Patient Kard.docx
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ENDORSEMENT SHEET WARD: ____________BED NO. _________________ PATIENTS NAME: ________________________________________________________ AGE: _____________ DATE OF ADMISSION: _____________________________________________________SEX:_____________ CHIEF COMPLAINT: _______________________________________________________WEIGHT__________ ADMITTING DIAGNOSIS: _____________________________________________________________________ IV FLUIDS
ORAL MEDS / NEBULIZATION
DIET
LABS
IV MEDICATIONS
X-RAY/ UTZ
VITAL SIGNS DATE SHIFT BP TEMP PR RR DATE SHIFT BP TEMP PR RR
REMARKS
INPUT / OUTPUT DATE SHIFT URINE VOMITING STOOL
ORAL MEDS / NEBULIZATION
DIET
LABS
IV MEDICATIONS
X-RAY/ UTZ
VITAL SIGNS DATE SHIFT BP TEMP PR RR DATE SHIFT BP TEMP PR RR
REMARKS
INPUT / OUTPUT DATE SHIFT URINE VOMITING STOOL
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