10 | BCG mark | Present = 1 Absent = 2 | □ |
11 | Lymph node | Enlarged = 1 Not enlarged = 2 | □ |
12 | If lymph node enlarged | Cervical = 1 Axillary = 2 Inguinal = 3 Others = 4 | □ |
13 | Hepatomegaly | Present = 1 Absent = 2 | □ |
14 | Splenomegaly | Present = 1 Absent = 2 | □ |
15 | Serositis | Present = 1 Absent = 2 | □ |
16 | Slit lamp examination and findings | Yes = 1 No = 2 | □ |