paperFormId = (Fill this in) headerColor =#009d8e fontOnHeaderColor = white
Paper Form ID: $paperFormId
Vitals Flowsheet (v1)
Date:
Location:
Provider:
Name:
Old Identification Number:
OpenMRS Identification Number:
Gender:
Birthdate:
(Age:
)
Birthplace:
Citizenship:
Civil Status:
Health Center:
Health District:
Mother's Name:
Race: