Clinic Register

In Indonesia, every visit at the clinic level is recorded in an oversized clinic register. Information is collected in all clinic visitors in order to identify and record the kind of visit and to record remarks.

New Clinic Visitor
		Card Serial Number		Name		Address	Remarks
Date	No	New visit	Revisit	Acceptor	Spouse
1	2	3	4	5	6	7	69

In addition to this information, the following is recorded on the same lines in the register: method used by new users, contraceptive method switches, contraceptives dispensed, side effects, complications, and failures.

New Acceptor Method Used	FP Clinic/Hospital	IUD		8
		Pill		9
		Condom		10
		Vaginal Cream/Tablet		11
		Sterilization/M		12
		Sterilization/F		13
		Injectable		14
		Implant		15
	Mobile FP Team	IUD		16
		Pill		17
		Condom		18
		Vaginal Cream/Tablet		19
		Sterilization/M		20
		Sterilization/F		21
		Injectable		22
		Implant		23
Contraceptive method switches		IUD		24
		Sterilization/M		25
		Sterilization/F		26
Contraceptives dispensed Initial and Resupply	FP Clinic/Hospital	Pill		27
		Condom		28
		Vaginal Cream/Tablet		29
		Injectable		30
		Implant		31
	Mobile FP Team	Pill		32
		Condom		33
		Vaginal Cream/Tablet		34
		Injectable		35
		Implant		36
Counsel		Potential acceptor		37
		Old user		38
Side effects/complications	Sterilization female	Minor	A	39
			B	40
		Major	A	41
			B	42
	Sterilization male	Minor	A	43
			B	44
		Major	A	45
			B	46
	IUD	Minor	A	47
			B	48
		Major	A	49
			B	50
	Injectable	Minor	A	51
			B	52
		Major	A	53
			B	54
	Implant	Minor	A	55
			B	56
		Major	A	57
			B	58
Failure	Sterilization/M		A	59
			B	60
	Sterilization/F		A	61
			B	62
	IUD		A	63
			B	64
	Injectable		A	65
			B	66
	Implant		A	67
			B	68