Notifying health care provider’s details Name and surname: Designation: Mobile number: Health Care Facility: Contact number (landline): SANC/HPCSA number: Patient demographics Full name Hospital number Surname Age SA ID number Is patient pregnant? Gender Passport/other ID number Residential address Citizenship Patient contact number Sexual orientation Date of Alternative contact details Date of diagnosis Clinical symptoms relating to the condition Medical condition details Date of symptom onset Patient admission status Treatment given for condition
Notifying health care provider’s details Name and surname: Health Care Facility: Designation: Contact number (landline): Mobile number: SANC/HPCSA number: Patient demographics Full name Surname SA ID number Passport/other ID number Citizenship Date of Age Gender Sexual orientation Hospital number Is patient pregnant? Residential address Patient contact number Alternative contact details Medical condition details Date of symptom onset Date of diagnosis Patient admission status Clinical symptoms relating to the condition Treatment given for condition
SOP-for-standardization-of-antimicrobial-testing-for-Neisseria-gonorrhoeae.docx