OBSTETRICAL REFERRAL FORM, French, A4 recto
                    STD
                    SMSTCARO08F
                
                Valid Article
                            Account code:
                            61220
                        
                        
                            HS Code:
                            480269
                        
                        
                            Last Updated on:
                            29/06/2025, 23:15:32
                        
                    
                Former
                    Code(s):
                     -X
                
            
            OBSTETRICAL REFERRAL FORM, French
Printable pdf file can be downloaded via the Documents button at the bottom of the page.
Definition
The Obstetrical Referral form in French 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