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Don Mariano Marcos Memorial State University

South La Union Campus


COLLEGE OF COMMUNITY HEALTH AND ALLIED MEDICAL SCIENCES
Agoo, La Union
Embracing World Class Standards Tel. 072.682.0663/ichams.dmmmsu-sluc.com Care to Learn, Learn to Care.
NURSING DEPARTMENT
Care to learn, Learn to care

KARDEX
Name of Patient:_______________________ Age:_____ Sex: ______ C.S.:_____
Address:______________________________ Religion:_______ Service:______ Ward:______
Date Admitted:________________________ Admitting Diagnosis:_________________________
Admitted by:__________________________ Allergies:_____________________
Surgical Intervention:_____________________________ Date Discharged:_______________

Date Nursing Needs Date Nursing Intervention


Resolved
Identifie
d

Date Diagnostic Procedure Date Treatment/Management/Die


t

Date Intravenous/Blood Transfusions Date Special Endorsement


Consume
d

Date Medication Ordered Date Operation Schedule if Any

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