Day of Month

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Our Lady of Fatima General Hospital

Le Anne St., Brgy. Joselle, Shan Miguel City, Soriano Province

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

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