OBSTETRICAL REFERRAL FORM, English, A4 recto

STD SMSTCARO08E

Valid Article

Former Code(s): -X
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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OBSTETRICAL REFERRAL FORM, English

Printable pdf file can be downloaded in above Documents paragraph.

Definition

The Obstetrical Referral form in English provides information on obstetrical history and examination, treatment before or during referral, performed procedures and diagnosis at exit for referring the patient to another facility (BEmONC* or CEmONC**)

*BEmONC basic emergency obstetric and newborn care

**CEmONC comprehensive emergency obstetric and newborn care

Specifications

  • A4 recto
  • White paper, 160 g/m²
  • Black and white printing