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Kangaroo Mother Care Policy/Guidelines - Western Cape Government

Kangaroo Mother Care Policy/Guidelines - Western Cape Government

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tegion: Type of Tertiary MOU Clinic<br />

facility: Hospital<br />

4ame of Facility: ,Please . Secondary .. .Day Hospital<br />

tick /Regional<br />

Hospital<br />

ites: ... 1...1... to ... 1...1... Primary<br />

Other: (Please specify)<br />

1 Hospital ............................<br />

imissions:<br />

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TOTAL 2500g<br />

I I I<br />

TOTAL<br />

Do you have a KMC Ward YES NO<br />

I I I<br />

If “Yes”, how many beds does it have<br />

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COMPLETED BY: SIGN: TEL:<br />

. . .

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