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WHITE TENT VS

CAROLINA LVN,WSOC NOTES:


NAME DOB: NAME DOB:

Bp: HR: RR: TEMP: 02: Bp: HR: RR: TEMP: 02:

EXPOSED EXPOSED
OTC MEDS OTC MEDS
TRAVEL TRAVEL
SS
SOB: SS
SOB:
HX: HX:
SYMPTOMS : SYMPTOMS :

NAME DOB: NAME DOB:


Bp: HR: RR: TEMP: 02: Bp: HR: RR: TEMP: 02:

EXPOSED EXPOSED
OTC MEDS OTC MEDS
TRAVEL TRAVEL
SS
SOB: SS
SOB:
HX: HX:
SYMPTOMS : SYMPTOMS :

NAME DOB: NAME DOB:

Bp: HR: RR: TEMP: 02:


Bp: HR: RR: TEMP: 02:
EXPOSED
OTC MEDS EXPOSED
TRAVEL OTC MEDS
SS
SOB: TRAVEL
HX: SS
SOB:
SYMPTOMS : HX:
SYMPTOMS :

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