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Name of Pt.

Age & Sex


Diagnosis Room & Bed No.
DAVAO ORIENTAL STATE UNIVERSITY – FDAR PRACTICE FORM

NURSES NOTES AND TREATMENT RECORD


Date/Time Focus Progress Notes

***This document is for educational purposes only***

Name of Pt. Age & Sex


Diagnosis Room & Bed No.
LEARNING FEEDBACK DIARY
LFD No.: Date:
Name:

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