String
|
Linea di divisione
|
1
|
|
0
|
|
|
|
|
Tetanus Toxoid for pregnant women
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
2
|
vd1
|
0
|
|
|
|
|
1st Dose
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
3
|
vd2
|
0
|
|
|
|
|
2nd Dose
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
4
|
vd3
|
0
|
|
|
|
|
3rd Dose
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
5
|
vd4
|
0
|
|
|
|
|
4th Dose
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
6
|
vd1
|
1
|
|
|
|
|
5th Dose
|
|
|
|
|
|
| | | |
String
|
Linea di divisione
|
7
|
|
0
|
|
|
|
|
For Trauma
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
8
|
vd2
|
1
|
|
|
|
|
Tetanus Toxoid for Trauma
|
|
|
|
|
|
| | | |
String
|
Linea di divisione
|
9
|
|
0
|
|
|
|
|
HPV
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
10
|
vd3
|
1
|
|
|
|
|
First dose
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
11
|
vd4
|
1
|
|
|
|
|
Second dose
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
12
|
vd1
|
2
|
|
|
|
|
Third dose
|
|
|
|
|
|
| | | |
String
|
Text box
|
13
|
vt1
|
0
|
|
|
|
|
HPV Vaccine manufacturer
|
|
|
|
|
|
| | | |
String
|
Text box
|
14
|
vt2
|
0
|
|
|
|
|
HPV Vaccine Lot number
|
|
|
|
|
|
| | | |
Datetime
|
Date Picker
|
15
|
vd2
|
2
|
|
|
|
|
HPV Vaccine Expiration date
|
|
|
|
|
|
| | | |