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  • Sample Info Matrix

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    Jam Jam
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    This document appears to be a contact tracing form used to track an individual who has been diagnosed with an illness. It collects information such as the person's name, dates of diagnosis, hospitalization, quarantine, their movements including transportation used, locations visited, degree of contact with others, and address/contact information to contain the spread of the illness.

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    This document appears to be a contact tracing form used to track an individual who has been diagnosed with an illness. It collects information such as the person's name, dates of diagnosis, hospitalization, quarantine, their movements including transportation used, locations visited, degree of contact with others, and address/contact information to contain the spread of the illness.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    8 views1 page

    Sample Info Matrix

    Uploaded by

    Jam Jam
    This document appears to be a contact tracing form used to track an individual who has been diagnosed with an illness. It collects information such as the person's name, dates of diagnosis, hospitalization, quarantine, their movements including transportation used, locations visited, degree of contact with others, and address/contact information to contain the spread of the illness.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    NAME:

    DATE DIAGNOSED (W/SYMPTOMPS):


    DATE ADMITTED IN HOSPITAL:
    DATE QUARANTINED:

    PERSON
    MODE OF PLACES OF DEGREE OF CONTACT ADDRESS/CONTAC
    DATE TIME INTERACTED REMARKS
    TRANPORTATION ENGAGEMENT (HIGH/MODERATE/LOW) T NOS.
    WITH

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