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TEMPERATURE, PULSE AND RESPIRATION RECORD

Name:______________________________________________ Hospital No.:_________________________


Date
No. of Days 1 2 3 4 5 6 7

TEMPERATURE
RESPIRATION

PULSE

Time

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41 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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39 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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160 38 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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37 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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140 36 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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35 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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120 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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60 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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50 100 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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40 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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30 80 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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20 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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10 60 -------------- ------------- ------------- ------------- ------------- ------------- -------------
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WEIGHT
7-3
URINE 3-11
11-7

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