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Room no. ______ Room no. ______ Room no. ______ Room no.

______

BP: BP: BP: BP:


HR: HR: HR: HR:
Temp: Temp: Temp: Temp:
02 Sat: 02 Sat: 02 Sat: 02 Sat:
RR: RR: RR: RR:

Intake: Intake: Intake: Intake:


Output: Output: Output: Output:
Urine: Urine: Urine: Urine:
BM: BM: BM: BM:
Flatus: Flatus: Flatus: Flatus:

Room no. ______ Room no. ______ Room no. ______ Room no. ______

BP: BP: BP: BP:


HR: HR: HR: HR:
Temp: Temp: Temp: Temp:
02 Sat: 02 Sat: 02 Sat: 02 Sat:
RR: RR: RR: RR:

Intake: Intake: Intake: Intake:


Output: Output: Output: Output:
Urine: Urine: Urine: Urine:
BM: BM: BM: BM:
Flatus: Flatus: Flatus: Flatus:

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