Lumber Puncture Sticker:

Patient name:

DOB:

Hospital Number:

Indication for LP: Maximum CRP value:

Consent obtained: ☐ Blood glucose:

Aseptic technique: ☐ Number of attempts:

LP outcome:

Clinician name and designation: Clinician Signature:

Date and time:

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CSF results:

Results discussed with parents: ☐

Clinician Signature: Date and time