DHAKSHA E SEVAI | CUSTOMER PORTAL

CATEGORY 1: PICME CORRECTIONS

Select the correction service required

Name Correction

Mother's name • Husband's name

DOB Correction

Date of birth

Bank Account Correction

Account number • IFSC • Bank • Branch

Mobile Number Correction

Mobile number change

Mother Delivery Entry

Delivery Entry (New & Old date)

TRACK APPLICATION

Reference number • View status

Enter Reference Number *

SERVICE FORM

Customer selects this service • Only customer-facing form flow is shown. No admin or operator screens included.

First Choose Create Delivery Entry Additional Delivery Entry Details

HSC User ID *

HSC Password *

RCH ID *

Delivery Date *

Delivery Time Hour *

Minutes *

AM/PM *

District or Other State *

Type Of Hospital *

Hospital Name *

Who Conducted delivery *

Type of Delivery *

Delivery Complications *

Postpartum Family Welfare Method *

Number Born *

Application Submitted Successfully!

Reference Number:

PICME CORRECTIONS & DELIVERY ENTRY – FIELD SPECIFICATIONS (SLIDES 2 & 3)

Complete field list exactly as structured in the presentation slides

MOTHER NAME CORRECTION

HSC User ID
HSC Password
RCH ID
Mother Name Old
Mother Name New

DOB CORRECTION

HSC User ID
HSC Password
RCH ID
Correct DOB – (Calendar pick)

BANK ACCOUNT CORRECTION

HSC User ID
HSC Password
RCH ID
Correct Account Number
IFSC Code
Bank Name
Branch Name

MOBILE NUMBER CORRECTION

HSC User ID
HSC Password
RCH ID
Correct mobile number

HUSBAND NAME CORRECTION

HSC User ID
HSC Password
RCH ID
Husband Name Old
Husband Name New

MOTHER DELIVERY ENTRY

HSC User id & HSC password & RCH id
Delivery date (Date calendar) & Delivery Time Hour/Minutes (AM/PM)
District or Other State
Type Of Hospital: Home / Level I / Level II / Level III / Level IV / Transit
Hospital Name
Who Conducted delivery: ANM / LHV / Doctor / Staff Nurse / Relatives / SBA / Non-SBA / Others
Type of Delivery: Normal, Cesarian, Assisted
Delivery Complications: PPH, Retained Placenta, Obstructed Delivery, Prolapsed Cord, Twins Pregnancy, Convulsions, Death, Prom Premature, None, Don't know, Any other(specify)
Postpartum Family Welfare Method: Chaaya, Condom, Implant, Male Sterilization, Post partum sterilization(PS), PPIUCD, None
Number Born – 1 / 2 / 3 (Child 1, 2, 3: Sex - Male/Female/Ambiguous Genitalia(AG), Weight (kg), Status - Live Birth / Still Birth / IUD)

CUSTOMER APPLICATION JOURNEY

Common process after choosing any category or subcategory

Choose Category

PICME Corrections or Delivery Entry

Choose Subcategory

Select the required correction / service

Fill Form

Enter required details and upload documents

Review & Submit

Confirm details and submit the request

Reference Number

Receive a unique application number

Track Status

Pending • Processing • Completed

Security note: Do not collect government portal passwords in ordinary forms. Use authorized secure authentication only when required.