No. 19, Pillaiyar Koil St., DHANYA (0 neoicat ae 45/7 CENTER Vellore - 1 pen IRON REALTY CNR Cell : 98943 99326. PATIENT NAME bevevnsnnnnstem AGE: SEX : M/F HOSPITAL No DATE: ‘S.No. DETAILS AVAILABLE NOT AVAILABLE 1 CHECKLIST 2 DISCHARGE SUMMARY 3 INITIAL DOCTOR ASSESSMENT 4 DOCTORS ORDERS/ INVESTIGATION CHART NURSING ASSESSMENT PRE ANESTHESIA CHECK UP PRE OPERATIVE ANEASTHESIA CHECK LIST SURGERY CONSENT ANESTHESIA CONSENT TEAM TIME OUT PROCESS ANESTHESIA RECORD OPERATION NOTES PROGRESS NOTES: BLOOD TRANSFUSION CONSENT BLOOD TRANSFUSION REACTION FORM POST OPERATIVE CHECKLIST DRUG CHART NURSES NOTES GRBS CHART CLINICAL CHART INTAKE / OUT PUT CHART ‘TPR CHART GENERAL / TREARTMENT CONSENT LAB REPORTS SIGNATURE OF THE MRD.