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COLEGIO SAN AGUSTIN BACOLOD

COLLEGE OF HEALTH AND ALLIED PROFESSIONS


NURSING PROGRAM
B.S. Aquino Drive, Bacolod City
Contact Number: (034) 434 – 24 71 Local 162
Email Address: csab.chap@gmail.com

Patient’s Name:
Age:
Sex:
Doctor:
Date of Admission:
Date of Discharge:
Chief Complaint:
Final Diagnosis:

DIET

HYGIENE

ACTIVITY

MEDICATION

COMMUNITY SUPPORT

SPIRITUAL

FINANCIAL RESOURCES

APPOINTMENT
Problem Levels of Care Health Teachings
Promotive/Preventive

Curative

Rehabilitative

Promotive/Preventive
Curative

Rehabilitative

.
Promotive/Preventive

Curative
Rehabilitative

References:

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