SOUTHWESTERNUNIVERSITY

MEDICAL CENTER
URGELLO STREET, CEBU CITY PHILIPPINES 6000

+63 32 4188410 to 14
 SOUTHWESTERNUNIVERSITY
MEDICAL CENTER
URGELLO STREET, CEBU CITY PHILIPPINES 6000

+63 32 4188410 to 14

KARDEX
DATE/TIME: MEDICATIONS DATE: TREATMENT/MANAGEMENT

DATE: TIME: LABORATORIES DATE: PARENTERAL FLUIDS/INFUSIONS/TRANSFUSIONS

Patient’s Name: __________________________ DATE:

Age:______________ Sex _______________ Diagnosis/ Impressions:

Attending Physician: ______________________

Co- managed by: _________________________

Date/Time admitted: _______________________

Room no: ____________ Religion:____________

Hospital No: __________ Date of Birth: ________ Chief Complaint(S):

Blood Type: ___________