TB referral report form International
 
Nation  
Refer from
Department
 
Start :
End :
         
  • TB referral report
  • Forwarding report for TB infected persons
 TitleTotalBurmeseLaosCambodianChineseVietnameseThai
 1. Number of patients referred 23094134   2
     1.1 Gender        
           1.1.1 Male 1435885    
           1.1.2 Female 873649   2
     1.2 Age        
           1.2.1 0-14 514    
           1.2.2 15-19 844    
           1.2.3 20-24 221111    
           1.2.4 25-29 271710    
           1.2.5 30-34 21156    
           1.2.6 35-39 241113    
           1.2.7 40-44 15105    
           1.2.8 45-49 20119    
           1.2.9 50-54 17611    
           1.2.10 55-59 22318   1
           1.2.11 Age 60 and over 50643   1
 2. Number of accepted patients from the destination hospital 65 65    
 3. Number of patients tested for HIV 785620   2
 4. Number of forwarding patients with a sputum effect        
     4.1 Positive 503711   2
     4.2 Negative 24168    
     4.3 Not tested 431    
 5. The number of people with tuberculosis        
     5.1 pulmonary TB 19381111   1
     5.2 extrapulmonary TB 321319    
 6. Number of patients by tuberculosis type        
     6.1 DR-PTB 614   1
     6.2 DS-EP 321319    
     6.3 DS-PTB 19381111   1
 7. Hospital that accepts forwarding        
     7.1 Number of deliver 23094134   2
     7.2 Receiving number 65 65    


     
Forwarding report for TB infected persons

 NationalityReferReceiveDrug
 Total2306579
 Burmese94041
 Laos1346537
 Thai201

 Receive NameTotal
 Total65
 Bokeo,Hosp49
 Houayxay4
 Pak Tha2
 Pha Oudom2
 Tonpheung,Hosp8