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BIMONTHLY TEST SUMMARY OF EARLY INFANT DIAGNOSIS (EID) AND VIRAL LOAD

 

 Form ID: {$FormID_editcontrol}

MONTH 1

MONTH 2

Please provide details (expiry dates, lot numbers & quantities) of any commodity that will expire within three months
Number of EID tests done (inclusive of controls) {$EID_month1_editcontrol} {$EID_month2_editcontrol}

DESCRIPTION

EXPIRY DATE

QUANTITY

Number of VL tests done (inclusive of controls)   {$VL_month1_editcontrol} {$VL_month2_editcontrol} {$ProductDesc1_editcontrol} {$ExpiryDate1_editcontrol} {$Qty1_editcontrol}
Equipment down time within the reporting period (in days).   {$DownTime_editcontrol} {$ProductDesc2_editcontrol} {$ExpiryDate2_editcontrol} {$Qty2_editcontrol}
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{BEGIN EID_month2_label}{END EID_month2_label}   
{BEGIN VL_month1_label}{END VL_month1_label}   
{BEGIN VL_month2_label}{END VL_month2_label}   
{BEGIN DownTime_label}{END DownTime_label}   
{BEGIN ProductDesc1_label}{END ProductDesc1_label}   
{BEGIN ProductDesc2_label}{END ProductDesc2_label}    
{BEGIN ExpiryDate1_label}{END ExpiryDate1_label}   
{BEGIN ExpiryDate2_label}{END ExpiryDate2_label}   
{BEGIN Qty1_label}{END Qty1_label}   
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{BEGIN FormID_label}{END FormID_label}   
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