Patient: - name: - first name, - keep family name - add father name - add grandfather name - Unique MRN Identifier - National ID - Address: - Region - Zone/subcity - Woreda (district) - Kebele (county) - Ketena (village) - House number - doB - estimated Age - gender (male, female) - marital status (not married, married, divorced, widowed) - level of education (no formal education, read and write, primary school, secondary school, higher education) - occupation (employed, unemployed, other (specify) - telephone number - communication consent - reminder messages - communication preferences (text, voice, email) - Alternate contact - name - phone - address - relationship
Patient:
name:
Unique MRN Identifier
National ID
Address:
doB
estimated Age
gender (male, female)
marital status (not married, married, divorced, widowed)
level of education (no formal education, read and write, primary school, secondary school, higher education)
occupation (employed, unemployed, other (specify)
telephone number
communication consent
reminder messages
communication preferences (text, voice, email)
Alternate contact