330. Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
(NAME OF PLACE) ______
RECORD ALL PLACES MENTIONED.
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH HOSPITAL B
AGENT DBC C
OTHER PUBLIC (SPECIFY)_____ D
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC E
PHARMACY F
PRIVATE DOCTOR G
ARBEF CLINIC H
INFIRMARY I
OTHER PRIVATE MEDICAL (SPECIFY) ____ J
OTHER SOURCE
SHOP K
CHURCH L
PARENTS/FRIEND M
OTHER (SPECIFY) _____ X