Literal question
830. Where is this? Is there another place?
RECORD ALL PLACES MENTIONED.
IF THE PLACE IS A HOSPITAL OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
PLACE NAME __________
PUBLIC SECTOR
HOSPITAL A
CEDAV (ANONYMOUS AND VOLUNTARY TESTING CENTER) B
OTHER PUBLIC (SPECIFY) __________ 16 G
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC 21 H
PRIVATE LAB 22 I
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26 J
OTHER (SPECIFY) __________ 96 X