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indian council of medical research - Pondicherry University DSpace ...

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School children -Girl Child S. A Form 2 Morbidity Survey (contd. )<br />

9 BCG Scar Present \ Absent<br />

10 Neck<br />

N \ Abii<br />

If abn spectty<br />

goitre \ edenttls \stnus \<br />

11 CVS<br />

N \ Pbn<br />

If abn spectfy<br />

RHD \CHD \others<br />

12 Congen~tal malform Absent \ Present If present spec~ty<br />

13 Lameness Absenl \ Present<br />

14 Fiesplratory Systern N \ Abn If Abn npacib<br />

URI \ LRI \ Slnusttlr \ Asthma \ Tonsllit~a<br />

15 Abdomen N \ Abn If Abn speclty<br />

splenornegaiy\<br />

hepatornegaly \<br />

16 Generaltsed lyrnphadenopathyAbsent\ Present<br />

17 Extn. Gen~lalla N \ Abn If Abn specify<br />

( By hlstory )<br />

78 Brsaar N \ Abn If Abn =pacify<br />

19 Menustrual hlstory<br />

Age <strong>of</strong> Menarche<br />

Periods<br />

Dysrnenhortea<br />

Menustrual Flow<br />

years<br />

Regular \ Irregular<br />

Absent \ Present<br />

Normal \ Abnormal<br />

20 Vaginal discharge Absent \ Present<br />

IV<br />

Additional lntormatlon Obtalned From:<br />

2. PHC :-<br />

3. Peers:.

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