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DATA ENTRY FORM

PATIENT FIRST NAME SECOND NAME ID NUMBER STATUS


MERCY MUTHEU 39990899 single
MATTHEW NDETO 38779022 married
DAN KIPROP 34223311 MARRIED
VICTOR KYALO 39007788 DIVORSED
ESTHER WAMBUI 39887788 MARRIED
ZURAH MAYUBA 38887766 SINGLE
MARGARET BAHATI 39990900 MARRRIED
ORM
COUNTY PHONE NUMBER CONDITION type of condition
NAIROBI 798991234 special allegies
MACHAKOS 788677558 none
UASIN GISHU 725673172 special ulcers
TURKANA 734556677 none
LIMURU 756667799 none
NAKURU 788990044 none
MOMBASA 722345566 special typhoid

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