New Visit | ICD-11

Maternal and Child Health (MCH) Module

Consultation number

CESJUJM2606010 — Central Equatoria — Juba — Juba Military Hospital — 2026 June — automatic sequence

Surname / last name

First name

Age

Use Months for infants under 1 year (0–11).

Sex

Phone number

Boma

Emergency symptom screening

Check if any of these Public Health Emergency symptoms are present.

Sudden debilitating throbbing headache (unable to function) Sudden watery diarrhoea — white or bloody (think waterborne disease e.g. Cholera) Sudden paralysis — loss of function in any limb Acute history of trauma or accident with loss of consciousness Sudden difficulty breathing Unexplained bleeding from mouth, nose, eyes, or ears

If none apply, leave all unchecked and proceed with registration. Any checked symptom alerts the dashboard and opens the emergency screening page before triage.

Maternal and Child Health (MCH) Module

New Registration

Emergency symptom screening