Admitting Order

Admit patient under the service of Doctor dela Cruz

Secure consent
Diet (identify appropriate 
diet for this patient)
Vital Signs monitoring 
IVF (choose which IVF is 
appropriate for the
patient; show solution in
computing the IVF rate)
Diagnostic Tests 
(identify diagnostics tests 
that you think are 
appropriate and 
necessary for the 
management of this case)

Screening tests




Medicines appropriate 
for this case. (e.g. 
amoxicillin 500 mg/tab 1 
tab TID) 

Monitoring (e.g. input 
and output, abdominal 
girth, red flag symptoms) 
Laboratory monitoring 
not included here. 
Other Interventions (e.g. 
NGT insertion, endoscopy, 
referral) 



Name and Signature of

Resident/Consultant/Clerk