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INTRAVENOUS/PARENTERAL FLUID SHEET

Name of Patient: S.L.T Ward/Room:


Address: Himamaylan City Age: 49 years old
Sex: Female Admission Date: January 31, 2023
Time
Time Bottle Type of Started Amount/ Consumed/
Date Remarks
Started No. Solution By Received By Discontinued
By
01/31/2023 4:00pm 2 PNSS KMC

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