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guidelines for the integrated management of severe acute malnutrition

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ACF-In Guidelines <strong>for</strong> <strong>the</strong> <strong>integrated</strong> <strong>management</strong> <strong>of</strong> SAM Annexes 160<br />

Admission<br />

Taille<br />

Oedèmes<br />

(cm) P/T% (0,1,2,3)<br />

Admissions<br />

Sexe<br />

(F/M)<br />

PB<br />

(mm) Diagnostic Date<br />

Poids<br />

(kg.g)<br />

Age<br />

Adresse (préciser secteur-block-no de tente)<br />

No d'enreg No Unique de MAS<br />

Nom de l'enfant Nom des parents<br />

No<br />

d'ordre<br />

Date<br />

Si transfert de<br />

Type d'admission<br />

Annexe 7: Registration book OTP /TFC (French & English)<br />

Nom du<br />

Creni/SNT/<br />

Pédiatrie<br />

Nom du<br />

Crenas/CSI<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

17

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