Kardex.docx

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Name:

Age/Gender:

Chief Complaint: Admitting Date: DATE

Bed No.

Birthday:

Weight:

Admitting Diagnosis: MEDICATIONS

Date Started

Date Ended

DIET:

IVF

XRAY/UTZ:

LABORATORY:

OXYGEN Started

Ended

VITAL SIGNS TIME Temp BP CR URINE STOOL TIME Temp BP CR URINE STOOL TIME Temp BP CR URINE STOOL

Special Endorsement:

MONITORING SHEET Age:

NAME: Date / time

Temp

BP

CR

RR

O2 Sat

Others

Date / time

Bed No: Temp

BP

CR

RR

O2 Sat

Others

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