REDOBLE MEDICAL CLINIC Temperature and Pulse Respiration record Family name Day of month Day of hospital Day of illness R P Temp P
First name
A.M
C
4 2
160 10 6
41 140
10 4
39
120
38 37
100
10 2
36
60
50
80
40
60
10 0
98
30
20
10
40
36
36
B
Systolic
P
Diastolic Weight
7- 3 3 -11 11- 7 7- 3 3 -11 11- 7
P.M
A.M
Middle
P.M
A.M
Attending Physician
P.M
A.M
P.M
A.M
Room no.
P.M
A.M
P.M
Bed No.
A.M
P.M
Urine Stool
7 -3 3 -11 11 -7 7 -3 3 -11 11- 7