CONEL RURAL HEALTH UNIT

Purok 3, Brgy.Conel,General Santos City

Name___Patient “Rosalie”___________ Room/Ward _________________ DR ______NARCE______________

DATE 02/18/2021
NUMBER
OF DAY’S Day 1
HOUR OF
DAY A.M. P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. P.M. A.M. P.M.
OC 1 1 1 1 1 1 1 1 1 1 1 1 1 1
4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8 4 8
2 2 2 2 2 2 2 2 2 2 2 2 2 2

41

40

39

38

37

36

140

E
S 120
L
U
P 100

N
O
I 60 80
T
A
R
I
P 30 60
S
E
R20

10 40

BLOOD
PRESSURE 100/80mmHg
WEIGHT
URINE
STOOL