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Pakistan 2006
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Pakistan 2006
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IDENTIFICATION

PROVINCE

PUNJAB 1
SINDH 2
NWFP 3
BALOCHISTAN 4
FATA 5

DISTRICT __

TEHSIL __

CLUSTER NUMBER __

HOUSEHOLD NUMBER ___

IS HOUSEHOLD SELECTED FOR:

SHORT 1
WOMAN 2
VERBAL AUTOPSY 3
WOMAN AND VERBAL AUTOPSY 4

NAME OF HOUSEHOLD HEAD ___