WCI Screening
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Joy promise
Demographics
Name
*
Phone Number
Age (years)
Sex
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Male
Female
NHIS Status
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Active
Inactive
None
Vitals
Weight (kg)
Height (cm)
BMI (auto)
43.4
Obese
BP Systolic (mmHg)
BP Diastolic (mmHg)
Pulse (bpm)
Temperature (°C)
Blood Sugar (mmol/L)
Blood Sugar Type
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Random
Fasting
Hb (g/dL)
Hepatitis B
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Positive
Negative
Clinical
Complaint
Complaint Duration
Examination Findings
Patient is yet to take bp meds Odq palpitations +, dizziness-, headache +
Treatment Plan
To CT bp meds To do bp profile To do tb pmol 1g tds X 5 days Review with bp profile
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