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  • Referral System Form: Province of Isabela Municipality of Echague Salvacion Health Station

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    HMO isshi
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    This document appears to be a referral form from the Salvacion Health Station in Echague, Isabela province. It collects a patient's name, age, gender, chief complaint, vital signs, date consulted, diagnosis, and treatment given to track patient referrals from the health station to higher levels of care.

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    Original Title

    REFERRAL FORM SALVACION

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    This document appears to be a referral form from the Salvacion Health Station in Echague, Isabela province. It collects a patient's name, age, gender, chief complaint, vital signs, date consulted, diagnosis, and treatment given to track patient referrals from the health station to higher levels of care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views1 page

    Referral System Form: Province of Isabela Municipality of Echague Salvacion Health Station

    Uploaded by

    HMO isshi
    This document appears to be a referral form from the Salvacion Health Station in Echague, Isabela province. It collects a patient's name, age, gender, chief complaint, vital signs, date consulted, diagnosis, and treatment given to track patient referrals from the health station to higher levels of care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Province of Isabela

    MUNICIPALITY OF ECHAGUE

    SALVACION HEALTH STATION

    REFERRAL SYSTEM FORM

    DATE OF NAME AGE GENDE CHIEF COMPLAINT AND DATE DIAGNOSIS TREATMENT
    REFERRAL R VITAL SIGNS CONSULTED GIVEN

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