TB LQAS Form | ShankarShahi.com.np

Microscopy Center सूक्ष्मदर्शकीय केन्द्र:

District जिल्ला:

Local Level स्थानीय तह:

Quarter / Year:

Month From महिना देखि:

Month To सम्म:

Date of Record रेकर्ड मिति:

Lab Incharge प्रयोगशाला प्रमुख:

Recorded by रेकर्ड गर्ने:

Signature सहीछाप:

Contact No.:

E-mail:

Name of LQAS Supervisor:

Signature:

MC Report & Process of Slide Selection

MC Report of Previous Year	Process of Slide Selection	MC Report of Current Fiscal Year
Total Slides Examined	Annual Sample Size	S. No. of First Slide Selected
Total Negative Slides	Quarterly Sample Size	Total Negative Slides Sent for EQA
Total Positive Slides	Total Slides Examined during Last Quarter	Total Positive Slides Sent for EQA
Slide Positivity Rate (SPR)	Slide Interval	Total Slides Sent for EQA
Quarterly sample size auto = Annual Sample Size ÷ 3 Auto: Total = Negative + Positive

Selected Slides and Result

S.N.	Slide No.	Result	S.N.	Slide No.	Result	S.N.	Slide No.	Result

Prepared by:

Checked by:

Approved by:

Previous-year slide counts are linked automatically: Total = Negative + Positive. Enter Total + Negative to calculate Positive, or Total + Positive to calculate Negative. Annual Sample Size uses the supplied reference table (nearest annual negatives row and nearest SPR column). Quarterly sample is automatic by default but can be typed manually by unticking the checkbox. If Total Negative Slides are below 100 OR SPR is below 2.5%, both Annual Sample Size and Quarterly Sample Size show “All Slides”. In that special case Slide Interval = 1; otherwise Slide Interval = Last Quarter Slides ÷ Quarterly Sample Size.