GRAPHIC RECORD

SURNAME: M.I.: ________ AGE: 18 HOSPITAL NO.:200350

GIVEN NAME: P. K. SEX: MALE WARD/ROOM NO.: 107

DATE

No. of Days in
Hospital

7-3 3-11 11-7 7-3 3-11 11-7 7-3 3-11 11-7 7-3 3-11 11-7
R
PR T
R
9 1 5 9 1 5 9 1 5 9 1 5 9 1 5 9 1 5 9 1 5 9 1 5

42

41

160 40

150 39

140 38

130 37

120 36

110 35

100

90

50 80

40 70

30 60

20 50

10
SHIFT BP URINE STOOL BP URINE STOOL BP URINE STOOL BP URINE STOOL

7-3

3-11

11-7