USAID
This document is a Specialised Food Product Prescription Form issued by the Ministry of Health, Community Development, Gender, Elderly and Children of the United Republic of Tanzania.
2016

Abstract
It is used to prescribe specialized food products for clients, including those with severe acute malnutrition (SAM) and moderate acute malnutrition (MAM). The form requires information about the client, age, sex, and the number of units prescribed per day, as well as the signature of the prescriber and dispenser.
Classification