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SOUTHERN LUZON STATE UNIVERSITY

COLLEGE OF ALLIED MEDICINE


LUCBAN, QUEZON

TREATMENT RECORD

NAME ________________________________________ WARD __________________________

DATE & MEDICATION TREATMENT DATE DATE DATE


TIME COPIED ORDERED SHOULD BE SHIFT SHIFT SHIFT
ORDERED SIGNED BY NURSE 6-2 2-10 10-6 6-2 2-10 10-6 6-2 2-10 10-6
SOUTHERN LUZON STATE UNIVERSITY
COLLEGE OF ALLIED MEDICINE
LUCBAN, QUEZON

TREATMENT RECORD

NAME ________________________________________ WARD __________________________

DATE & MEDICATION TREATMENT DATE DATE DATE


TIME COPIED ORDERED SHOULD BE SHIFT SHIFT SHIFT
ORDERED SIGNED BY NURSE 6-2 2-10 10-6 6-2 2-10 10-6 6-2 2-10 10-6

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