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1-3 of 3 Reports

House call

Categories

Patients

House call 0 Unverified

22:58 Jul 11, 2012

bocastown

Hello Ushahidi! 0 Verified

12:54 Apr 04, 2012

Welcome to Ushahidi. Please replace this report with a valid incident More Information » « Less Information

Nairobi

1-3 of 3 Reports

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Patient Name

Date

Sex *

Community Name/Area

Age

Contact Person

Date

Contact Information Phone/Email etc

Presenting Complaint

Notes for Contact

Patient Medical/Surgical History (Illness/Injuries & Treatments/Outcome)

School Contact

Weight

Community Impression (main medical concerns, school, etc

Height

Where was the clinic held? Conditions? Electrical outlet, privacy

Blood Pressure

Bathroom Facilities / Hand Washing

Transportation Requirements to get there? Accommodation requirements?

Heart Rate

Personnel Requirements

Temperature

Heart Rate

Estimated Community Population

Pregnant

Is there a local health care provider on the island?

Systems Review

Is there a local midwife?

Cardio

Is there a water tank?

Respiratory

Does the community drink the water from the water tanks?

GIT

If no, why?

Urogenital

Types of houses seen in community

Endocrine

Raised Sidewalks?

Hepato/Bilary

Musculoskelatal

Follow up action, i.e. community needs

Neuro/Optho

Dermatology

Total Reports Avg Reports Per Day % Verified
3 0 33.33%