S. No. | QUESTIONS. | RESPONSE. |
1. | Do you have any chronic illness such as diabetes, cancer, kidney or heart disease | [1] Yes [2] No |
1.1 | If yes, which one? |
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2. | History of any illness during the current pregnancy: | [1] Yes [2] No |
2.1 | If yes, what type of disease/s? |
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