St.

Paul University Philippines Tuguegarao

City, Cagayan

Bachelor of Science in Nursing - 2

College of Nursing
DUMMY CHART

Name of Patient Mrs.M Case Number

Age 27 Physician
Birthdate Diagnosis
Date Admitted Room Number

VS MONITORING SHEET

Date Time BP T PR RR SpO2 Input Output Remarks

4/27/2022. 6:30 pm. 124/80. 36.8. 94. 23

mmHg. C. bpm. cpm

 St. Paul University Philippines Tuguegarao
City, Cagayan

Bachelor of Science in Nursing - 2

College of Nursing
DUMMY CHART

Name of Patient Case Number

Age Physician
Birthdate Diagnosis
Date Admitted Room Number

VS MONITORING SHEET

Date Time BP T PR RR SpO2 Input Output Remarks

 St. Paul University Philippines Tuguegarao
City, Cagayan

Bachelor of Science in Nursing - 2

College of Nursing
DUMMY CHART

Name of Patient Case Number

Age Physician
Birthdate Diagnosis
Date Admitted Room Number

VS MONITORING SHEET

Date Time BP T PR RR SpO2 Input Output Remarks