The document appears to be a medical record or register containing information about HIV and other disease testing. It includes columns for date, name, ID number, age, sex, pregnancy status, spouse details, risk categories, test results, and remarks. The header also references a health department and hospital name. The table contains fields to track testing and counseling results over multiple visits for HIV, syphilis, hepatitis B, and hepatitis C.
The document appears to be a medical record or register containing information about HIV and other disease testing. It includes columns for date, name, ID number, age, sex, pregnancy status, spouse details, risk categories, test results, and remarks. The header also references a health department and hospital name. The table contains fields to track testing and counseling results over multiple visits for HIV, syphilis, hepatitis B, and hepatitis C.
The document appears to be a medical record or register containing information about HIV and other disease testing. It includes columns for date, name, ID number, age, sex, pregnancy status, spouse details, risk categories, test results, and remarks. The header also references a health department and hospital name. The table contains fields to track testing and counseling results over multiple visits for HIV, syphilis, hepatitis B, and hepatitis C.
Sex Spouse of Risk Categories Special Group Counseling Syphilis Hepatitis woman Use Result Remarks Exposed Sr. Date Name ID Age Rapid (*/**/***/ (+) (-) Child RPR/ M F PP MP 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 1st 2nd 3rd Pre Post Test/ B C ****/ *****) woman woman VDRL ICT