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ROOM NUMBER: IC:

NAME: DATE:
Vital Signs INPUT Output
TIME BP HR RR T O2 IV PO NGT Hourly Cumulative UO BM Hourly Cumulative

TOTALS (4AM):
ROOM NUMBER: IC:
NAME: DATE:
Vital Signs INPUT Output
TIME BP HR RR T O2 IV PO NGT Hourly Cumulative UO BM Hourly Cumulative

TOTALS (4AM):

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