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:::: Nursing Chart ::::

Name

Date :

Reg. No :
Time
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8

Age
T

SPO-2

DRUG

RTA

AM
AM
AM
AM
PM
PM
PM
PM
PM
PM
PM
PM
PM
PM
PM
PM
AM
AM
AM
AM
AM
AM
AM
AM
AM

Time
Urine
Stool
RTE/RT
A

Ward F-7

AG

URINE

ISOLYTP+D.25%
INJ.CALCIUM
GLUCONATE
INJ. 0.5 DNS
INJ. D 10%
1)INJ. PIPTAZ
2) INJ.
CEFRIAXONE
3) INJ.
FORTUM
4) INJ.
CLAVUM
5) INJ.
AMIKACIN
6) INJ.
METROGYL
7) INJ.
RANTAC
8) INJ. PCM

6 A.M.

6 P.M.

Total

Dose

Time

Remar
ks

I.V.F

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