00368cam a22001097a 4500008004000000082001900040100003000059245007900089260004700168300001000215650003300225180718b2005 xxu||||| |||| 00| 0 eng d aB73x5453 K146g aKarakulam Grama panchayat aGuideline for managing primary health centrecby Karakulam Grama panchayat aKarakulambKarakulam Grama panchayatc2005 a104p. aPanchayat -- India -- Kerala