QUARTERLY FACILITY TUBERCULOSIS REPORT

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1.PRESUMPTIVE TUBERCULOSIS CASES REGISTERED DURING THE QUARTER (from Presumptive Tuberculosis Registered)

Number Identified	Number with Sputum sent to Laboratory	Number with Diagnostic laboratory test result	Number with positive Sputum test result	Number with HIV positive test result	Number with HIV+ result
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*Sputum smear microscopy or rapid molecular test

2. TB CASES REGISTERED DURING THE QUARTER (from Facility Tuberculosis Registered)

Pulmonary TB: bacterialogically confirmed		Pulmonary TB: clinically diagnosed		Extrapulmonary TB: bacterialogically confirmed or clinically diagnosed		Total	Pulmonary TB cases aged >=5 years	Pulmonary TB cases aged >=5 years without diagnostic test result
New	All previous treated	New	All previous treated	New	All previous treated
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3. TB-HIV CASES REGISTERED DURING THE QUARTER (from Facility Tuberculosis Registered)

Number of TB patients registered	Number of TB patients with HIV test result	Number of TB patients with HIV+ result	Number of TB patients with HIV+ result on CPT*	Number of TB patients with HIV+ result on ART*
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*CPT = Cotrimoxazole preventive therapy, ART = antiretrovoral treatment

4. DIRECTLY OBSERVED TREATMENT (DOT, from Facility Tuberculosis Registered)

Number of TB patients registered	Number on health facility-based DOT	Number on community-based DOT/DOT by trained family member	Number not on DOT
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5. TREATMENT OUTCOMES REGISTERED DURING THE QUARTER ENDING 12 MONTHS BEFORE (DOT, from Facility Tuberculosis Registered)

Number registered(all TB cases)	Cured + treatment completed (treatment success)	Failure	Moved to MDR-TB treatment	Died	Lost to follow-up	Transfered out	Not evaluated
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6. PATINTS REGISTERED DURING THE QUARTER TESTED FOR RIFAMPICIN RESISTANCE(from Facility Tuberculosis Registered)

Number of previously treated TB cases registered	Number of previously treated TB cases with specimen sent to laboratory for rifampicin resistance test	Number of previously treated TB cases with specimen sent to laboratory with result	Number of previously treated TB cases with rifampicin resistance among those with resistance result
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7. SUMMARY OF DRUGS STOCK STATUS (from stock cards)

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Drug	Quantity(tablets)	Mounths of stock	Expiry date	Comment
{{ $items['medicine_name'] }}	{{ $items['quantity'] }}	{{ date('m') }}	{{ $items['expr_date'] }}	{{ __('------') }}