Republic of the Philippines Department of Health Center for Health Development Davao Region SOUTHERN PHILIPPINES MEDICAL CENTER Davao City ~ SPMC-F-MRI-16A VITAL SIGNS RECORD Name: Ward: Room: HRN: - ———L 25 & é 8 _——| TEMPERATURE RESPIRATION 3:8 88 88 Effectiviy: October 7, 2013 Revision: O| Page 1of 1Reaubitc of the Philippines DEPARTMENT OF HEALTH Center for Health Development Davae Region SOUTHERN PHILIPPINES MEDICAL CENTER Davao City SPMC-F-MRI-163 24 HOURS INTAKE AND OUTPUT. Date: Health Record No, ay Wee me 1 NOTE T PTT Gra} ner tora | | ume i MeN | Ra | ew Tomes | torn Page 1 ofNURSE’S PROGRESS NOTES NAME: HRN: (Family Name) (First Name) (My WARD ROOM NO BED NO PHYSICIAN Date & FOCUS DATA-ACTION-RESPONSE / RESULT OR OUTCOME Time Note: NAME & SINGATURE of NOD must appear every shift