Literal question
207A) How much did the following treatment and services from (NAME)'s recent hospitalization cost?
Hospital fees alone without drugs, exams, etc ____
Drugs and other prescription products ____
Lab test not included in hospitalization bill ____
Medical imaging not included in hospitalization bill ____
Transportation ____
Other ____
TOTAL IN $USD. CONVERT TOTAL TO CONGOLESE FRANC AT THE RATE OF $1US EQUALS 900 CONGOLESE FRANCS
FOR EACH ITEM, USE THE CODES CORRESPONDING TO "FREE," "IN KIND," "LESS THAN ONE $," "DON'T KNOW" FROM 207 BASED ON THE SITUATION. IF "NO OBJECT" RECORD 99992 FOR THE ITEM.
CODES FROM 207
FREE 00000
IN KIND 99995
LESS THAN ONE $ 99996
DON'T KNOW 99998