Scribd Logo
Upload

Welcome to Scribd!

  • Name Age (Yrs) Sex (M/ F) Address: Village/Town Name of Test Done Diagnosis (Lab Confirmed)

    Uploaded by

    Ravi Parmar
    10 views1 page
    This document contains a weekly report from an infectious disease surveillance program (IDSP). It includes tables with the number of samples tested and found positive for various diseases over a specified date range. It also collects clinical information - name, age, sex, address, diagnosis, and whether the patient was admitted or seen as an outpatient - for individual cases. The purpose is to monitor the incidence of infectious diseases in a given location over time.

    Original Description:

    Original Title

    form l for washisht lab

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains a weekly report from an infectious disease surveillance program (IDSP). It includes tables with the number of samples tested and found positive for various diseases over a specified date range. It also collects clinical information - name, age, sex, address, diagnosis, and whether the patient was admitted or seen as an outpatient - for individual cases. The purpose is to monitor the incidence of infectious diseases in a given location over time.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Name Age (Yrs) Sex (M/ F) Address: Village/Town Name of Test Done Diagnosis (Lab Confirmed)

    Uploaded by

    Ravi Parmar
    This document contains a weekly report from an infectious disease surveillance program (IDSP). It includes tables with the number of samples tested and found positive for various diseases over a specified date range. It also collects clinical information - name, age, sex, address, diagnosis, and whether the patient was admitted or seen as an outpatient - for individual cases. The purpose is to monitor the incidence of infectious diseases in a given location over time.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    IDSP Reporting Week:- Start Date:- End Date:- Date of Reporting:-

    / / / / / /

    Diseases No. Samples No. found No. found


    Tested Positive Positive cases
    belong to Vns
    Distt.
    Dengue / DHF / DSS
    Chikungunya
    JE
    Meningococeal Meningitis
    Typhoid Fever
    Diphtheria
    Cholera
    Shigella Dysentery
    Viral Hepatitis A
    Viral Hepatitis E
    Leptospirosis
    Malaria PV: PF:
    Kalazar
    Filaria
    TB ( Sputum )
    HIV
    Viral Hepatitis B
    Viral Hepatitis C
    Gonococcal infection
    VDRL
    STD/ STI
    Swine Flue Disease
    Heat stroke
    Other (Specify)
    Name Age Sex Address: Name of Diagnosis (Lab Pt.
    (Yrs) (M/ Village/Town Test confirmed) IPD/OPD
    F) Done No

    You might also like