NewNew Screening History Monitor

Edit Screening

Faustina Sabone

Demographics

Name*

Phone Number

Age (years)

Sex

NHIS Status

Vitals

Weight (kg)

Height (cm)

BMI (auto)

42.5Obese

BP Systolic (mmHg)

BP Diastolic (mmHg)

Pulse (bpm)

Temperature (°C)

Blood Sugar (mmol/L)

Blood Sugar Type

Hb (g/dL)

Hepatitis B

Clinical

Complaint

Complaint Duration

Examination Findings

Treatment Plan