|
Services Provided
• • •
|
Services Provided (PPDS PTS ONLY)
|
|
Diagnosis:
• • •
|
Diagnosis (free text)
|
|
Activity
• • •
|
Activity:
|
|
Diet
• • •
|
Diet
|
|
Medications
• • •
|
Medications
|
|
POC Medications Given
• • •
|
|
|
Follow up:
• • •
|
Follow up :
|
|
Follow up specialist referral (health gorilla)
• • •
|
Follow up specialist (Health Gorilla)
|
|
Follow up specialist referral (health gorilla)
• • •
|
Additional:
|
|
Tetanus Shot
|
Splint
|
|
Facts on TB
|
|
