HMIS Tools Print Specifications

# Properties Description item Values

1. Forms Specifications
1 HMIS Form 097b: VHT/ICCM Quarterly Report
Tool Size Paper Size A4
Orientation Portrait
Binding Side Top
Binding Type Tape/Strip
Cover Color pink
Print Color Black
Printing Type Offset
Paper Type Manila
Paper Weight (GSM) 160
Instruction Page Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Orientation Portrait
Total instruction pages 1
Printing Method Single face
Double sided Yes
General Specifications Carbonized Yes
Number of Pages per form 2
Number of forms per booklet 4
Total Number of sheets (excluding 3X2X4
instructions pages)
Number of extra forms per booklet 0
Carbonized properties Self-Carbonizing Yes
Number of Carbon Copies Triplicate
Serial Numbering No
Print Color Black
Perforated Yes
Perforation Side Top
Paper Type Bond
Paper Weight (GSM) 80
Color – Original copy White
Color – Duplicate copy Pink
Color – Triplicate copy Yellow
General Specifications Number of pages per form 1
Total Number of Sheets in the Tool 24
(Excluding the Instruction Page)
2 HMIS Form 031: Outpatient Register
Tool Size Paper Size A3
Orientation Landscape
Binding Side Side
Binding Type Case Binding
Cover Colour Red
Colour of Words Black
Printing Type Screen Printing
Paper Type and Weight Resin pasted on
straw board of
1800gsm

Instruction Page Paper Type Bond

 # Properties Description item Values
Paper Weight (GSM) 80
Print Color Black
Orientation Landscape
No. Of Pages (Instructions) 1
Printing Method Single Face

Non-Carbonized Books Color of Paper White

Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Printing Method Double Face
General Specifications Number of pages per form 1
Total Number of Sheets in the Tool 100
(Excluding the Instruction Page)
3 HMIS Form 074: Integrated Family
Planning Register
Tool Size Paper Size A3
Orientation Landscape
Binding Side Side
Binding Type Case Binding
Cover Colour Navy blue
Colour of Words Black
Printing Type Screen Printing
Paper Type and Weight Resin pasted on
straw board of
1800gsm

Instruction Page Paper Type Bond

Paper Weight (GSM) 80
Print Color Black
Orientation Landscape
No. Of Pages (Instructions) 1
Printing Method Single Face

Non-Carbonized Books Color of Paper White

Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Printing Method Double Face
General Specifications Number of pages per form 1
Total Number of Sheets in the Tool 100
(Excluding the Instruction Page)

4 HMIS Form 071: Integrated Antenatal

Register
Tool Size Paper Size A3
Orientation Landscape
Binding Side Side
Binding Type Case Binding
Cover Colour red
Colour of Words Black
Printing Type screen Printing
Paper Type and Weight Resin pasted on
straw board of
1800gsm
 # Properties Description item Values
Instruction Page Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Orientation Landscape
No. Of Pages (Instructions) 1
Printing Method Single Face

Non-Carbonized Books Color of Paper White

Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Printing Method Double Face
General Specifications Number of pages per form 1
Total Number of Sheets in the Tool 100
(Excluding the Instruction Page)

5 HMIS Form 078: Integrated Postnatal

Register
Tool Size Paper Size A3
Orientation Landscape
Binding Side Side
Binding Type Case Binding
Cover Colour Army green
Colour of Words gold
Printing Type screen Printing
Paper Type and Weight Resin pasted on
straw board of
1800gsm

Instruction Page Paper Type Bond

Paper Weight (GSM) 80
Print Color Black
Orientation Landscape
No. Of Pages (Instructions) 2
Printing Method Single Face

Non-Carbonized Books Color of Paper White

Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Printing Method Double Face
General Specifications Number of pages per form 2
Total Number of Sheets in the Tool 100
(Excluding the Instruction Page)

6 HMIS Form 072: Integrated Maternity

Register
Tool Size Paper Size A3
Orientation Landscape
Binding Side Side
Binding Type Case Binding
Cover Colour black
Colour of Words gold
Printing Type screen Printing
 # Properties Description item Values
Paper Type and Weight Resin pasted on
straw board of
1800gsm

Instruction Page Paper Type Bond

Paper Weight (GSM) 80
Print Color Black
Orientation Landscape
No. Of Pages (Instructions) 2
Printing Method Single Face

Non-Carbonized Books Color of Paper White

Paper Type Bond
Paper Weight (GSM) 80
Print Color Black
Printing Method Double Face
General Specifications Number of pages per form 2
Total Number of Sheets in the Tool 100
(Excluding the Instruction Page)

7 HMIS Form 120: Maternal Death Audit

Form
General Specifications Paper Size A4
Orientation (Layout) Portrait
Self-Carbonizing Yes
Number of Carbon Copies Duplicate
Serial Numbering Yes
Print Color Black
Perforated Yes
Perforation Side Top and
Horizontal (8cm
from bottom)
Perforation Side Top
Paper Type Bond
Paper Weight (GSM) 80
Color – Original copy White
Color – Duplicate copy Pink
Number of Pages per form 7
Number of forms per booklet 50
Total Number of sheets (excluding 2X7X50
instructions pages)
8 HMIS Form 120a: Maternal Death
Notification Form
General Specifications Paper Size A4
Orientation (Layout) Portrait
Self-Carbonizing Yes
Number of Carbon Copies Quadruplicate
Serial Numbering Yes
Print Color Black
Perforated Yes
Perforation Side Top and
Horizontal (8cm
from bottom)
Perforation Side Top
Paper Type Bond
Paper Weight (GSM) 80
Color – Original copy White
 # Properties Description item Values
Color – Duplicate copy Pink
Color – Triplicate copy Yellow
Color – Quadruplicate copy Lemon Green
Number of Pages per form 1
Number of forms per booklet 100
Total Number of sheets (excluding 4X1X100
instructions pages)
9 HMIS Form 121: Neonatal Death Audit
Form
General Specifications Paper Size A4
Orientation (Layout) Portrait
Self-Carbonizing Yes
Number of Carbon Copies Triplicate
Serial Numbering Yes
Print Color Black
Perforated Yes
Perforation Side Top and
Horizontal (8cm
from bottom)
Perforation Side Top
Paper Type Bond
Paper Weight (GSM) 80
Color – Original copy White
Color – Duplicate copy Pink
Color – Triplicate copy Yellow
Number of Pages per form 4
Number of forms per booklet 50
Total Number of sheets (excluding 3X4X50
instructions pages)

NB: Design and Preparation of the print set to be done by the supplier, but this is subject to
approval by the MOH-Division of Health Information. The supplier should allow minor
adjustments in the form as maybe suggested by the MOH-Division of Health Information
during contract execution.