HIV referral report form International
 
Nation  
Refer from
Department
 
Start :
End :
         
  • HIV referral report
  • Forwarding report for HIV infected persons
 TitleTotalBurmeseLaosCambodianChineseVietnameseThai
 1. Number of patients referred 36131830111 1
     1.1 Gender        
           1.1.1 Male 156140106   
           1.1.2 Female 2051782051 1
     1.2 Age        
           1.2.1 0-20 1816 2   
           1.2.2 21-40 2141832371  
           1.2.3 41-60 12311462  1
           1.2.4 Age 61 and over 651    
 2. Number of accepted patients from the destination hospital 1481416 1  
 3. Number of cases HIV with TB transmitted 13121    
 4. Number of people screened for tuberculosis 177150206  1
 5. Hospital that accepts forwarding        
     5.1 Number of deliver 36131830111 1
     5.2 Receiving number 1481416 1  


     
Forwarding report for HIV infected persons

 NationReferReceiveScreen TB
 Total361148177
 Burmese318141150
 Cambodian1106
 Chinese110
 Laos30620
 Thai101

 Receive NameTotal
 Total148
 Bokeo Hospital4
 Savannakhet Hospital2
 Tachileik142