Patient Chart Summary Template

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John Knowles

Saúde e medicina Negócios

Room:____________Name:______________________

Code Status:_________ Allergies:_________________
DX: 8

Mental Status:
VS: 8A 12P 16
10
BS:Bfast Lunch: Din:

Neuro: 12

Resp:

Cardiac: 14

Mus/Skel:

GI / GU: 16

Skin:

Labs/Tests/Spec:
18
New Orders

========================================

Room:____________Name:______________________
Code Status:_________ Allergies:
8
DX:

Mental Status:
VS: 8A 12P 16 10
BS:Bfast Lunch: Din:
12
Neuro:

Resp:
14
Cardiac:

Mus/Skel
16
GI / GU

Skin:

Labs/Tests/Spec:
New Orders 18

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