WCI Screening
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Demographics
Name
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Phone Number
Age (years)
Sex
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Male
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NHIS Status
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Active
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None
Vitals
Weight (kg)
Height (cm)
BMI (auto)
27.3
Overweight
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
Treatment Plan
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