MED 75 /Pindean 12010 pes DISCHARGE NOTE HOSPITAL : HOSPITAL QUEEN ELIZABETH J 1. NAME pal, i 2. RN: 3. MRN: 4.1C NO : fie 5be- Hbowy zu ‘§. SEX 6. AGE 7. WARD mone iy mou. . | 8. DATE OF|ADMISSION 9. DATE OF DISCHARGE ~ alah “sth TORRALOAGNOSS | Infernal Ped Low (all Hy) “be tet 2. KAP - tA = 4 Kant block ot premnd Wee ~ . ie dre i wy pee Linea lin 11. NOTES FOR FOLLOW-UP, IF ANY (. Allow deaickorge woiner : 2». #0 Tal i. thoes! DY tl he a +t [We Fe 12, 3. qq rer Kk rgd» : Sifts Ho Deby as 9 co 12 of Medical Officer : oe ts ee Bai ix Fe Pogue) | Stamp = IRN : Encounter Number MRN : Medical Record Number ‘ a ‘Sila bawa bersama ‘Discharge-Note’ Semasa susulan rawatan Nota ini bukan untuk kegunaan Mahkamah