INFECTION A
PAIN B
FEVER C
DIFFICULTY URINATING D
DIFFICULTY WITH SEX FOR FIRST TIME E
DIFFICULTY WITH MENSTRUATION F
SMALL VAGINAL ORIFICE H
ORIFICE CLOSED I
DIFFICULTY WITH DELIVERY J
HEMORRHAGE K
OTHER (SPECIFY)____ X

SEVERE PAIN AT WOUND A
BLEEDING B
INFECTION/FEVER C
DIFFICULTY IN PASSING URINE/ URINE RETENTION D
SWELLING/FAILURE TO HEAL E
SHOCK F
OTHER (SPECIFY) _________ X