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Patient details
Age
*
Sex *
Male
Female
Other
Residence *
Urban
Rural
Slum
Socioeconomic status
Upper
Middle
Lower
Vitals (Triage)
Temp (°F) *
HR (bpm) *
BP (mmHg) *
/
RR (/min) *
SpO2 (%)
AVPU
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Alert
Verbal (Drowsy)
Pain (Stupor)
Unresponsive
Known Case Of (Past History)
Diabetes
Hypertension
CKD (Kidney)
CLD (Liver)
Chronic Heart Disease
Chronic Lung Disease
Malignancy (Cancer)
Autoimmune Disease
Thyroid Disease
None / Healthy
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