PAMANTASAN NG LUNGSOD NG PASIG

Alcalde Jose St., Kapasigan, Pasig City

COLLEGE OF NURSING

_______________________ _______________________
Patient: Patient:
Case: Case:
VS: I&O : HGT: VS: I&O : HGT:
8 AM 12 PM Meds: 8 AM 12 PM Meds:
Temp: Temp: Temp: Temp:
BP: BP: BP: BP:
PR: PR: PR: PR:
RR: RR: RR: RR:
O2Sat: O2Sat: O2Sat: O2Sat:
UO: UO: UO: UO:
BM: BM: BM: BM:
Intake: Intake: Intake: Intake:

_______________________ _______________________
Patient: Patient:
Case: Case:
VS: I&O : HGT: VS: I&O : HGT:
8 AM 12 PM Meds: 8 AM 12 PM Meds:
Temp: Temp: Temp: Temp:
BP: BP: BP: BP:
PR: PR: PR: PR:
RR: RR: RR: RR:
O2Sat: O2Sat: O2Sat: O2Sat:
UO: UO: UO: UO:
BM: BM: BM: BM:
Intake: Intake: Intake: Intake:

_______________________ _______________________
Patient: Patient:
Case: Case:
VS: I&O : HGT: VS: I&O : HGT:
8 AM 12 PM Meds: 8 AM 12 PM Meds:
Temp: Temp: Temp: Temp:
BP: BP: BP: BP:
PR: PR: PR: PR:
RR: RR: RR: RR:
O2Sat: O2Sat: O2Sat: O2Sat:
UO: UO: UO: UO:
BM: BM: BM: BM:
Intake: Intake: Intake: Intake:

REMARKS:
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