Professional Documents
Culture Documents
Day of Month
Day of Month
Day of Month
Day of month
Day of
decease
Number of
days in
hospital
Weight
Temperatur
Respiratio
Pulse
n
Urine 7-3
times on 3-11
c.s. 11-7
Stool nos. 7-3
3-11
11-7
Name of Patient: h
Surname Given Name Middle Name
Age: Ward: h