Literal question
621) Where did you go?
Any other place?
PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE (S))_________________
PUBLIC SECTOR
MEDICAL COLLEGE HOSPITAL A
SPECIALIZED GOVT. HOSPITAL (SPECIFY)____________ B
DISTRICT HOP. C
MCWC D
UHC E
H AND FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASSIST. I
OTHER (SPECIFY) _____________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO DEP HOLDER M
NGO FIELD WORKER N
OTHER (SPECIFY) __________ O
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC P
QUALIFIED DOCTOR Q
UNQUALIFIED DOCTOR R
PHARMACY/DRUG STORE S
PRIVATE MED. COLLEGE HOSPITAL (SPECIFY) _________ T
OTHER (SPECIFY) _________ U
OTHER (SPECIFY) X