Scribd
Upload
1K views

Dengue Case Report Format

This document provides a format for hospitals and pathology laboratories to report suspected dengue patients. It includes fields to record the patient's name, age, address of the reporting facility, contact details, date lab tests were done, results of tests for dengue, whether positive samples were sent to the sentinel surveillance center at YCMH, and any additional remarks.

Uploaded by

Mayank Malik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
1K views

Dengue Case Report Format

This document provides a format for hospitals and pathology laboratories to report suspected dengue patients. It includes fields to record the patient's name, age, address of the reporting facility, contact details, date lab tests were done, results of tests for dengue, whether positive samples were sent to the sentinel surveillance center at YCMH, and any additional remarks.

Uploaded by

Mayank Malik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
You are on page 1/ 1

Format for Reporting the Suspected Dengue Patients

Name of Reporting Hospital / Pathology Laboratory

Whether Sample
Date of Lab
Sr. Complete Address with Contact Name of Lab Tests Result of the Sent to Sentinel
Name of Patient Age Tests Declared If Yes- Date Remarks
No. No. Done For Dengue Dengue Test Surveillance Center,
Positive
YCMH

You might also like