II. Child Health MAS Training Module

II. Child Health MAS Training Module



1 Pages 1-10

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1.1 Page 1

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1.2 Page 2

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1.3 Page 3

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1.4 Page 4

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PÊFF‹F ıF[òFU
ıF∑F 1: “ıFÊF —FËòFF∂F ŒFÊF°FF∂F =+F 30 ıFW=W+µ∞ EZfi 5 P¤FŒF© —Ffi PŒFPfiáFµF
ıF∑F 2: ŒFÊF°FF∂F PËFËF] =+U EFÊFË‹F=+ ºW&F⁄FF·F
ıF∑F 3: ˘FGa—FXªFP¤Fa‹FF
ıF∑F 4: ı∂FŒF—FFŒF
ıF∑F 5: ©U=+F=+fiµF
ıF∑F 6: =+¤F ÊF°FŒF ‹FF ıF¤F‹F ıFW —F[ÊFa °FŒ¤FWk ŸFòòFW =+U HòòF °FXP&F¤F ÊFF·FU PıªFP∂F =+X
°FFcòFŒFF JÊFk HıF=+F “ŸFkÕFŒF =+fiŒFF
ıF∑F 7: ŸFU¤FFfi PËFËF] =+F EcF=+·FŒF
ıF∑F 8: ŸF]&FFfi =+U —F˘òFFŒF JÊFk HıF=+F ÊF;FUa=+fiµF
ıF∑F 9: ∞FGPfi‹FF =+U —F˘òFFŒF JÊFk HıF=+F H—FòFFfi
ıF∑F 10: JÉ‹F[© fiWıF—FUfiW©fiU GŒF◊+WÉËFŒF (J EFfi EFGa) =+F “ŸFkÕFŒF JÊFk H—FòFFfi
ıF∑F 11: ŒFÊF°FF∂F PËFËF] =W+ fFfi PÊFP°F©
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1.5 Page 5

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ıF∑F 1
“ıFÊF —FËòFF∂F ŒFÊF°FF∂F =+F 30 ıFW=W+µ∞ EZfi 5 P¤FŒF© —Ffi PŒFPfiáFµF
É‹FF ºW&FWk
É‹FF ŸFòòFF fiX fi˘F ˘Y?
É‹FF ŸFòòFF ıFFcıF ·FW fi˘F ˘Y?
É‹FF ŸFòòFF ˘FªF —FYfi P˘·FF fi˘F ˘Y?
ÊFµFaŒF
ŒF fiXŒFF
ÕFUfiW fiXŒFF
r°FXfi ıFW fiXŒFF
ıFFcıF ŒF ·FWŒFF
˘Fc◊+ŒFF
*U=+ ıFW ıFFcıF ·FWŒFF
ŒF P˘·FFŒFF
=+¤Fr°FXfi / ÕFUfiW P˘·FFŒFF
*U=+ ıFW P˘·FFŒFF
PŒFËòF·F “ıFÊF (Pı©·F ŸFªFa) =+F PŒFµFa‹F:
PŒFËòF·F “ıFÊF fFXPF∂F =+fiŒFW =W+ P·FJ I+—Ffi EkP=+∂F ıF⁄FU (ö˘) fF©=+X =+F H∏Ffi iiŒF˘Ukjj ˘XŒFF
EFÊFË‹F=+ ˘Y
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1.6 Page 6

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°FUPÊF∂F “ıFÊF (·FFGaÊF ŸFªF)a =+F PŒFµFa‹F:
I+—Ffi EkP=+∂F ö˘ fF©=+Xk ¤FWk P=+ıFU J=+ =+F ⁄FU H∏Ffi ii˘Fcjj ˘XŒFW ıFW ˘U ŒFÊF°FF∂F =+X °FUPÊF∂F “ıFÊF
fFXPF∂F P=+‹FF °FF ıF=+∂FF ˘Y
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1.7 Page 7

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1.8 Page 8

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1.9 Page 9

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1.10 Page 10

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ıF∑F 3
˘FGa—FXªFP¤Fa‹FF JÊFk HıF=+U fiX=+ªFF¤F
°FŸF J=+ PËFËF] =+F ËFFfiUPfi=+ ∂FF—F¤FFŒF 95o ◊+fiWŒF˘FG© ‹FF HıFıFW =+¤F ˘X∂FF ˘Y, ∂FX ÊF˘ PËFËF]
˘FGa—FXªFP¤Fa‹FF ıFW —FUP∞s∂F ˘Y
˘FGa—FXªFP¤Fa‹FF =W+ &F∂FfiW:
J=+ ŸFòòFF °FX ˘FGa—FXªFP¤Fa‹FF ıFW —FUP∞s∂F ˘Y HıF¤FWk:
ı∂FŒF—FFŒF =+fiŒFW =+U áF¤F∂FF fF© °FF∂FU ˘Yó GıF =+FfiµF ÊF˘ =+¤F º[ÕF —FU∂FF ˘Y EZfi =+¤Fr°FXfi
˘X °FF∂FF ˘Y
ıFk=e+¤FµF =+U EFËFk=+F ŸF≥s °FF∂FU ˘Y
°FŒ¤F =W+ ıF¤F‹F =+¤F ÊFr°FŒF ÊFF·FW ŸFòòFXk EZfi ıF¤F‹F ıFW —F[ÊFa °FŒ¤FW ŸFòòFXk ¤FWk ¤F_∂‹F]ºfi ŸF≥s
°FF∂FU ˘Y
˘FGa—FXªFP¤F‹a FF ıFW —FUP∞∂F ŸFòòFW =+F PŒFfiUáFµF:
—FYfiXk =+F *k∞F —F∞s °FFŒFF
PËFËF] =+F ËFFfiUPfi=+ ∂FF—F¤FFŒF ŒFF—FŒFF
E;Ffi ŸFòòFW =W+ ˘FªF/—FYfi —F=+∞=s +fi öX∞s Pº‹FW °FFcJ, ∂FX ÊF˘ PŒF°FUaÊF ˘X=+fi P;Ffi °FF∂FW ˘Yk
PËFËF] =+X ;F¤Fa fi&FŒFW =W+ ∂FfiU=W+:
1. ÊFF¤Fa òFWŒF: ∂FF—F¤FFŒF =+X ŸFfi=+fiFfi (PıªFfi) fi&FŒFF J=+ PŒFfiŒ∂Ffi “P=e+‹FF ˘Y °FX P=+ ŸFòòFW
=W+ °FŒ¤F ıFW ·FW=+fi, Eı—F∂FF·F ıFW ö]™U ˘XŒFW ∂F=+ ŸFfi=+fiFfi fi˘∂FU ˘Y
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2 Pages 11-20

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2.1 Page 11

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ÊFF¤Fa òFWŒF (0 ıFW 7 PºŒFXk ∂F=+):
1
òFfiµF 1:
ıF]PŒFPËòF∂F =+UP°FsJ P=+ “ıFÊF =W+ =+¤FfiW =+F ∂FF—F¤FFŒF
250 ıFWP·ıF‹FıF / 770 ◊+fiWŒF˘FG© ˘X
òFfiµF 2:
2
ŸFòòFW =W+ ;FU·FW =+—F∞sW ∂Ffi] Œ∂F ˘©F=+fi, HıFW ŒFJ EZfi ıF[&FW
=+—F∞sW —F˘ŒFFJc
òFfiµF 3:
3
ŸFòòFW =+X ıFF◊++EZfi ıF[&FW =+—F∞sW ıFW EX≥sW
òFfiµF 4:
ŸFòòFW =+X ¤FFc =W+ ËFfiUfi ıFW ·F;FF=+fi (PòF—F=+F=+fi) fiP&FJ 4
òFfiµF 5:
°FŒ¤F =W+ EFÕFW fFk©W =W+ ⁄FU∂Ffi ı∂FŒF—FFŒF =+U ËF]flEF∂F
=+fiŒFF
5
2. =k+;FF‡ ¤Fºfi =W+‹Ffi (=W+J¤FıFU):
‹F˘ °FŒ¤F =W+ ıF¤F‹F =+¤F ÊF°FŒF ÊFF·FW (LBW) ŸFòòFXk =+U ºW&F⁄FF·F =+F J=+ PÊFËFWF
∂FfiU=+F ˘Y
‹F˘ ºW&F⁄FF·F Eı—F∂FF·F ¤FWk ËF]fl ˘X∂FU ˘Y EZfi fFfi ¤FWk ⁄FU °FFfiU fi˘∂FU ˘Y
‹F˘ PŒF¤ŒFP·FP&F∂F ∂FfiU=W+ E—FŒFF=+fi ŸFòòFW =W+ ıÊFFıª‹F =+X ŸF≥sFÊFF ºW∂FU ˘Y:
ËFFfiUPfi=+ ∂FF—F¤FFŒF =+F PŒF‹Fk∑FµF
ı∂FŒF—FFŒF
ıFk=e+¤FµF =+U fiX=+ªFF¤F
¤FFc EZfi PËFËF] ¤FWk ⁄FFÊFŒFF∂¤F=+ ıFkŸFkÕF
=W+J¤FıFU =W+ fF©=
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2.2 Page 12

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ŸFòòFW =+X ¤FFc E—FŒFW ıFUŒFW ıFW
·F;FF=+fi fi&F∂FU ˘Y: GıF “P=e+‹FF ¤FWk
¤FFc E—FŒFW ºXŒFXk ı∂FŒFXk =W+ ŸFUòF ŸFòòFW
=+X E—FŒFW ıFUŒFW ıFW PòF—F=+F=+fi fi&F∂FU
˘Yó GıFıFW ŸFòòFW =+F ËFFfiUPfi=+
∂FF—F¤FFŒF ŒF˘Uk P;Ffi∂FF
=W+ÊF·F ı∂FŒF—FFŒF: GıFıFW ŒFÊF°FF∂F
=+U fiX;F “P∂FfiXÕF=+ ËFPÉ∂F =+F
PÊF=+FıF ˘X∂FF ˘Y °FX HıFW ıFk=e+¤FµFXk ıFW
ŸFòFF∂FU ˘Y
ŒFÊF°FF∂F =+X ŒF˘·FFŒFF: °FŸF ∂F=+ ;F⁄FaŒFF·F ıF[&F=+fi ŒF P;Ffi °FFJ, ∂FŸF ∂F=+ Gk∂F°FFfi =+fiŒFF
òFFP˘Jó ıF¤F‹F ıFW —F˘·FW CJ ŸFòòFXk ‹FF =+¤F ÊFr°FŒFÊFF·FW ŸFòòFXk =+X ∂FŸF ∂F=+ ŒF ŒF˘·FFcJ, °FŸF
∂F=+ HŒF=+F ÊFr°FŒF =+¤F ıFW =+¤F 2000 ;FeF¤F ŒF ˘X °FFJ
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2.3 Page 13

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ıF∑F 4
ı∂FŒF—FFŒF
¤FFc =W+ º[ÕF =W+ ◊+F‹Fº:W
ıÊFòö
“P∂FfiXÕF=+ ∂F∂ÊFXk / JWŒ©UŸFF∞U°F =W+ =+FfiµF fiX;FXk ıFW ıF]fiáFF
ŸFòòFW =+X °‹FsFºF ŸF]P€¤FFŒF ŸFŒFF∂FF ˘Y
¤FFc EZfi ŸFòòFW ¤FWk J=+ PÊFËFWF ıFkŸFkÕF =+F PÊF=+FıF ˘X∂FF ˘Y
“ıFÊF —FËòFF∂F PÊFP⁄FŒŒF ËFFfiUPfi=+ Ê‹FFPÕF‹FXk °FYıFW ÊFr°FŒF ŸF≥s °FFŒFF EFPº ıFW HŸFfiŒFW ¤FWk ¤FFc =+U
¤Fºº =+fi∂FF ˘Y
¤FFc =W+ º[ÕF = F —FXF=+ ¤F[·‹F:
¤FFc =W+ º[ÕF ¤FWk ¤FZ°F[º “X©UŒF ËFfiUfi ¤FWk °F·ºU ıF¤FF °FF∂FU ˘Y
º[ÕF ¤FWk H—F·FŸÕF ·FYÉ©Xr°F °F·º Hr°FFa “ºFŒF =+fi∂FU ˘Y
GıF=W+ E·FFÊFF º[ÕF =+F J=+ P˘ııFF EFk∂FXk ¤FWk °FF=+fi ·FYPÉ©=+ JPıF∞ ¤FWk ŸFº·F °FF∂FF ˘Yó
‹F˘ ŒF PıF◊+a+ ÊF˘Fc ¤FZ°F[º ˘FPŒF=+Ffi=+ °FUÊFFµF]EXk =+X ŒFÒ =+fi∂FF ˘Y ŸFP·=+ =Y+P·ËF‹F¤F EZfi
EŒ‹F &FPŒF°FXk =+U &F[ŒF ¤FWk ¤FF∑FF ŸF≥sFŒFW ¤FWk ¤Fºº =+fi∂FF ˘Y
PÊF©FP¤FŒF °FYıFW ªFF‹FFP¤FŒF (B1), PÊF©FP¤FŒF J (A) EZfi ıFU (C) ¤FFc =W+ º[ÕF ¤FWk HPòF∂F
¤FF∑FF ¤FWk H—F·FŸÕF ˘Yk
ı∂FŒF—FFŒF =+U ËFUfFe ËF]flEF∂F:
&FUıF (=+X·FXı©d¤F) EZfi HıF=W+ ◊+F‹FºW:
‹F˘ ŸFòòFW =+F ıFŸFıFW —F˘·FF ©U=+F=+fiµF ˘Y
ŸFC∂F —FZPÒ=+ ˘Y - PÊF©FP¤FŒF J EZfi “X©UŒF GıF¤FWk ⁄Ffi—F[fi ¤FF∑FF ¤FWk ¤FZ°F[º ˘Yk
PËFËF] =W+ ËFfiUfi ¤FWk ‹F˘ —FXF=+ EZfi ıFk=e+¤FµF PÊFfiXÕFU ∂F∂ÊFXk (JŒ©UŸFX∞U°F) =W+ ⁄Fµ∞Ffi
ŸFŒFFŒFW ¤FWk ¤Fºº =+fi∂FU ˘Y
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2.4 Page 14

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GıF¤FWk ¤FZ°F[º JŒ©UŸFX∞U°F PËFËF] =+X ıFk=e+¤FµF ıFW ŸFòFF∂FW ˘Yk
°FŒ¤F ıFW ∂F]fiŒ∂F ŸFFº EZfi PÊFËFWF∂F: 30 P¤FŒF© =W+ EŒºfi &FUıF (=+X·FXı©d¤F) P—F·FFŒFW =+X ˘U
ÍFWÚ ‹FF H∏F¤F ¤FFŒFF °FF∂FF ˘Y
E;Ffi PËFËF] =+X =W+ÊF·F ı∂FŒF—FFŒF ŒF˘Uk =+fiF‹FF °FF∂FF, ∂FX ‹F˘ ı∂FŒF—FFŒF =+U ;F]µFÊF∏FF =+X fF©F
ºW∂FF ˘Y
P=+ıFU ⁄FU “=+Ffi =+F ;·F]=+Xr°F =+F —FFŒFU, fF]©h©U, ËF˘º, —FËF] =+F º[ÕF EFPº ŸFòòFW =+X ŒF˘Uk
ºWŒFF òFFP˘J
¤FFc, —FPfiÊFFfi ÊFF·FXk EZfi °FŒF ıF¤Fº] F‹F =+X —FfiF¤FËF:a
°FŒ¤F =W+ —FËòFF∂F ∂F]fik∂F &FUıF (=+X·FXı©d¤F) P—F·FFJc
P=+ıFU ⁄FU “=+Ffi =W+ EŒ‹F —FW‹F ‹FF fF]©h©U ŒF P—F·FFJc
X
—F˘·FW ö˘ ¤F˘UŒFXk ∂F=+ =W+ÊF·F ı∂FŒF—FFŒF —Ffi r°FXfi ºWk
¤FFc =+X ı∂FŒFXk =+U ºW&F⁄FF·F *U= +ıFW =+fiWk
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2.5 Page 15

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ı∂FŒF—FFŒF =+U ıF˘U ¤FΩ] F:
ŸFòòFW =W+ PŒFòF·FW ⁄FF;F =+X ⁄FU —F=+∞s,W ŒF P=+ PıF◊a HıF=W+ PıFfi EZfi =k+ÕFW =+X ıF˘FfiF ºWk
ŸFòòFW =+X E—FŒFW ËFfiUfi ıFW PòF—F=+F=+fi fi&FWk
ŸFòòFW =+F òFW˘fiF ¤FFc =W+ ı∂FŒFXk =W+ ıFF¤FŒFW EZfi HıF=+U ŒFF=+ ı∂FŒF =W+ E;F·FW ⁄FF;F =W+
PÊF—FfiU∂F ˘XŒFU òFFP˘J
JPfiEX·FF PËFËF] =W+ ¤Fc]˘ =W+ Ekºfi ˘X;FF EZfi HıF=+F =]+ö I+—FfiU EkËF ˘U Pº&FFGa ºW
ŸFòòFW =+F PŒFòF·FF ˘Xk* H·F©=+fi ŸFF˘fiU PºËFF ¤FWk PŒF=+·FF ˘X;FF
I+—FfiU EF˘Ffi =W+ ıFFªF ⁄FU ı∂FŒF—FFŒF =+fiFJc:
ö˘ ¤F˘UŒFW ‹FF HıFıFW EPÕF=+ H¤Fe =W+ PËFËF]EXk =W+ P·FJ —F‹FaF—∂F ¤FF∑FF ¤FkW —F[fi=+ EF˘Ffi =W+
ıFFªF ı∂FŒF—FFŒF °FFfiU fi&FWk
⁄FFÊFŒFF∂¤F=+ ıFk∂F]PÒ =W+ E·FFÊFF ŸFòòFW =+X —F‹FFa—∂F ¤FF∑FF ¤FWk H°FFa, HòòF ;F]µFÊF∏FF ÊFF·FW
“X©UŒF, PÊF©FP¤FŒF J EZfi ıFk=e+¤FµF PÊFfiXÕFU ;F]µF H—F·FŸÕF ˘X∂FW ˘Yk, °FX HıF=W+ ıF¤—F[µFa
PÊF=+FıF =W+ P·FJ °F‡fiU ˘Yk
ı∂FŒF—FFŒF ºX ÊFFa = U EF‹F] ∂F=+ °FFfiU fi&FWk
—F‹FFa—∂F ı∂FŒF—FFŒF ıF]PŒFPËòF∂F =+fiŒFW =W+ P·FJ —F˘·FW ı∂FŒF—FFŒF =+fiÊFFJc, P◊+fi I+—FfiU
EF˘Ffi ºWk
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2.6 Page 16

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ıF∑F 4
¤FP˘·FF EFfiX;‹F ıFP¤FP∂F =+U ©U=+F=+fiµF ¤FWk ⁄F]P¤F=+F:
;F⁄FaÊF∂FU ¤FP˘·FFEXk, ŒFÊF°FF∂F PËFËFE] Xk JÊFk J=+ ÊFFa ∂F=+ =W+ ŸFòòFW =W+ P·FJ &FıFfiW
(Measles) ∂F=+ =W+ ©U=+Xk =+U ıF[òFU ŸFŒFFŒFF
fFfiXk =W+ “∂‹FW=+ ºZfiW —Ffi ©U=+F=+fiµF =W+ ŸFFfiW ¤FWk òFòFFa =+fiŒFF (J=+ ÊFFa ıFW ŒFUòFW ÊFF·FW
ŸFòòFW =W+ fFfi ¤FWk)
¤FcF =+X ©U=+F=+fiµF =+U EFŒFW ÊFF·FU ∂FFfiU&F ‹FFº Pº·FFŒFF
¤FcF EZfi PËFËF] =+X E—FŒFW ıFFªF ‹F[JòFJŒF∞U (UHND) ©U=+F=+fiµF ıF∑F ¤FWk PŒFÕFFaPfi∂F
∂FFfiU&F —Ffi ·FW °FFŒFF
‹F˘ ıF]PŒFPËòF∂F =+fikW P=+ ŸFUıFU°FU, EXfi·F —FXP·FEX (°FUfiX ∞X°F) JÊFk ˘Y—FU©FGP©ıF ŸFU
(°FUfiX ∞X°F) =W+ ©U=W+ °FŒ¤F =W+ ∂F]fik∂F ŸFFº PºJ ;FJ ˘Xk
Vhdk
igyk Vhdk
Chlhth
vkjs y iksfy;ks
MhihVh
gSihVkbfVl &ch
[kljk
cLw Vj Mkls st ¼[kjq kd½
MhihVh + vkjs y iksfy;ks
MhVh
jk"Vªh; Vhdkdj.k lkj.kh
vk;q
tUe 6 lIrkg 10 lIrkg 14 lIrkg 9&12 eghus
X
X
X
X
X
X
X
X
16 ls 24 eghuksa rd
5 o"kZ rd
X
X
X
X
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2.7 Page 17

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VsVul VkWDlkWbM ¼VhVh½
foVkfeu ^,^
xHkZorh efgyk
VhVh : igyh [kqjkd
VhVh : nlw jh [kqjkd
cLw Vj
10 o"kZ vkSj fQj 16 o"kZ dh vk;q ij
9] 18] 24] 30] 36] 42] 54 ,oa 60 eghuksa eas
xHkkZoLFkk ds nkjS ku ftruh tYnh gks lds (igyh foftV ij)
1 eghus ds ckn ,d [kjq kd
;fn fiNys rhu o"kZ ds Hkhrj Vhdk yxk;k x;k gks
Vhdkdj.k dh lkekU; Mkst] yxkus dh txg ,oa lkekU; nq"izHkko
Vhdk
[kqjkd ¼Mkst½
yxkus dh txg
lkekU; nq"izHkko
Chlhth
gSihVkbfVl
&ch
Vksihoh
MhihVh
[kljk
foVkfeu ^,^
VsVul
0.1 ml
(0.05 ml 1 ekg dh
vk;q rd½
0.5 ml
ckbZa Åijh Hkqtk
e/; tka?k ds ckgj
dh rjQ
nLr
isVnnZ
Hkw[k u yxuk
nLr
fpM+fpMk+ iu
batsD'ku yxus dh txg ij lwtu
,oa yky iM+ tkuk
2 cwanas (0.5 ml)
vksjy ¼ekSf[kd½ fpM+fpM+kiu
mYVh
0.5 ml
e/; tka?k ds ckgj
dh rjQ
Hkw[k u yxuk
gYdk cq[kkj
batsD'ku yxus dh txg ij yky
iM+ tkuk
0.5 ml
nkbaZ Åijh Hkqtk
fpM+fpMk+ iu
batsD'ku yxus dh txg ij lwtu
,oa yky iM+ tkuk
pDdj vkuk
igyh [kjq kd 1 yk[k vkjs y ¼ekSf[kd½
fpM+fpM+kiu
gYdk cq[kkj
IU
nwljh ls uoha [kjq kd 2
yk[k IU
0.5 ml
Åijh Hkqtk
nLr
gYdk cq[kkj ;k BaM yxuk
gYdk nnZ] lwtu ;k batsD'ku yxh
txg ij yky iM+ tkuk
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2.8 Page 18

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ıF∑F 5
ŒFÊF°FF∂F PËFËF] ¤FWk HòòF °FXP&F¤F ÊFF·FU PıªFP∂F =+X —F˘òFFŒFF JÊFk HıF=+F
“ŸFkÕFŒF =+fiŒFF
ŒFÊF°FF∂F PËFËF] ¤FWk HòòF °FXP&F¤F EÊFıªFF =+U —F˘òFFŒF =W+ P·FJ PŒFºWaËF:
°FŒ¤F =+W+ıF¤F‹F ÊF°FŒF 1800 ;FeF¤F ıFW =+¤F ˘X
ıF¤F‹F ıFW —F˘·FW °FŒ¤FF ŸFòòFF (¤FcF =+F “ıFÊF ;F⁄FaÕFFfiµF ıFW EF* ¤F˘UŒFW òFZº˘ PºŒF ‹FF
GıFıFW ⁄FU =+¤F ıF¤F‹F ¤FWk CEF ˘X)
ŸFòòFF ı∂FŒF—FFŒF ŒF˘Uk =+fi fi˘F ˘X
HòòF °FXP&F¤F EÊFıªFF ÊFF·FW ŸFòòFW =W+ —FPfiÊFFfi =W+ P·FJ ıF·FF˘:
ŸFòòFW =+X =+—F∞sW ¤FWk ·F—FW©=+fi fi&FWk (°FF∞sW ¤FWk =k+ŸF·F ¤FWk ·F—FW©=+fi)
ıFF∂F PºŒF ŸFFº ‹FF ÊF°FŒF 2000 ;FeF¤F ∂F=+ ŸF≥sŒFW —Ffi ˘U ŸFòòFW =+X ıŒFFŒF =+fiFJc
‹F˘ ıF]PŒFPËòF∂F =+fiWk P=+ ¤FcF =W+ ŒFF&F[ŒF =+©W CJ ˘Xk JÊFk ˘FªF ÕF]·FW CJ ˘Xk
ŸFòòFW =+X ö[ŒFW ıFW —F˘·FW —FPfiÊFFfi =W+ ıFºı‹FXk =+F ıFFŸF]ŒF EZfi —FFŒFU ıFW ˘FªF ÕFXŒFF EFÊFË‹F=+
˘Y
HòòF °FXP&F¤F EÊFıªFF ÊFF·FW ŸFòòFW =+X ˘fi ºX fFk©W =W+ ŸFFº ı∂FŒF—FFŒF =+fiFŒFF òFFP˘J
E;Ffi ŸFòòFF ı∂FŒF—FFŒF ŒF˘Uk =+fi fi˘F ˘Y ∂FX ¤FFc =+X “X∂ıFFP˘∂F =+fiWk P=+ ÊF˘ JJŒFJ¤F/J¤FEX
ıFW P¤F·F=+fi ı∂FŒF ıFW º[ÕF ŸFF˘fi PŒF=+F·FŒFW =+U ıF˘U PÊFPÕF —Ffi —FfiF¤FËFa ·FW
º[ıFfiW ıF—∂FF˘ ıFW ŸFòòFW =W+ ÊF°FŒF ¤FWk ıF]ÕFFfi ˘XŒFF °F‡fiU ˘Y ; E;Ffi ‹F˘ ŒF˘Uk ˘X∂FF ˘Y ∂FX ¤FcF
EZfi —FPfiÊFFfi =W+ EŒ‹F ıFºı‹FXk =+X —FfiF¤FËFa ºWk
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HŒFıFW =+˘Wk P=+ ÊFW EF—F=+X ∂F]fik∂F
ŸF]·FF‹FWk -
E;Ffi ŸFòòFW =+F —FYfi ≥U·FF
(ıF]ı∂F) —F∞s °FFJ
ËFfiUfi *k∞F —F∞sŒFW ·F;FW
ŸFòòFF ı∂FŒF—FFŒF =+fiŒFF öX∞s ºWk
öF∂FU ÕFcıF °FFJ ‹FF ŸF]&FFfi ˘X
°FFJ
HòòF °FXP&F¤F EÊFıªFF ÊFF·FW ŸFòòFW ¤FWk ⁄F[P¤F=+F:
fFfi —Ffi PÊFP°F© =+fiŒFW =+U ıFk&‹FF =+X ŸF≥sFŒFF
E;Ffi ıFk⁄FÊF ˘X, ∂FX “ªF¤F ıF—∂FF˘ ¤FWk “P∂FPºŒF PÊFP°F© =+fiŒFF
28 PºŒF ∂F=+ ˘fi ∂FUŒF PºŒF =W+ Ek∂FfiF·F ¤FWk JÊFk 42ÊFWk PºŒF PÊFP°F© =+fiŒFF
7, 14, 21, 28 JÊFk 42 PºŒF —Ffi ŸFòòFW =+F ÊF°FŒF ·FWŒFF, EZfi E;Ffi ÊF°FŒF ŒF˘Uk ŸF≥s fi˘F
˘Y ∂FX HıFW fiW◊+fi =+fiŒFF
HòòF °FXP&F¤F —FPfiPıªFP∂F‹FXk =W+ ŸFFfiW ¤FWk ¤FF∂FF-P—F∂FF JÊFk —FPfiÊFFfi =W+ EŒ‹F ıFºı‹FXk =+X
ŸF∂FFŒFF
ŸFòòFW =+X ;F¤Fa fi&FŒFW JÊFk “∂‹FW=+ 2 fFk©W =W+ ŸFFº ı∂FŒF—FFŒF =+fiFŒFW =+U ıF·FF˘ ºWŒFF
ı∂FŒF—FFŒF =+fiFŒFW =W+ ∂FfiU=W+ =+X ºW&FŒFF JÊFk ‹F˘ ıF]PŒFPËòF∂F =+fiŒFF P=+ ı∂FŒF—FFŒF ıF˘U ∂FfiU=W+
ıFW =+fiF‹FF °FF fi˘F ˘Y
¤FFc =+X “X∂ıFFP˘∂F =+fiŒFF P=+ ŸFòòFW =+X EòöW ıFW ı∂FŒF—FFŒF =+fiF‹FW JÊFk —FFŒFU, fF]™U EFPº
EŒ‹F —FW‹F ŒF P—F·FFJ
E;Ffi 8ÊFWk PºŒF —Ffi ÊF°FŒF 2300 ;FeF¤F ıFW =+¤F ˘X∂FF ˘Y ‹FF 28 PºŒF ¤FWk 300 ;FeF¤F ıFW =+¤F
ÊF°FŒF ŸF≥s∂FF ˘,Y ∂FX ŸFòòFW =+X JJŒFJ¤F/J¤FEX =W+ —FFıF EF;FW =+U ºW&F⁄FF·F EZfi “ŸFkÕFŒF
=W+ P·FJ ⁄FW°FWk
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=+¤F °FŒ¤F ÊF°FŒF ÊFF·FW ŸFòòFW =+X ı∂FŒF—FFŒF =+fiFŒFF:
“∂‹F=W + 2-3 fFk©W ¤FWk ı∂FŒF—FFŒF =+fiFJ,c E;Ffi ŸFòòFF ıFX fi˘F ˘X ∂FX HıF=W+ òFW˘fiW =+X ;FU·FW
=+—F∞sW ıFW —FZkö=+fi ‹FF HıF=W+ —FYfiXk =W+ ∂F·FÊFW =+X ªF—FªF—FF=+fi, HıFW H*F=+fi ı∂FŒF—FFŒF =+fiFŒFF
òFFP˘J
=+¤F °FŒ¤F ÊF°FŒF ÊFF·FW ŸFòòFW °FX ı∂FŒF—FFŒF ŒF˘Uk =+fi —FF∂FW:
—F[fiW ı∂FŒF —Ffi ˘·=+F ºŸFFŸF ºW=+fi º[ÕF PŒF=+F·F=+fi ıFF◊+ =+©XfiW ¤FWk °F¤FF =+fiWk
˘fi ºX-∂FUŒF fFk©W ¤FWk ŸFòòFW =+X P—F·FFŒFW =W+ P·FJ º[ÕF PŒF=+F·FWk
ŸFòòFW =+X ı∂FŒF ıFW ·F;FF=+fi fi&FWk ∂FFP=+ ÊFX PŒF——F·F òF[ıFŒFW =+U =+XPËFËF =+fiW
°FŸF ∂F=+ ŸFòòFF ı∂FŒF—FFŒF ŒF˘Uk =+fi —FF∂FF, ∂FŸF ∂F=+ HıFW òF¤¤FòF ıFW º[ÕF P—F·FFŒFF °FFfiU fi&FkW
ı∂FŒF ıFW º[ÕF PŒF=+F·FŒFW =+F ∂FfiU=+F:
ı∂FŒF =+U ¤FFP·FËF =+fiWk
JPfiEX·FF (ı∂FŒF =+F =+F·FF ⁄FF;F) =+X ºŸFF=+fi º[ÕF ŸFF˘fi PŒF=+F·FWk
ŸFòòFW =+X òF¤¤FòF ıFW º[ÕF P—F·FFJc
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3.1 Page 21

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ıF∑F 6
ŸFU¤FFfi PËFËF] =+F EcF=+·FŒF
öX©W ŸFòòFXk =+U EF¤F ŸFU¤FFPfi‹FFc :
ºı∂F (∞FGPfi‹FF)
ıFºUa EZfi r°F]=+F¤F
ŸF]&FFfi
J=+ ŸFU¤FFfi ŸFòòFW =+F PŒFPfiáFµF =+fi∂FW CJ GŒF ·FáFµFXk =+U °FFcòF =+fiŒFU
òFFP˘J:
1. ı∂FŒF—FFŒF ŒF˘Uk =+fi —FF fi˘F ˘Y / =]+ö ⁄FU ŒF˘Uk —FU —FF fi˘F ˘Y
2. ıFŸF =]+ö H·©U =+fi ºW fi˘F ˘Y
3. ºZfiW —F∞sŒF/W JWk*ŒF ıFW —FUP∞s∂F ˘Y
4. ıF]ı∂F ˘Y
1
2
3
4
ŸFU¤FFfi ŸFòòFW ¤FWk &F∂FfiW =W+ ıFk=W+∂FXk =+F EcF=+·FŒF:
òFfiµF 1: ¤FFc ıFW —F[PöJ : É‹FF PËFËF] =]+ö ⁄FU —FU fi˘F ˘Y ‹FF ı∂FŒF—FFŒF =+fi fi˘F ˘Y?
òFfiµF 2: ¤FFc ıFW —F[PöJ : É‹FF ŸFòòFF ıFŸF =]+ö H·©U =+fi fi˘F ˘Y ?
òFfiµF 3: ¤FFc ıFW —F[PöJ : P=+ É‹FF ŸFòòFW =+X ºZfiW ∂FX ŒF˘Uk —F∞s∂FW ˘kY?
òFfiµF 4: ºWP&FJ É‹FF ŸFòòFF ıF]ı∂F ‹FF ŸFW˘XËF ˘Y?
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òFfiµF 5: ‹F˘ PŒFPËòF∂F =+fiWk P=+ PËFËF] =+X ∂Ffi] Œ∂F P=+ıFU PŒF=+©∂F¤F ıÊFFıª‹F =W+ŒΩ ¤FWk ⁄FW°FF
°FFJó
‹FFº fi&FŒFÊW FF·FU =]+ö r°FflfiU ŸFF∂FWk:
˘fi ŸFU¤FFfi ŸFòòFW ¤FWk &F∂FfiW =W+ ıFk=W+∂FXk =+U ŸFFfiU=+U ıFW °FFcòF =+fiŒFU òFFP˘J
PËFËF] ¤FWk =+XGa ⁄FU J=+ &F∂FfiW =+F ·FáFµF, ;Fk⁄FUfi PıªFP∂F =+F ıFk=W+∂F ˘Yó HıFW ∂Ffi] k∂F ıÊFFıª‹F
=W+ŒΩ ¤FWk ⁄FW°FWk
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ıF∑F 7
ŸF]&FFfi =+U —F˘òFFŒF JÊFk HıF=+F ÊF;FUa=+fiµF
ŸF]&FFfi =+U —F˘òFFŒF:
¤FcF ıFW —F[öWk:
1. É‹FF ŸFòòFW =+X ŸF]&FFfi ˘?Y
∂FF—F¤FFŒF ºW&FŒFW =W+ P·FJ ªF¤FFa¤FU©fi =+X ŸF;F·F ¤FWk ºX P¤FŒF© ∂F=+ fiP&FJó E;Ffi
ªF¤FFa¤FU©fi H—F·FŸÕF ŒF˘Uk ˘Y ∂FX E—FŒFW ˘FªF =+X ŸFòòFW =W+ —FW© =W+ H—Ffi fi&F =+fi HıF=W+
∂FF—F¤FFŒF =+X ¤F˘ıF[ıF =+fiWk
2. =+ŸF ıFW ŸF]&FFfi ˘Y? É‹FF ŸF]&FFfi ıFF∂F PºŒF —F˘·FW ıFW ˘Y JÊFk fiX°F ˘X∂FF ˘Y?
E;Ffi ŸF]&FFfi fiX°F ˘X∂FF ˘Y ‹FF ıFF∂F PºŒF ıFW °‹FFºF fi˘∂FF ˘Y ∂FX ŸFòòFW =+X °FFcòF JÊFk
H—FòFFfi =W+ P·FJ PŒF=+©∂F¤F ıÊFFıª‹F =W+ŒΩ ¤FWk fiW◊+fi =+fiWk
ËFFfiUPfi=+ ∂FF—F¤FFŒF ·FWŒFW =W+ ıFF∂F òFfiµF:
òFfiµF 1:
ªF¤FFa¤FU©fi =+X HıF=W+ P∞ŸŸFW/=+ÊFfi ıFW PŒF=+F·FW
òFfiµF 2:
ªF¤FFa¤FU©fi =+X —F=+∞s∂FW CJ J=+ flGa ıFW (‹F˘ flGa 20 P¤FŒF© ;F¤Fa —FFŒFU ¤FWk HŸFF·FU CGa ‹FF
Pı—FPfi© ¤FWk P⁄F;FXGa CGa ˘XŒFU òFFP˘J), HıF=W+ E;F·FW P˘ııFW =+X (òF¤F=+∂FW ˘]J —F∂F·FW öXfi)
—FXköW
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òFfiµF 3:
ªF¤FFa¤FU©fi =W+ òFZ∞sW ⁄FF;F =+X —F=+∞s∂FW CJ, HıF=W+ E;F·FW ⁄FF;F =+X ŸFòòFW =W+ ŸFF°F[ =W+ ŒFUòFW fi&FkW
òFfiµF 4:
ŸFòòFW =W+ ˘FªF =+X ÊFF—FıF ıFF¤FFŒ‹F PıªFP∂F ¤FWk fi&FWk EZfi ºX P¤FŒF© ∂F=+ Gk∂Fr°FFfi =+fiWk
òFfiµF 5:
ªF¤FFa¤FU©fi —Ffi Pº&FŒFW ÊFF·FW ∂FF—F¤FFŒF =+X —F≥sWk ÊF ŒFX© =+fiWk
òFfiµF 6:
P◊+fi ıFW ªF¤FFa¤FU©fi =W+ òF¤F=+∂FW CJ öXfi =+X J=+ ıFF◊++flGa ıFW ıFF◊+ =+fikW
òFfiµF 7:
ªF¤FFa¤FU©fi =+X ÊFF—FıF HıF=W+ P∞sŸŸFW ‹FF =+ÊFfi ¤FWk fi&FkW
1
2
3
4
5
6
7
ŸF]&FFfi =W+ ıFk=W+∂F:
·F·FF©/ËFfiUfi ö[ŒFW —Ffi ;F¤Fa ¤F˘ıF[ıF ˘XŒFF
;FF·F ·FF·F ˘XŒFF
PòF∞sPòF∞Fs —FŒF, ŸFWòFYŒFU JÊFk fiXŒFF
ºFc∂F P=+©P=+©FŒFF
&FFŒFW ıFW Gk=+Ffi =+fiŒFF
‹FFº fiP&FJ:
‹FPº ŸF]&FFfi =+W ıFFªF ŸFòòFW =+U ;FºaŒF ¤FWk
JWk*ŒF ˘X, HıFW ¤FYPŒFŒFk°FFGP©ıF ˘X ıF=+∂FF
˘Yó JWıFW ŸFòòFW =+X °F·º ıFW °F·º
PŒF=+©∂F¤F ıÊFFıª‹F =W+ŒΩ ¤FWk ⁄FW°FŒFF
òFFP˘J
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°‹FFºF ŸF]&FFfi ¤FWk —FFŒFU ıFW ı—Fk°F =+fiŒFF:
—Fk&FF òF·FFJ fi&FkW
ŸF◊+a+ EZfi *k∞W —FFŒFU =+F Gı∂FW¤FF·F ŒF =+fiW,k GıFıFW ˘FG—FXªFfiP¤F‹FF ˘X ıF=+∂FF ˘Y
J=+ ‡¤FF·F ‹FF —F∂F·FF =+—F∞Fs ·FWk
GıFW P⁄F;FX=+fi, EP∂FPfiÉ∂F —FFŒFU PŒFòFX∞s ·FWk
GıFW —F˘·FW ŸFòòFW =W+ ;F·FW =W+ —FFıF JÊFk HıF=W+ ŸFFº —FW© ¤FWk ◊ Y·FF ºWk
°‹FFºF∂Ffi ËFfiUfi =+X ≥s=+ ºWk, GıFıFW ŸFòòFW =+X EFfiF¤F P¤F·FW;FF
‡¤FF·F ‹FF ∂FZP·F‹FW =+X ËFfiUfi —Ffi ∂FŸF ∂F=+ fi&FkW, °FŸF ∂F=+ ÊF˘ ;F¤Fa/ıF[&FF ŒF ˘X °FFJ
∂FZP·F‹FW =+X ŸFº·FkW, GıF P=e+‹FF =+X ŸFFfi-ŸFFfi ºX˘fiFJWk °FŸF ∂F=+ P=+ ŸFòòFW =+F ËFFfiUPfi=+
∂FF—F¤FFŒF =+¤F ŒF ˘X °FFJ
PıFfi =+F ı—Fk°F =+fi∂FW ıF¤F‹F, —F˘·FW ¤FFªFW =+X P⁄F;FXŒFF òFFP˘J
E;Ffi GŒF ıFŸF H—FF‹FXk =W+ ŸFFÊF°F[º ⁄FU ∂FF—F¤FFŒF =+¤F ŒF˘Uk ˘X∂FF ˘Y, ∂FX ŸFòòFW =+X H—FòFFfi =W+
P·FJ P=+ıFU ∞FgÉ©fi =W+ —FFıF ·FW °FFJkW
‹FFº fi&FŒFW =W+ P·FJ =]+ö ¤F˘∂ÊF—F[µFa ŸFF∂FWk:
E;Ffi ŸFòòFW =+X ŸF]&FFfi ŒF˘Uk ˘Y, ∂FX GıF=+U °FFcòF ŒF =+fiWk
E;Ffi ŸF]&FFfi ıFF∂F ‹FF HıFıFW °‹FFºF PºŒF ∂F=+ fiX°F fi˘∂FF ˘Y, ∂FX HıFW Eı—F∂FF·F ¤FWk
⁄FW°FWk
ŸF]&FFfi ÊFF·FW ŸFòòFXk =+F ÊF;FUa=+fiµF =+fiWók P°FıF¤FWk ;Fk⁄FUfi ŸFU¤FFfiU ‹FF P◊+fi &F∂FfiW =W+
ıFk=W+∂F ˘Y,k HıFW ∂F]fik∂F fi◊W +fi =+fikW
E;Ffi ŸF]&FFfi °‹FFºF ˘Y ∂FX PËFËF] =+X —FFŒFU ıFW ı—Fk°F =+fi, ŸF]&FFfi =+X =+¤F P=+‹FF °FF
ıF=+∂FF ˘Y
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ıF∑F 8
∞FGPfi‹FF =+U —F˘òFFŒF JÊFk HıF=+F H—FòFFfi
PºŒF ⁄Ffi ¤FWk ∂FUŒF ‹FF HıFıFW °‹FFºF ŸFFfi ∂Ffi·F ‹FF —FFŒFU °FYıFF ¤F·F ˘XŒFW —Ffi, HıFW ∞FGPfi‹FF
=+fiFfi Pº‹FF °FF∂FF ˘Y
∞FGPfi‹FF 6 ¤F˘UŒFW ıFW 2 ÊFFa ∂F=+ =W+ ŸFòòFXk ¤FWk ŸFC∂F EF¤F ŸFF∂F ˘Yó HıF¤FWk ⁄FU 6 ıFW 11
¤F˘UŒFW ∂F=+ =W+ ŸFòòFXk ¤FkW ‹F˘ ıFŸFıFW °‹FFºF ºW&FF °FF∂FF ˘Y
∞FGPfi‹FF ıFW ŸFòòFW ¤FWk —FFŒFU =+U =+¤FU JÊFk =]+—FXFµF ˘X °FF∂FF ˘Y
PŒF¤FXPŒF‹FF =W+ ŸFFº, ∞FGPfi‹FF ˘U —FFcòF ıFF·F ıFW öX©U H¤Fe =W+ ŸFòòFXk ¤FWk ¤F_∂‹F] =+F ¤F]&‹F
=+FfiµF ˘Y
∞FGPfi‹FF =+F ÊF;FUa=+fiµF:
òFfiµF-1: ∞FGPfi‹FF =W+ “=+Ffi =+F PòFŒ˘U=+fiµF:
E;Ffi ¤FcF =+˘∂FU ˘Y HıF=W+ ŸFòòFW =+X ∞FGPfi‹FF ˘Y, ∂FX HıFıFW —F[öWk P=+ ∞FGPfi‹FF =+ŸF ıFW
˘Y?
‹FPº ∞FGPfi‹FF 14 ‹FF HıFıFW °‹FFºF PºŒFXk ıFW ˘X, ∂FX HıFW ;Fk⁄FUfi ‡—F =+F ∞FGPfi‹FF =+˘F
°FF∂FF ˘Yó E∂F: ŸFòòFW =+X ∂Ffi] k∂F ŒF°FºU=+U ıÊFFıª‹F =W+ŒΩ ¤FWk ⁄FW°FWk
‹F˘ ⁄FU —F[öWk P=+ É‹FF ¤F·F =W+ ıFFªF &F[ŒF ⁄FU EF fi˘F ˘Y?
E;Ffi ¤F·F =W+ ıFFªF &F[ŒF EF fi˘F ˘Y ∂FX ŸFòòFW =+X P∞ıFWŒ©WfiU ˘X ;FGa ˘,Y P°FıF=W+ P·FJ
ŸFòòFW =+X fiW◊+fi =+fiŒFF °F‡fiU ˘Y
òFfiµF-2: ∞FGPfi‹FF ıFW —FUP∞s∂F ŸFòòFXk ¤FWk —FFŒFU =+U =+¤FU =+U °FFcòF =+fiWk:
ŸFòòFW =+U ıFF¤FFŒ‹F PıªFP∂F =+X ºW&FkW : ıF]ı∂F, ŸFW˘XËW FU,
ŸFWòFYŒFU, PòF∞sPòF∞sF—FŒF
Ekºfi ÕFcıFU CGa EFc&FXk =+X ºW&FWk
¤FcF =+X ŸFòòFW =+X —FFŒFU P—F·FFŒFW =+X =+˘Wkó É‹FF ŸFòòFF
—FFŒFU ŒF˘Uk —FU fi˘F ˘Y ‹FF EòöW ıFW ŒF˘Uk —FU fi˘F ˘Y ‹FF
—‹FFıFF ˘Y JÊFk H∂ıF=] +∂FF ıFW —FFŒFU —FU fi˘F ˘Y
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—FW© =+U òF¤F∞sU ¤FWk PòF¤F©U =+fiWkó òF¤F∞sU ÊFF—FıF °FF∂FU ˘Y : ŸFC∂F ÕFUfiW (2 ıFW=Wk+∞s ıFW
°‹FFºF) ‹FF ÕFUfiW
·FáFµF/ıFk=W+∂F
EÊFıªFF
É‹FF =+fiŒFF òFFP˘J
GŒF¤FWk ıFW =+XGa ºX ıFk=W+∂F :
ıF]ı∂FU ‹FF ŸFW˘XËFU
Ekºfi ÕFcıFU CGa EFc&FkW
=]+ö ⁄FU ŒF˘Uk —FU ıF=+∂FF ‹FF
*U=+ ıFW ŒF˘Uk —FUŒFF
;F¤⁄FUfi P°F∂FŒFF °F·º ˘X ıF=W+ ¤FFc =W+ ıFFªF
—FFŒFU =+U =+¤FU ŸFòòFW =+X Eı—F∂FF·F ¤FWk fiW◊+fi =+fikWó ¤FFc
HıFW fiFı∂FW ¤FWk EXEFfiJıF =+F fFX·F /
∂Ffi·F —FW‹F ºW∂FU fi˘W
PòF¤F©U =+F©U CGa òF¤F∞sU ŸFC∂F
ÕFUfiW ıFW ÊFF—FıF °FF∂FU ˘Y
GŒF¤FWk ıFW =+XGa ºX ıFk=W+∂F :
ŸFWòFYŒFU, PòF∞sPòF∞sF—FŒF
Ekºfi ÕFcıFU CGa EFc&FkW
ªFX∞sU ∂F]fik∂F fiW◊+fi =+fiWk
—FFŒFU =+U =+¤FU ·F;FF∂FFfi ı∂FŒF—FFŒF JÊFk EXEFfiJıF
=+F fFX·F ºWk
H∂ıF]=+∂FF ıFW —FFŒFU —FU∂FF ˘Y,
—‹FFıFF ˘Y
PòF¤F©U =+F©U CGa òF¤F∞sU ÕFUfiW ıFW
ÊFF—FıF °FF∂FU ˘Y
∞FGPfi‹FF =+F “ŸFkÕFŒF/H—FòFFfi:
‹FX°FŒFF =+: ŸFòòFW =+X ∞FGPfi‹FF ˘Y ·FWP=+ŒF —FFŒFU =+U =+¤FU ŒF˘Uk ˘Y
E;Ffi ŸFòòFF EŸF ∂F=+ ı∂FŒF—FFŒF =+fi fi˘F ˘Y ∂FX ¤FFc =+X HıFW °FFfiU fi&FŒFW =W+ P·FJ “X∂ıFFP˘∂F
=+fiWk
E;Ffi ·F;FF∂FFfi —FFŒFU =+U ∂Ffi˘ ¤F·F ˘X fi˘F ˘Y ∂FX :
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6 ¤F˘UŒFW ıFW öX©W ŸFòòFXk =+X ı∂FŒF—FFŒF =W+ ıFFªF EXEFfiJıF ºWkó º[ıFfiF =+XGa ∂Ffi·F —FºFªFa
=+F ºWŒFW =+U °F‡fi∂F ŒF˘Uk ˘Y
6 ¤F˘UŒFW ıFW ŸF∞sW ŸFòòFXk =+X EXEFfiJıF JÊFk fFfi ¤FWk H—F·FŸÕF ∂Ffi·F —FºFªFa P—F·FFJWk
‹FX°FŒFF &F: E;Ffi ŸFòòFW ¤FWk —FFŒFU =+U =+¤FU =W+ ·FáFµF Pº&FFGa ºW∂FW ˘kY ∂FX HıFW ∂F]fik∂F ŒF°FºU=+U
ıÊFFıª‹F =W+ŒΩ ¤FWk ⁄FW°FWk
EX EFfi JıF ∂FY‹FFfi =+fiŒFF:
P=+ıFU ⁄FU ŒF°FºU=+U ıÊFFıª‹F =W+ŒΩ ¤FWk ¤Fÿ] ∂F ¤FWk H—F·FŸÕF ˘Y
EXEFfiJıF ŸFŒFFŒFW ıFW —F˘·FW ˘FªFXk =+X ıFFŸF[ŒF-—FFŒFU ıFW EòöW ıFW ÕFX‹FWk
J=+ ıFF◊+ ŸF∂FaŒF ≥É=+ŒF =W+ ıFFªF, òF¤¤FòF, J=+ °FFfi JÊFk 1 P·F©fi
ıFF◊+ ÊF ıF]fiPáF∂F —FFŒFU ·FWk (HŸF·FF CEF —FFŒFU *k∞F =+fi=W+ ·FWŒFF HPòF∂F
˘X;FF)
EXEFfiJıF =W+ —F=Y W+© =+X &FX·F=+fi °FFfi ¤FWk ∞F·FWk
fFX·F =+X ºX P¤FŒF© =W+ P·FJ EòöW ıFW P¤F·FFJWk ∂FFP=+ —FFH∞fi fF]·F °FFJ
fFX·F =+X ŸF∂FaŒF ¤FWk ∞F·F ºWk
EŸF fFX·F =+X ŸF∂FaŒF ¤FWk ≥=+ =+fi fi&FWk
∂FY‹FFfi EXEFfiJıF =+X 24 fFk©W =W+ EŒºfi Gı∂FW¤FF·F =+fiŒFF ˘,Y ŸFF=+U ŸFòF °FFŒFW —Ffi ◊+Wk=+ ºWŒFF
òFFP˘J
‹FPº EXEFfiJıF =+F —FY=W+© H—F·FŸÕF ŒF˘Uk ˘X, ∂F⁄FU fFfi ¤FWk ∂F‹Y FFfi EXEFfiJıF ºWŒFF òFFP˘J
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fFfi ¤FWk ∂FY‹FFfi EXEFfiJıF:
fFfi ¤FWk EXEFfiJıF ∂FY‹FFfi =+fiŒFW =+U PÊFPÕF :
ıFFŸF]ŒF ıFW EòöU ∂Ffi˘ ıFW ˘FªF ÕFXJWk
J=+ ıFF◊+ ŸF∂FaŒF, J=+ ŸF∞sF òF¤¤FòF, J=+ öX©F òF¤¤FòF, J=+ °FFfi, 1 ·FU©fi ıFF◊+ —FFŒFU
(HŸFF·F=+fi *k∞Fs P=+‹FF ;F‹FF) ·FWk
°FFfi ¤FWk —FFŒFU ∞F·F ºWk
++
50 ;FeF¤F òFUŒFU (8 òF¤¤FòF) JÊFk 5 ;FeF¤F ŒF¤F=+ (J=+ öX©F òF¤¤FòF) °FFfi ¤FWk ∞F·F=+fi
EòöW ıFW P¤F·FFJWk
GıF fFX·F =+X ≥É=+ŒF ÊFF·FW °FFfi ¤FWk —F·F© ºWk
fFfi ¤FWk H—F·FŸÕF ∂Ffi·F —FºFªFa:
fFfi —Ffi H—F·FŸÕF ∂Ffi·F —FºFªFa °FX EXEFfiJıF =+U ∂Ffi˘ Gı∂FW¤FF·F P=+J °FF ıF=+∂FW ˘Yk :
¤FFc =+F º[ÕF
—F=+FJ CJ ºF·F EZfi —FFŒFU =+F —F∂F·FF P¤FÍFµF
ŒFFPfi‹F·F —FFŒFU
¤FFk∞s - =+Fk°FU
∂FF°FW ◊+·FXk =+F °F[ıF
—F∂F·FU òFF‹F
ıFPŸ°F‹FXk =+F ıF[—F
E;Ffi =]+ö ⁄FU H—F·FŸÕF ŒF˘Uk ˘X ∂FX ŸFòòFW =+X ıFF◊+ —FFŒFU ˘U P—F·FFJWk
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—FfiF¤FËF:a
ıFFŸF]ŒF ıFW ˘FªF ÕFXŒFW =+U “P=e+‹FF =+X ŸF≥sFÊFF ºWk
&FFŒFW ıFW —F˘·FW, ŸFòòFW =+X P&F·FFŒFW ıFW —F˘·FW, &FFŒFF ŸFŒFFŒFW ıFW —F˘·FW
ËFZòF =W+ ŸFFº, ŸFòòFW =+X ıFF◊+ =+fiŒFW =W+ ŸFFº
ŸFòòFW =W+ ¤F·F =+X ◊+Wk=+ŒFW (Ê‹FÊFPıªF∂F °F;F˘ —Ffi) =+X ŸF≥Fs ÊFF ºWk
—FPfiÊFFfi =+X ıFF◊+ -ıF]ªFfiF ËFZòFF·F‹F Ê‹FÊF˘Ffi =+fiŒFW =W+ P·FJ H∂ıFFP˘∂F =+fiWk
E;Ffi fFfi —Ffi ËFZòFF·F‹F ŒF ˘X, ∂FX ·FX;FXk =+X fFfiXk JÊFk —FFŒFU =W+ ¯FX∂F ıFW º[fi °FF=+fi
ËFZòF =+fiŒFW =+U ıF·FF˘ ºWk
¤F·F ¤F[∑F ◊+Wk=+ŒFW =+U Ê‹FÊFıªFF ¤FWk ıF]ÕFFfi : ¤F·F ¤F[∑F =+X ıFYPŒF©fiU ·FY©PfiŒF ¤FWk, ©F‹F·FW© ¤FWk
‹FF °F¤FUŒF =W+ EŒºfi ;FF∞sŒFW =+U Ê‹FÊFıªFF =W+ ŸFFfiW ¤FkW ıF·FF˘ ºWk
º[PF∂F &FFŒFF ŒF &FFŒFW =W+ P·FJ =+˘kW
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4.1 Page 31

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ıF∑F 9
JÉ‹F[© fiWıF—FUfiW©fiU GŒF◊+WÉËFŒF (J EFfi EFGa) =+F “ŸFkÕFŒF JÊFk H—FòFFfi
JÉ‹F[© fiıW F—FUfiW©fiU GŒF◊+WÉËFŒF (J EFfi EFGa) =+U °FFcòF:
òFfiµF 1: J EFfi EFGa =W+ ·FáFµFXk =+U °FFcòF:
¤FFc ıFW —F[öWk P=+ É‹FF ŸFòòFW =+X &FFcıFU ‹FF ıFFcıF ·FWŒFW ¤FWk ∂F=+·FU◊++ ˘Y
P°FŒF ŸFòòFXk =+X 14 ıFW °‹FFºF PºŒFXk ∂F=+ &FFcıFU ˘Y (˘·=+F ˘XŒFW —Ffi ⁄FU) HŒF ŸFòòFXk =+X
fiW◊+fi =+fiŒFW =+U °F‡fi∂F ˘Y
ŸF]&FFfi =W+ ıFFªF P=+ıFU ⁄FU “=+Ffi =+U &FFcıFU 3 ıFW °‹FFºF PºŒFXk ∂F=+ ˘X ∂FX HıFW fiW◊+fi
=+fiŒFW =+U °F‡fi∂F ˘Y
òFfiµF 2: öF∂FU =W+ ÕFcıFŒFW =+X ºW&FWk:
&FFcıFU =W+ ıFFªF-ıFFªF E;Ffi öF∂FU Ekºfi ÕFcıF∂FU ˘X ‹FF ŸFòòFW =+X ıFcFıF ·FWŒFW ¤FWk =+XGa =+P*ŒFFGa
˘X ∂FX ‹F˘ ;Fk⁄FUfi PŒF¤FXPŒF‹FF ˘Yó JWıFW ¤FWk fiW◊+fi =+fiŒFW =+U °F‡fi∂F ˘Y
ıFF¤FFŒ‹F ıFFcıF “P=e+‹FF ¤FWk —F[fiU öF∂FU JÊFk —FW© ŸFF˘fi =+U ∂Ffi◊+ EF∂FF ˘Yó HıFU ∂Ffi˘ °FŸF
ŸFòòFF ıFFcıF EŒºfi ·FW∂FF ˘Y, ∂FX öF∂FU =+F PŒFòF·FF ⁄FF;F EŒºfi =+U ∂Ffi◊+ °FF∂FF ˘Y
ŒFÊF°FF∂F PËFËF] ¤FWk öF∂FU ˘·=W+ ‡—F ıFW ÕFcıF ıF=+∂FU ˘Y
1 ıFF·F ıFW =+¤F H¤Fe =W+ ŸFòòFXk ¤FWk öF∂FU =+F ˘·=+F ÕFcıFŒFF ıFF¤FFŒ‹F ŒF˘Uk ˘Y
P°FıF ŸFòòFW =+U öF∂FU ÕFcıF∂FU ˘X, HıFW °F‡fi fi◊W +fi =+fiŒFF òFFP˘J
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òFfiµF 3: ËÊFFıF ºfi =+U P;FŒF∂FU:
ŸFòòFW =W+ ËFFk∂F JÊFk PıªFfi ˘XŒFW ∂F=+ Gk∂F°FFfi =+fiWk
E—FŒFU fF∞sU =+·FFGa ıFW PŒF=+F·F=+fi, J=+ ˘FªF ¤FWk —F=+∞sW °FX ŸFòòFW =W+ —FW© =W+ —FFıF ·FFcJ
J=+ —F[fiU ıFFcıF (—FW© =+F H*ŒFF EZfi P;FfiŒFF = J=+ ıFFcıF) ºW&FŒFW =W+ P·FJ ŸFòòFW =+U
=+¤FU°F =+X I+—Ffi =+fiWk
J=+ P¤FŒF© ∂F=+ ŸFòòFW =+U ıFFcıFXk =+U P;FŒF∂FU =+fiWk
J=+ P¤FŒF© =W+ ŸFFº ËÊFFıF ºfi =+X P·F&FWk
J=+ P¤FŒF© ∂F=+ ıFFcıFXk =+U P;FŒF∂FU =+fiWk JÊFk PŒFµFa‹F ·FWk P=+ ŸFòòFW =+U ËÊFFıF ºfi ıFF¤FFŒ‹F ˘Y ‹FF
∂FW°F
H¤Fe
0-59 PºŒF ∂F=+
2-12 ¤F˘UŒFW ∂F=+
12 ¤F˘UŒFW ıFW 5 ÊFFa ∂F=+
∂FW°F ıFFcıF =+U ºfi
60 ŸFFfi “P∂F P¤FŒF© ‹FF °‹FFºF
50 ŸFFfi “P∂F P¤FŒF© ‹FF °‹FFºF
40 ŸFFfi “P∂F P¤FŒF© ‹FF °‹FFºF
ŸFòòFXk ¤FWk &F∂FfiW =W++ıFk=W+∂F:
∂FW°FU ıFW ıFFcıF ·FWŒFF
ıFFcıF ·FWŒFW ¤FWk =+P*ŒFFGa
öF∂FU =+F ÕFcıFŒFF
—FU ŒF˘Uk —FFŒFF ‹FF ı∂FŒF—FFŒF ŒF˘Uk =+fi —FFŒFF
ŸFU¤FFfi ˘XŒFF
ŸF]&FFfi ˘XŒFF
E;Ffi &F∂FfiW =W+ ıFk=W+∂F Pº&F∂FW ˘Yk, ∂FX ∂F]fik∂F ŒF°FºU=+ =W+ ıÊFFıª‹F =W+ŒΩ ¤FWk ⁄FW°FWk
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Õ‹FFŒF ºWk:
E;Ffi ŸFòòFW ¤FWk P=+ıFU ∂Ffi˘ =W+ &F∂FfiW =W+ ıFk=W+∂F Pº&F∂FW ˘kY °FYıFW öF∂FU =+F ÕFcıFŒFF ∂FX HıFW
;Fk⁄FUfi PŒF¤FXPŒF‹FF ˘Y : ∂F]fik∂F Eı—F∂FF·F ¤FWk fiW◊+fi =+fiW
E;Ffi P=+ıFU ŸFòòFW ¤FWk =+XGa &F∂FfiW =+F ıFk=W+∂F ŒF˘Uk ˘Y, öF∂FU ⁄FU ŒF˘Uk ÕFcıF∂FU ˘Y ·FWP=+ŒF ∂FW°FU
ıFW ıFFcıF ·FW fi˘F ˘Y, ∂FX HıFW PŒF¤FXPŒF‹FF ˘Y : ∂F]fik∂F Eı—F∂FF·F ¤FWk fiW◊+fi =+fiW
E;Ffi P=+ıFU ŸFòòFW ¤FWk =+XGa ⁄FU &F∂FfiW =+F ıFk=W+∂F ŒF˘Uk ˘Y, öF∂FU ŒF˘Uk ÕFcıF∂FU EZfi ıFF¤FFŒ‹F
fl—F ıFW ıFFcıF ·FW fi˘F ˘Y, ∂FX HıFW ıFFÕFFfiµF ıFºUa EZfi &FFcıFU ˘Y : GıF=W+ P·FJ ¤FFc =+X fFfiW·F[
ºW&F⁄FF·F JkÊF H—FòFFfi =+F —FfiF¤FËFa ºkW
˘·=+U &FFcıFU JÊk F ıFºUa =W+ P·FJ fFfiW·F[ H—FòFFfi:
ŸFòòFW =+X ;F¤Fa fi&FWk
E;Ffi ŸFòòFW =+F ŒFF=+ ŸFkº ˘Y, ∂FX ŒFfi¤F ‡Ga ıFW ıFF◊++ =+fiWk
·F;FF∂FFfi ‹FF ŸFUòF-ŸFUòF ¤FWk ı∂FŒF—FFŒF =+fiF∂FW fi˘Wk
ŸFòòFW =+X EP∂FPfiÉ∂F H°FFa =W+ P·FJ, HıF=W+ &FFŒFW ¤FWk ªFX∞sU ¤FF∑FF ¤FWk ∂FW·F ‹FF fFU ∞F·FWk
∂Ffi·F —FºFªFa °FYıFW ºF·F =+F —FFŒFU, ıF[—F, —FFŒFU G∂‹FFPº ºWk
ŸFU¤FFfiU =W+ ŸFFº, =+¤F ıFW =+¤F J=+ ıF—∂FF˘ ∂F=+ ŸFòòFW =+X J=+ ŸFFfi EP∂FPfiÉ∂F ‡—F ıFW
P&F·FFJWk ∂FFP=+ °F·ºU *U=+ ˘X ıF=W+
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4.4 Page 34

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ıF∑F 10
ŒFÊF°FF∂F PËFËF] =W+ fFfi PÊFP°F©
H«WË‹F:
ŒFÊF°FF∂F =+X ;F¤Fa fi&FŒFW =+U ıF·FF˘ ºWŒFF
=W+ÊF·F ı∂FŒF—FFŒF =+X ŸF≥sFÊFF ºWŒFF
˘FPŒF=+Ffi=+ “ªFFEXk =+X “X∂ıFF˘ŒF ŒF ºWŒFF, °FYıFW P=+ ŸFX∂F·F ıFW º[ÕF P—F·FFŒFF, º[ÕF =W+
ıFFªF ËF˘º, °FŒ¤F fF]©h©U EFPº P—F·FFŒFF, ;F⁄FaŒFF·F ıF[&F=+fi P;FfiŒFW ıFW —F˘·FW ŒF˘·FFŒFF
G∂‹FFPº
ŸFU¤FFPfi‹FXk =W+ “FfikP⁄F=+ ·FáFµFXk =+X —F˘òFFŒFŒFF
fFfi ºZfiF =+fiŒFW =+U ıF¤F‹F ıFFfiµFU:
°FŒ¤F =W+ ∂FUıFfiW (3), ıFF∂FÊFWk (7), òFZº˘ÊFWk (14), GPÉ=+ıFÊFkW (21) JÊFk EØFGaıFÊFWk
(28) PºŒF —Ffi fFfi °FFŒFF
fFfi ¤FWk °FŒ¤FWk ŸFòòFW =W+ P·FJ : °FŒ¤F =W+ ŸFFº ∂F∂=+F·F (‹FF 24 fFk©W =W+ EŒºfi) JÊFk º[ıFfiW
PºŒF fFfi °FFŒFF
=+¤F ÊF°FŒF ÊFF·FW PËFËF], ıF¤F‹F ıFW —F[ÊFa °FŒ¤FW PËFËF] EZfi ŸFU¤FFfi ŒFÊF°FF∂F PËFËF] =W+ fFfi —Ffi
EPÕF=+ ŸFFfi °FFŒFW =+U °F‡fi∂F ˘Y
31

4.5 Page 35

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tk¡p lwph % uotkr f'k'kq ds ?kj foftV dh dk;Z lwph
f'k'kq dk uke……………………… f'k'kq ds firk dk uke ……………………… f'k'kq dh ekrk dk uke ….…………………
fnu
dk;Z@dk;oZ kbZ
fd;s x;s dk;Z & gk¡@ugha
igyk fnu
;k
nwljk fnu
f'k'kq dh tk¡p ds fy, %
a) izfr feuV lkla ysus dh nj
b) 'kjhj dk rkieku
c) f'k'kq dh uky
d) f'k'kq ds otu ds fy, vkaxuokMh+ dk;ZdrkZ ls rkyesy
¼?kj ij ilz o@f'k'kq
tUe gksus ij½ ijke'kZ %
i. f'k'kq ds 'kjhj ds rkieku dh ns[kHkky
ii. de otu ds f'k'kq dh vfrfjDr ns[kHkky
foftV dh frfFk: iii. Vhdkdj.k djk,a
iv. f'k'kq dks gkFk eas ysrs le; LoPNrk dk /;ku j[kas
v. f'k'kq dh uky ij fdlh pht dk bLrseky u djas
vi. f'k'kq dks mfpr rjhds ls yisVsa
vii. fo'ks"k :Ik ls igys 6 ekg rd f'k'kq dks Lruiku ds vykok dqN ugha nas
viii. de ls de 7 fnu rd f'k'kq dks u ugyk,a
32

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fnu
rhljk fnu
foftV dh frfFk:
dk;Z@dk;ZokbZ
f'k'kq dh tk¡p ds fy, %
a. 'kjhj ds vaxkas esa dksbZ vlkekU;rk
b. izfr feuV lkal ysus dh nj
c. f'k'kq dk jax
d. rkieku
e. f'k'kq dh uky
ijke'kZ %
i. f'k'kq ds 'kjhj ds rkieku dh ns[kHkky
ii. de otu ds f'k'kq dh vfrfjDr ns[kHkky
iii. Vhdkdj.k djk,a
iv. f'k'kq dks gkFk esa yrs s le; LoPNrk dk /;ku j[ksa
v. f'k'kq dh uky ij fdlh pht dk bLrseky u djsa
vi. f'k'kq dks mfpr rjhds ls yisVsa
ix. fo'ks"k :Ik ls igys 6 ekg rd f'k'kq dks Lruiku ds vykok dqN ugha nsa
vii. de ls de 7 fnu rd f'k'kq dks u ugyk,a
fnu 7] 14] 21 vkjS 28 f'k'kq ds ckjs eas %
foftV dh frfFk
¼fnu 7½:
a. D;k f'k'kq Bhd rjg ls ek¡ dk nw/k ih jgk gS
b. dksbZ vU; leL;k@tfVyrk
c. D;k f'k'kq dks Luku djk;k tk pqdk gS
fd;s x;s dk;Z & gk¡@ugha
7
14
21
28
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4.7 Page 37

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fnu
foftV dh frfFk
¼fnu 14½:
foftV dh frfFk
¼fnu 21½:
foftV dh frfFk
¼fnu 28½:
dk;Z@dk;ZokbZ
d. ikjaifjd izFkkvksa vkjS ekU;rkvkas ds vk/kkj ij ;fn f'k'kq dks ek¡ ds nw/k ds vykok dqN Hkh
fn;k x;k gks
ijke'kZ %
i. igys 6 ekg rd f'k'kq dks dos y Lruiku djk,a
ii. f'k'kq dks gkFk esa ysrs le; LoPNrk dk /;ku j[kas
iii. f'k'kq dh uky ij fdlh pht dk bLrseky u djas
iv. ;fn fdlh rjg ds [krjs ds y{k.k gkas rks rqjra utnhdh LokLF; dasnz esa tk,a
fd;s x;s dk;Z & gk¡@ugha
fnu 42
f'k'kq ds ckjs eas %
a. D;k f'k'kq dks vc rd ds lkjs Vhds yxok fy, gaS
b. D;k f'k'kq Bhd rjg ls ek¡ dk nw/k ih jgk gS
c. f'k'kq ds otu eas ifjorZu
d. D;k f'k'kq fdlh rjg dh leL;k ls ijs'kku gS
foftV dh frfFk %
ijke'kZ ds fy,
i. igys N% eghus rd f'k'kq dks dsoy ek¡ dk nw/k fiyk,a vkSj yxkrkj 2 o"kZ dh vk;q rd
fiykus dk egRo
ii. laiw.kZ vkSj mfpr vk;q ij Vhdkdj.k dk egRo
iii. ,asBu@ejksM+@vdM+u] rst cq[kkj] ey eas [kwu vkuk tlS s [krjs ds y{k.kkas dk irk pyus
ij rjq ra f'k'kq dks utnhdh LokLF; dasnz esa ys tk,a
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4.8 Page 38

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