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    Dengue Ns1 Monthly Consolidation Form

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    Rose jane Tambasen
    This document is a yearly consolidation report form for dengue NS1 RDT (Rapid Diagnostic Test). It summarizes dengue testing data from a region, province, and city/municipality/facility over a specified month and year. The summary includes the total number of dengue suspects by sex and age group, duration of symptoms, total test results, case classifications, decisions by health workers, and any remarks. Key data is totaled and percentages are calculated. The form is prepared and noted by signatures of relevant health officials.

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    Dengue Ns1 Monthly Consolidation Form

    Uploaded by

    Rose jane Tambasen
    44 views2 pages
    This document is a yearly consolidation report form for dengue NS1 RDT (Rapid Diagnostic Test). It summarizes dengue testing data from a region, province, and city/municipality/facility over a specified month and year. The summary includes the total number of dengue suspects by sex and age group, duration of symptoms, total test results, case classifications, decisions by health workers, and any remarks. Key data is totaled and percentages are calculated. The form is prepared and noted by signatures of relevant health officials.

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    This document is a yearly consolidation report form for dengue NS1 RDT (Rapid Diagnostic Test). It summarizes dengue testing data from a region, province, and city/municipality/facility over a specified month and year. The summary includes the total number of dengue suspects by sex and age group, duration of symptoms, total test results, case classifications, decisions by health workers, and any remarks. Key data is totaled and percentages are calculated. The form is prepared and noted by signatures of relevant health officials.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    44 views2 pages

    Dengue Ns1 Monthly Consolidation Form

    Uploaded by

    Rose jane Tambasen
    This document is a yearly consolidation report form for dengue NS1 RDT (Rapid Diagnostic Test). It summarizes dengue testing data from a region, province, and city/municipality/facility over a specified month and year. The summary includes the total number of dengue suspects by sex and age group, duration of symptoms, total test results, case classifications, decisions by health workers, and any remarks. Key data is totaled and percentages are calculated. The form is prepared and noted by signatures of relevant health officials.

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    © All Rights Reserved
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    DENGUE NS1 RDT

    YEARLY CONSOLIDATION REPORT FORM

    (Please tick reporting level)


    Region:____IX________ Province: Zamboanga del Month and Year Covered: Date
    Norte Submitted:_________

    Total Total duration of Total decision of health


    Name of City/ no. of Sex signs & symptoms Age Group Total result Total case worker Remarks
    Municipality/ Facility dengue ( per day) classified
    (RHU) suspect M F 1 2 3 4 5 <1 1-4 5-9 10- 15- 25- 40- 65 N P I S P ND H Referred Other-
    Red-Hospital 14 24 39 64 &U M disease
    P

    Total Result: N- Negative, P- Positive, I-Indeterminate Total Case Classified- S- Suspect, P- Probable, ND- Non-Dengue
    TOTAL

    PERCENT

    Prepared by: Name & Signature:___________________________________ Noted by: Name & Signature:_______________________________________
    Position: ____________________________________________ Position:________________________________________________

    Total Result: N- Negative, P- Positive, I-Indeterminate Total Case Classified- S- Suspect, P- Probable, ND- Non-Dengue

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