Rabies Exposure Report

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7/23/2019 Rabies Exposure Report

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20____ RABIES EXPOSURE REPORT REPORTING ANIMAL BITE TREATMENT CENTER:

 ____________________________________ 

GENDER AGE BITING ANIMAL CATEGORY OF

EXPOSURE

POST EXPOSURE

  PROPHYLAXIS 

 Treatment

Ot!"me

 

REFERRALS#UARTER A$e

%&'

A$e

(&' D"$ CatOt)er

* TOTA

L

Cat&

Cat

IICat III

 T"ta+

CAT IIAND

CAT III

 TC, HRIG ERIG

C"m-+ete.

- t" .a/

C"nt1.

- t"

.a/ 2

Da/

0

"n+/

Da/

0

an..a/

3

Re4erre

. t"

"t)er

ABTC

 Tran*4er

re.

4r"m

"t)er

ABTC

HUMAN

RABIESCASE

PRE EXPOSURE

PROPHYLAXI5

M F TOTA

L

 TOTA

LSCHOOL

CHILDR

EN 

OTH

S

FIRST

2ND  22& 2'3 ''6 332 2&72 ''6 372 &807 3 ''6 0 '&83 6&& ''6 ''6 &0 &77 0 0 36

3RD 

6 TH 

ANNUAL

 TOTAL

  F"r !"+mn* n.er TC,9 HRIG ERIG; !"m-te 4"r t)e t"ta+ nm<er "4 -at=ent* >)" re!e=?e. PEP re$ar.+e** "4 t)e ."*e

PREPARED BY: __________________________________________ NOTED BY: ___________________________________________________ 

  DESIGNATION SUPER,ISOR