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OPD Census Form
OPD Census Form
DEPARTMENT OF PEDIATRICS
Daily OPD Census
Classification
New Manilan Male
Old Non-Manilan Female
Age Distribution
0-29 days 30-365 days 1-5 y/o 6-10 y/o 11-15 y/o 16-18 y/o
Admissions:
Sent home:
THOC:
Absconded:
HAMA:
Transfer to ER:
Referrals:
To From
Surgery
ENT
Ophtha
Derma
Dental
TB DOTS
Well-Baby: KMC:
Newborn Screening: NICU Ff up:
Vaccinations:
BCG: Hepa B:
DPT: Measles:
OPV:
Case 1-29 d 30-365 d 1-5 y/o 6-10 y/o 11-15 y/o 16-17 y/o TOTAL
DEPARTMENT OF PEDIATRICS
Daily OPD Census
Admissions:
Name Age/Sex Diagnosis
Referrals
Name Age/Sex Diagnosis Referring Dept Dept referred to Outcome
THOC/HAMA/Absconded
Subspecialty:
Allergo-Immunology
Cardiology
Endocrinology
Gastroenterology
Hematology-Oncology
Infectious Diseases
Neonatology
Nephrology
Neurology
Pulmonology
Rheumatology