Clinic Facilities frorm = Page §
30.
Ts there a device for measuring height?
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31.
Yes (please describe)
No
Other equipmenc (please list):
SUPPLIES
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Bandages
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48.
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Other family planning (please specify)
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47.
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Dressings
Splints
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IUDs
Adequate
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Condoms
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Oral contraceptives
FSF
Other (please spacify)
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Other (please specify)
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Inadeqwdce
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Other (please specify)
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Other family planning (please specify)
Skin ointments
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45.
Blood pressure medicine
ee
Diarrhea medicine
ee
35.
36.
37.
38.
39.
40.
41.
42.
43.
bu.
ee
Parasite medicine
ee
34.
ee
Antibiotics
cee
33.
ee,
Pain medicine
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32.
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None
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MEDICATION AND SUPPLIES