-2 Format (Antenatal Care - ANC Visits): Repeated for each of 4 ANC visits (1st within 12 weeks, 2nd 14-26 weeks, 3rd 28-34 weeks, 4th 36 weeks to term)

Sr. No.
Name of Pregnant Woman
Serial No. of ANC Visit (1st / 2nd / 3rd / 4th)
Date of ANC
Facility / Place / Site of ANC
Weeks of pregnancy at ANC
Abortion (if any): Yes/No
- If yes: Spontaneous / Induced
- If induced: Facility type (Govt. / Pvt.)
Weight of PW (Kg)
Blood Pressure:
- Systolic (mm Hg)
- Diastolic (mm Hg)
Hemoglobin (gm%)
Urine Test (Done / Not Done):
- Albumin (Present / Absent)
- Sugar (Present / Absent)
Blood sugar test:
- Fasting
- Post-prandial
Inj. TT Dose:
- TT1 date
- TT2 / Booster date
Folic Acid tablets within 12 weeks (number given / Nil / Not applicable)
IFA tablets after 12 weeks (number given / Nil)
Fundal / Abdomen Examination:
- Fundal height
- Foetal Heart Rate
- Foetal presentation
- Foetal movements
High risk symptoms (details)
Complications:
- High blood pressure
- Convulsions
- Vaginal bleeding
- Anaemia
- Diabetes
- Other complications
Referral details:
- Date of referral
- Type of referral
- Facility name
Preferred post-partum contraceptive method
Maternal death:
- No / Yes
- Date of death
- Place of death
- Probable cause

PW-3 Format (Delivery Details):

Sr. No.
Name of PW
Date of delivery (dd/mm/yyyy)
Time of delivery (HH:MM)
Place of delivery
Person who conducted delivery
Type of delivery (Normal / Assisted / Caesarean)
Complications during delivery
Outcome of delivery:
- Live birth (number)
- Stillbirth (number)
Discharge date (institutional delivery)
Discharge time (institutional delivery)

Infant Details (within PW-3):

Serial No. of baby (1st / 2nd if multiple births)
Full-term / Preterm
Inj. Corticosteroid given if preterm (Yes / No / Don't Know)
Sex (M / F)
Baby cried immediately at birth (Yes / No)
Referred to higher facility (Yes / No / NA)
Birth defects observed (details)
Weight at birth (Kg)
Breast feeding started within one hour (Yes / No)
Birth dose vaccines:
- OPV-0 (date)
- BCG (date)
- Hepatitis B birth dose (date)
- Vitamin K (date)

PW-4 Format (Postnatal Care — First Four Visits): PNC visits at: 1st day, 3rd day, 7th day, 42nd day

Sr. No.
Name of mother
PNC visit timing (1st / 3rd / 7th / 42nd day)
Date of PNC visit
IFA tablets given to mother (number / Nil)
Danger signs in mother (if any — details)
Danger signs in infant (if any — details)
Weight of infant (Kg)
Referral facility for mother
Referral facility for infant
Post-partum contraceptive method being used
Cause of infant death (if applicable)
Date of infant death
Cause of mother death (if applicable)
Date of mother death
Place of death (Home / Hospital / In-Transit)
Remarks

PW-4A Format (Additional PNC / HBNC Visits): Visits at: 14th day, 21st day, 28th day

Sr. No.
Name of mother
PNC visit timing (14th / 21st / 28th day)
Date of PNC visit
IFA tablets given (number / Nil)
Danger signs in mother (if any)
Danger signs in infant (if any)
Weight of infant (Kg)
Referral facilities for mother / infant
Post-partum contraceptive method
Date and cause of infant death (if applicable)
Date and cause of mother death (if applicable)

1C. CHILD (CH) REGISTRATION — Section III

CH Index Fields:

Serial No.
MCTS/RCH ID No. of child
Name of child
Sex
Date of birth
Parents' names
Contact details
Page number

CH-1 Format (General Information):

Sr. No.
MCTS/RCH ID No. of child
Name of child
Sex (M / F)
Date of birth
Weight at birth (Kg)
Father's name
Mother's name
Address
Religion
Caste
BPL / APL status
MCTS/RCH ID No. of mother
Any birth defect (details if applicable)

CH-2 Format (Immunization Details): Date of administration for each:

BCG
OPV-0 (birth dose)
OPV-1
OPV-2
OPV-3
OPV Booster
Hepatitis B birth dose (HepB-0)
Hepatitis B-1 (HepB-1)
Hepatitis B-2 (HepB-2)
Hepatitis B-3 (HepB-3)
DPT-1
DPT-2
DPT-3
DPT Booster-1 (16-24 months)
DPT Booster-2 (5-6 years)
Pentavalent-1 (6 weeks)
Pentavalent-2 (10 weeks)
Pentavalent-3 (14 weeks)
IPV / fIPV-1 (6 weeks)
fIPV-2 (14 weeks)
Rotavirus Vaccine (RVV)-1 (6 weeks)
Rotavirus Vaccine (RVV)-2 (10 weeks)
Rotavirus Vaccine (RVV)-3 (14 weeks)
PCV-1 (6 weeks)
PCV-2 (14 weeks)
PCV Booster (9-12 months)
Measles-Rubella (MR)-1 (9-12 months)
Measles-Rubella (MR)-2 (16-24 months)
JE-1 (9-12 months, endemic areas only)
JE-2 (16-24 months, endemic areas only)
Vitamin A Dose 1 (9 months)
Vitamin A Dose 2-9 (every 6 months, 16 months to 5 years)
Td vaccine (10 years)
Td vaccine (16 years)

CH-3 Format (Child Health Indicators):

Exclusive breastfeeding status (Yes / No)
Initiation of complementary feeding (date/age)
Episodes of diarrhea in last 15 days
Episodes of pneumonia in last 15 days
Management of diarrhea (ORS / Zinc / Both / None)
Management of pneumonia (treatment details)

1D. COVER PAGE / FACILITY FIELDS

State
District
Block
CHC (Community Health Centre)
PHC (Primary Health Centre)
Sub-Centre
Village/area name
Census population
Total eligible couples
Estimated pregnant women
Estimated infants
ANM details (name, mobile, Aadhaar)
ASHA details (name, mobile, Aadhaar)
Associated Anganwadi Worker details
Male Health Worker (MPW) details
Nearest PHC (24x7) name and distance
First Referral Unit (FRU) name and distance
Ambulance / transport contact number
National Call Centre toll-free number

2. MCTS DATA QUALITY ASSESSMENT FIELDS (20 + 19)

Pregnant Women — 20 Fields:

Name
Address
Husband Name
Mobile Number
Date of Birth / Age
JSY Beneficiary (Yes/No)
LMP (Last Menstrual Period)
1st ANC Date
2nd ANC Date
3rd ANC Date
4th ANC Date
TT-1 Date
TT-2 Date
Date of Delivery
Place of Delivery
Date of JSY Benefit Payment
Outcome of Current Pregnancy
Weight of Child
Child Sex
PNC Home Visit

Children — 19 Fields:

Name
Mother/Father Name
Phone Number
Date of Birth
Place of Delivery
Caste
Gender
BCG
OPV-0
HepB-0
DPT-1
OPV-1
HepB-1
DPT-2
OPV-2
HepB-2
DPT-3
OPV-3
HepB-3

3. MOTHER AND CHILD PROTECTION (MCP) CARD FIELDS

Identification Section:

Sub-centre Registration No.
Birth Registration No.
Child's Aadhaar No.
Mother's Aadhaar No.
Mother's name
Father's name
Mother's Mobile No.
Father's Mobile No.
Bank Account No.
Address
No. of Pregnancies
Previous Live Births

ANC Visit Recording (4 visits):

Date of visit
Weight (Kg)
Blood Pressure
Blood & Urine test results
TT Injection (date)
Iron/IFA tablets given
Weeks of pregnancy

Delivery Record:

Date of delivery
Place of delivery
Type of delivery
Outcome

Newborn Record:

Date of birth
Sex
Birth weight
Breastfeeding initiated within 1 hour (Yes/No)

Immunization Schedule Chart:

Vaccine name
Scheduled date/age
Actual date given
Dose number

Growth Monitoring Chart:

Weight-for-age (separate for boys and girls)
Monthly weight recordings
Growth curve plotting area
Nutritional status zones (Normal / Underweight / Severely Underweight)

Vitamin A Supplementation:

Dose number (1-9)
Date given

Health Education Content on Card:

Danger signs during pregnancy
Birth preparedness checklist
Newborn care essentials
Breastfeeding guidance
Complementary feeding guidance
Child development milestones (through age 3)
Illness management (diarrhea ORS/Zinc, fever, respiratory infection)
ICDS services information

4. ASHA HOME VISIT PROTOCOLS

4A. HOME BASED NEWBORN CARE (HBNC)

Visit Schedule:

Institutional delivery: 6 visits on days 3, 7, 14, 21, 28, 42
Home delivery: 7 visits — additional visit within 24 hours of birth, then days 3, 7, 14, 21, 28, 42
Low birth weight / preterm: extra visits as needed

Physical Assessment (recorded at each visit):

Weight of newborn (Kg)
Body temperature (axillary)
General examination findings

Breastfeeding Assessment:

Exclusive breastfeeding status
Proper positioning and attachment
Frequency of breastfeeding
Breastfeeding initiated within 1 hour of birth

Newborn Care Assessment:

Skin-to-skin contact (kangaroo care)
Timing of first bath (delayed bathing)
Proper wrapping/clothing
Cord care (clean and dry)
Eye care
Warmth maintenance

Danger Signs Checklist (assessed at each visit): See Section 6 below for complete danger signs

Counseling Topics Documented:

Exclusive breastfeeding
Immunization schedule
Hand washing / hygiene
Danger sign recognition
Thermal care / warmth maintenance
Cord care
When to seek care

Maternal Assessment (concurrent):

Danger signs in mother
IFA supplementation
Postpartum contraception counseling

ASHA Incentive: Rs. 250/- per newborn for completing all 6 HBNC visits

4B. HOME BASED CARE FOR YOUNG CHILD (HBYC)

Visit Schedule:

5 visits at months 3, 6, 9, 12, 15

Assessment Items:

Growth monitoring (weight)
Nutritional assessment
Breastfeeding/complementary feeding status
Immunization status check
Developmental milestones assessment
Danger signs screening
Deworming status
Anemia assessment (pallor check)
Developmental delay red flag signs

ASHA Incentive: Rs. 250/- per child for 5 scheduled home visits

4C. BIRTH PREPAREDNESS CHECKLIST (ASHA counsels during pregnancy)

Identify appropriate health facility for delivery
Identify a skilled birth attendant
Arrange reliable transportation
Save funds for delivery expenses
Save money for transportation costs
Identify blood donor in advance
Arrange escort person for facility care
Prepare clean delivery items

5. ANC (ANTENATAL CARE) CLINICAL PROTOCOL

ANC Visit Schedule:

Visit	Timing	Key Activities
1st ANC	Within 12 weeks	Registration, baseline labs, risk assessment
2nd ANC	14-26 weeks	Follow-up labs, complications screening
3rd ANC	28-34 weeks	Growth assessment, preferably by Medical Officer
4th ANC	36 weeks to term	Delivery planning, final assessment

Measurements at Every ANC Visit:

Weight (Kg)
Blood Pressure (Systolic / Diastolic)
Hemoglobin (Hb gm%)
Urine examination (Albumin, Sugar)
Abdominal examination

Laboratory Tests:

Blood group and Rh factor
Hemoglobin level
Urine albumin
Urine sugar
Blood sugar (fasting, post-prandial)
VDRL / RPR (syphilis screening)
HIV screening
HBsAg (Hepatitis B)
Blood glucose

Clinical Examination:

Fundal height
Foetal Heart Rate (FHR)
Foetal presentation
Foetal movements
Edema check
Pallor assessment

Supplementation:

Folic acid: within 12 weeks of pregnancy
IFA (Iron and Folic Acid) tablets: 100 tablets after 12 weeks
TT-1: When pregnancy confirmed
TT-2: 1 month after TT-1 (or Booster if previously immunized)
Calcium supplementation

High-Risk Conditions Identified:

Severe anemia (Hb < 7 g/dL)
Hypertension / Pre-eclampsia
Diabetes (gestational or pre-existing)
Thyroid disorders
Heart disease
Chronic kidney disease
Chronic respiratory disease / asthma
Cancer
Previous caesarean section
Previous pregnancy complications
Age < 18 or > 35
Grand multiparity
Rh negative blood group
Multiple pregnancy
Malpresentation
Antepartum hemorrhage

6. DANGER SIGNS — COMPLETE LISTS

6A. DANGER SIGNS DURING PREGNANCY (Antepartum)

Immediate hospital/health centre care required:

Severe vaginal bleeding
Convulsions / fits
Severe headaches with blurred vision
Fever and too weak to get out of bed
Severe abdominal pain
Fast or difficult breathing

Urgent health centre care required: 7. Fever 8. Abdominal pain 9. Feels ill / severe weakness 10. Swelling of fingers, face and legs 11. Loss of consciousness 12. Accelerated or reduced fetal movement 13. Water breaks (premature rupture of membranes) 14. Foul-smelling vaginal discharge 15. Excessive weight gain

6B. DANGER SIGNS DURING LABOR / DELIVERY

Severe vaginal bleeding
Prolonged labor (> 12 hours)
Convulsions / fits
Retained placenta
Cord prolapse
Malpresentation in labor

6C. DANGER SIGNS POSTPARTUM (Mother)

Severe vaginal bleeding (postpartum hemorrhage)
Foul-smelling vaginal discharge (lochia)
High fever
Convulsions
Severe abdominal pain
Difficulty in breathing
Breast engorgement / mastitis / abscess
Urinary retention
Wound infection (episiotomy / caesarean)
Deep vein thrombosis signs (leg swelling, pain)
Depression / psychosis signs

6D. DANGER SIGNS IN NEWBORN (0-28 days)

IMNCI Classification — Possible Serious Bacterial Infection (PSBI): Any ONE of these = urgent referral:

Not able to feed at all / not feeding well
Convulsions
Fast breathing (≥ 60 breaths per minute)
Severe chest indrawing
Axillary temperature ≥ 37.5°C (feels hot to touch)
Axillary temperature < 35.5°C (feels cold to touch)
Movement only when stimulated, or no movement at all
Bulging fontanelle

IMNCI Classification — Local Bacterial Infection: These signs WITHOUT any PSBI sign above: 9. Umbilicus red or draining pus 10. Pus draining from ear 11. Less than 10 skin pustules 12. Reddened or pus-draining eyes

Additional Newborn Danger Signs (NHM/WHO): 13. Lethargy / unconsciousness 14. Yellow palms and soles (severe jaundice) 15. Yellow skin (jaundice appearing within 24 hours of birth) 16. Bleeding from stump / oozing umbilical stump 17. Diarrhea / blood in stool 18. Cyanosis (blue discoloration) 19. Nasal flaring 20. Grunting 21. Poor cry or no cry

IMNCI Jaundice Classification for Young Infants:

Severe jaundice: Yellow palms AND soles, OR jaundice appearing < 24 hours age
Jaundice: Yellow skin but NOT palms/soles, appeared after 24 hours
No jaundice

6E. DANGER SIGNS IN CHILDREN UNDER 5

IMNCI General Danger Signs (any = urgent referral):

Not able to drink or breastfeed
Vomits everything
Convulsions (current or recent)
Lethargic or unconscious

Cough / Difficulty Breathing: 5. Fast breathing:

2 months to 12 months: ≥ 50 breaths/min
12 months to 5 years: ≥ 40 breaths/min

Chest indrawing
Stridor in calm child

Diarrhea Assessment: 8. Duration of diarrhea 9. Blood in stool (dysentery) 10. Sunken eyes 11. Skin pinch (goes back slowly / very slowly) 12. Restless / irritable 13. Drinks eagerly / not able to drink

Fever Assessment: 14. Duration of fever 15. Stiff neck 16. Malaria risk area (Yes/No) 17. Runny nose

Ear Problem: 18. Ear pain 19. Ear discharge (duration) 20. Tender swelling behind ear

Malnutrition / Anemia: 21. Visible severe wasting 22. Edema of both feet 23. Palmar pallor (some / severe) 24. Weight for age (very low / low / not low)

7. NATIONAL IMMUNIZATION SCHEDULE (UIP) — INDIA

Age	Vaccines
Birth	BCG, OPV-0, Hepatitis B birth dose
6 weeks	OPV-1, Pentavalent-1, RVV-1, fIPV-1, PCV-1
10 weeks	OPV-2, Pentavalent-2, RVV-2
14 weeks	OPV-3, Pentavalent-3, RVV-3, fIPV-2, PCV-2
9-12 months	MR-1 (Measles-Rubella), JE-1 (endemic areas), Vitamin A Dose 1, PCV Booster
16-24 months	MR-2, DPT Booster-1, OPV Booster, JE-2 (endemic areas), Vitamin A Dose 2
5-6 years	DPT Booster-2
10 years	Td (Tetanus-diphtheria)
16 years	Td (Tetanus-diphtheria)

Pentavalent vaccine contains: DPT + Hepatitis B + Hib (Haemophilus influenzae type b)

Vitamin A: Dose 1 at 9 months, then every 6 months up to 5 years (total 9 doses)

Pregnant Women: TT-1 (early pregnancy), TT-2 (one month after TT-1) or Td booster

8. RCH PORTAL (Digital) — DATA ENTRY FORMS

The RCH Portal (rch.nhm.gov.in) replaced MCTS and uses these digital forms:

Form Types:

Registration Form — Beneficiary demographics
Medical Form — Clinical baseline
ANC Form — Per-visit antenatal data
Delivery Form — Delivery and birth outcome
Infant Form — Newborn details
PNC Form — Postnatal care visits

Digital Identifiers:

12-digit unique RCH ID (generated on registration)
Aadhaar number linkage
Mobile number for SMS alerts
MCTS ID (legacy, carried forward)

Data Flow:

ANM/ASHA collects data in paper register → Data Entry Operator enters at PHC/Block level → RCH Portal → State and Central dashboards → Auto-generated workplans and SMS reminders to beneficiaries

Village/Facility Profile (must be registered first):

Census population
Target population (eligible couples, pregnant women, infants)
Service provider details (ANM, ASHA, MPW, Anganwadi Worker)
Financial year

9. INTEGRATED RCH REGISTER (IRCHR v2.0) — CONSOLIDATED FORMAT

The IRCHR v2.0 consolidates 13 separate registers into 5 sections:

Section A: Eligible Couples & Pregnant Women

Marriage registration and migration status
Contraceptive acceptance and method
Pregnancy registration (within 12 weeks target)
Hemoglobin, urine, blood glucose, HIV/Syphilis screening
Blood pressure, weight, height
Delivery type and institutional stay duration
Parity and age-wise categorization

Section B: Child Health Registration

Month-wise new children registered
Low birth weight babies registered
Service tracking up to 6 years of age
Home visits (6-7 in first 6 weeks, 6 more to 15 months)
Growth and development monitoring
Immunization records (all UIP vaccines)
Breastfeeding and complementary feeding practices
Red flag signs for developmental delays
Deworming records
Anemia intervention records

ASHA / MCTS / RCH Field-Level Reference for Structured Extraction

Compiled from official NHM documents, RCH portal manuals, ASHA training modules, and public health research

1. RCH REGISTER / MCTS FORM FIELDS

1A. ELIGIBLE COUPLE (EC) REGISTRATION — Section I