A checklist is provided for diagnosing a patient with COVID-19. It includes collecting information like the patient's name, age, address and symptoms. Key items on the checklist are checking if the patient has a fever over 101 degrees Fahrenheit, a dry cough, difficulty breathing, contact with infected individuals or relevant travel history. Medical tests referenced include specific COVID-19 testing, chest X-rays, bloodwork to check white blood cell count, C-reactive protein and D-dimer levels.

1. Checklist COVID – 19 Diagnosis
Patient Information:
Name: Age/Sex:
UHID NO.: IP / OP NO.:
Date of Birth: Nationality:
Address: ____________________________________________________________________________________
____________________________________________________________________________________________
Pin Code: __________________________________ State: __________________________________________
Signature Name Date Time
Sl No Checklist Yes No Remarks
1 Any patient with unexplained Hypoxia
2 Travel History
3 Any history of contact with infected / suspected patient
4 Fever more than 101o
F Current Temp
…….
5 Dry cough with upper respiratory tract infection
6 Breathlessness
7 Body Ache
8 Diarrhea abdominal discomfort
9 Investigation specific for Covid -19
10 X-Ray chest Any patch
Pleural
12 Leucopenia
13 CRP increase twice
14 D-dimer raised (more than 3)
15 Procalcitonin Normal Increase Decrease