| Value | Category |
|---|---|
| 1 | Diarrhea (acute) |
| 2 | Diarrhea (chronic, 1 month or more) |
| 3 | Weight loss (major) |
| 4 | Fever (acute) |
| 5 | Fever (recurring) |
| 6 | Skin rash |
| 7 | Weakness |
| 8 | Severe headache |
| 9 | Fainting |
| 10 | Chills (feeling hot and cold) |
| 11 | Vomiting |
| 12 | Cough |
| 13 | Productive cough |
| 14 | Coughing blood |
| 15 | Pain on passing urine |
| 16 | Genital sores |
| 17 | Mental disorder |
| 18 | Abdominal pain |
| 19 | Sore throat |
| 20 | Difficulty breathing |
| 21 | Burn |
| 22 | Fracture |
| 23 | Wound |
| 24 | Child birth |
| 25 | Ameobeosis |
| 26 | Other (specify) |
| Sysmiss |