Name: Mr.
O. I.
O. I.
Age: 42
years
years
Sex: Male
Address; No
10 Okenu Street in Aniocha South
10 Okenu Street in Aniocha South
L.G.A .: Aniocha
South
South
Religion: Christian
Tribe: Igbo
Nationality: Nigeria
Marital
Status: Married
Status: Married
Date: 20
/08/ 2014
/08/ 2014
Complain: Coughing
up blood.
up blood.
National Primary Health Care Development Agency
(JCHEW) Standing Other 2010 Edition
(JCHEW) Standing Other 2010 Edition
Section
Adult, page 298
Adult, page 298
|
Regimen
|
Patient Weight 65 kg
|
|
Intensive phase: daily supervised for 2 months combined tablet of RHZE
(150+ 75 mg +400 mg + 275 mg) |
5
|
|
Continuation phase: daily supervised for 4 months combined tablet of
RH(150 mg + 75 mg) |
5
|
Rank: JCHEW in Training
Signature: ___________________
Date: 20/08/ 2014