Twelve Patients Before Noon, One Field That Decides the Follow-Up
A small clinic running antenatal care for a rural catchment area sees patients who may not have a fixed address, may share a phone number with a household, and may have a name recorded differently across paper registers from previous visits. The clinical data — Gravida/Para status, EDD, current complaint — is useless if the patient can't be reliably identified across visits.
The patient image field and ID image field in this template exist because name-matching alone fails in exactly the contexts where this template is designed to be used.
Gravida/Para and EDD: The Obstetric Record in Three Fields
The Age Gravida Para field consolidates three pieces of obstetric history into a single text entry: the patient's age, her gravida count (total pregnancies), and her para count (deliveries past 20 weeks). A G3P2 patient aged 29 presenting at a rural clinic has a different risk profile than a G1P0 patient aged 17 — antenatal monitoring frequency, delivery planning, and complication screening differ significantly between them.
EDD (Estimated Due Date) is a date field — a specific calendar date, not a gestational age estimate in weeks. At a clinic running a morning antenatal session, filtering for EDD within the next four weeks produces the immediate follow-up list: patients approaching term who need delivery planning conversation, transport arrangement if the clinic doesn't conduct deliveries, and referral coordination if risk factors have emerged.
These three fields aren't the complete obstetric record. They're the intake screen — the minimum data set that allows a clinician to triage the morning queue and identify which appointments require extended time before the patient sits down.
The Notes Fields: First Contact and Return Visit Separation
Two Notes fields are structurally intentional. Notes captures the presenting complaint or clinical context at registration — "mild hypertension at 28 weeks, referred from CHC for closer monitoring" or "routine booking, no previous complications." Notes 2 accumulates observations from subsequent visits without overwriting the registration context.
In a paper-based system, this distinction collapses: notes from visit three get written over or beside notes from registration, and the original context is lost. In the Memento record, the registration notes remain fixed while Notes 2 grows — the clinical trajectory visible in the same record without requiring a separate file.
Photo Documentation at the Clinic Gate
Patient image and ID image are the two fields that solve the identification problem for clinics where formal identity documents are inconsistently held. A photo taken at first registration and stored against the patient record allows clinic staff to confirm identity on return visits even when the name spelling varies or the registration number isn't remembered by the patient. The ID image field captures whatever document the patient presents — national ID, health card, birth certificate — photographed and stored against the record without manual transcription of document numbers.
For a clinic seeing 40-60 patients per day across multiple conditions, the few seconds spent confirming a returning patient's identity from their photo prevents medication errors and duplicate records from names that share common phonetic variations in the local language.