PPS Data Collection Form

Hospital Chapter

No. Patient InitialType of patie Sex (M/F) Weight (kg.) Date of birth Date admitte Date dischar
533170 J.K.M old M 7.9kg 1/21/2019 1/23/2020 1/27/2020
211314 G.S.A old M 77kg 5/6/2009 1/22/2020 1/26/2020
188176 G.T.G old M 49.5kg 11/5/2008 1/22/2020 1/25/2020
234920 A.F.S. old M 37.1 6/26/2010 1/22/2020 1/29/2020
79092 L.O old F 51kg 1/31/1999 1/22/2020 1/23/2020
540362 S.M.M new F 16.4kg 4/21/2013 1/22/2020 1/24/2020
535253 Z.S.L. old M 4,850g 11/16/2019 1/22/2020 1/30/2020
540371 K.C.K new M 22.5kg 10/14/2012 1/22/2020 1/24/2020
540318 K.N.E. new M 19kg 10/24/2010 1/22/2020 1/27/2020
207656 E.G.B. old F 35.5kg 2/4/1996 1/23/2020
540556 Z.B. new F 10kg 2/26/2018 1/24/2020 1/28/2020
411275 Y.A.L. new F 35kg 2/5/2010 1/24/2020 1/29/2020
500570 A.Y.U. old M 10.9kg 5/17/2018 1/24/2020 1/30/2020
529353 C.R.U. old Male 19 10/13/2012 1/25/2020 1/29/2020
518112 M.N.M. old Male 19.3 1/4/2015 1/25/2020 1/30/2020
479488 F.D.N. old Female 9.3 2/5/2018 1/25/2020 1/29/2020
540632 B.G.S. new Female 19.1 1/1/2017 1/25/2020 2/20/2020
540641 K.G.G. new Male 8.4 1/30/2017 1/26/2020 1/29/2020
363438 A.P.A. old Male 24.5 4/24/2009 1/26/2020 1/30/2020
418385 J.N.J. old Male 16.5 3/26/2016 1/26/2020 2/1/2020
495419 C.P.O. new Female 11/27/2014 1/27/2020 2/3/2020
540696 C.A.S. new Female 24 4/8/2014 1/27/2020 2/1/2020
264455 K.G.D. old Male 49.7 9/18/2004 1/27/2020 1/31/1930
252093 A.B.E. old Male 59 10/14/2004 1/27/2020 1/31/2020
522674 K.A.S. old Female 7.7 6/25/2019 1/27/2020 2/5/2020
Column1 Column2 Column3 Column4 Column5 Column6 Column7 Column8
540818 B.N.C New Male 26kg 06/25/2015 01/29/2020 1/2/2020
C.Y New Female 32.5kg 8/8/2009 01/28/2020
540680 R.A.N New Male 13.6kg 10/20/2018 01/28/202001/30/2020
322180 L.C.G New Male 25kg 12/29/2012 01/29/2020 01/30/2020
535949 Y.E.S New Female 11.3kg 10/4/2017 01/28/2020 2/2/2020
540917 P.C.V New Male 9kg 05/29/2019 01/29/2020 3/2/2020
250315 Y.LC. Old Male 33.2kg 2/6/2009 01/30/2020
541015 C.C.M New Male 20kg 11/14/2012 01/31/2020 1/2/2020
415158 D.C.A Old Female 34.4kg 01/26/2019 01/31/2020 3/2/2020
541053 L.V.G New Female 9.5kg 11/10/2017 01/30/2020 4/2/2020
504511 V.K.Y Old Male 19kg 09/22/2017 01/31/2020 3/2/2020
M.A.C Male 6.5kg 2/8/2019 01/31/2020
540933 G.C.T New Male 98kg 03/19/2004 01/31/2020 4/2/2020
541130 F.A.B New Female 7.5Kg 5/5/2019 01/31/2020 2/2/2020
541057 M.J.B New Female 42.5kg 1/10/2013 01/31/2020 5/2/2020
467127 P.S.S Old Female 1kg 09/13/2017 1/2/2020 3/2/2020
527822 C.N.B Old Male 20kg 10/12/2012 01/31/2020 3/2/2020
 Month/Yr No.of Discharges

Outcome (DisPrimary diagnoICD No. Secondary DiaICD No.

improved Acute GastroenA09.0, E86.1 Cleft Palate, u Q35.9
improved Acute TonsillophJ06.8 chronic maxillaJ32.0
recovered Dengue with wA97.1
improved Dengue SevereA97.3
improved down syndromQ90.9
improved Diffuse ErosiveK29.1
improved urinary tract i N39.0
improved fracture distal S52.7
improved Dengue fever wA97.1

improved Epilepsy G40.9

improved infective endocI38 dengue severeA97.3
improved imfectious diarA09.0, E86.1
discharged pediatric com JIE.92
discharged pediatric com JIE.92 Acute LymphobC91.0
discharged pediatric com JIE.92
discharged Acute GastroenA09.0, E86.1 Urinary Tract I N39.0
discharged Acute GastroenA09.0, E86.1
discharged pediatric com JIE.92 Myositis; NephM60.9; N04.9
discharged Dengue with wA97.1
discharged Impetigo, Non-A49.0
discharged Mucocutaneous M30.3
discharged Dengue fever wA97.0
discharged Dengue fever wA97.0
discharged Dengue fever wA97.1 pediatric com JIE.92
Column9 Column10 Column11 Column12 Column13 Column14 Column15 Column152
DischargedAcute Nephretic N00.9 Hypertension, S 10.1 PediatricCommJ18.92

Discharged Acute GastroenA09.9, E86.1

DischargedDengue with WarA97.1
Discharged AgranulocytosiD70 Bacterial Infec A49.9
Discharged Pediatric com J18.92

Discharged Influenza with J11.1 Acute BronchitJ20.9

Discharged Pediatric commJ18.92
Discharged Congenital AbsQ42.3 Congenital RectQ52.2
Discharged Acute GastroenA09.9, E86.1

Discharged Dengue With W A97.1

Discharged Acute GastroenA09.9, E86.1
Discharged Tibia Varus Left Osteochondroma Left Proximal Tibia
Discharged Pediatric com J18.92
Discharged Acute LymphobC91.0
Column16 Column17