Su5mr i 2012-2026

1. Click ‘Get Form’ to open the su5mr i 2012 document in the editor.
2. Begin by filling out the Reporting Centre/District section, indicating whether it is a hospital or non-hospital death.
3. Complete the Date of form filled/Date of Interview field accurately to ensure proper record-keeping.
4. In Section 1, provide all patient details including Name, MyKid No, and Residence. Ensure you check the appropriate boxes for citizenship and ethnicity.
5. Proceed to Section 2 to enter parent details. Fill in both mother’s and father’s information including age, education level, and marital status.
6. For deaths under five years, complete Section 3 with specific details about the patient's death including date and cause of death.
7. If applicable, fill out Sections 5 and 6 regarding stillbirths and neonatal deaths. Provide comprehensive information on pregnancy details and any remedial factors.

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