Atal Bihari Vajpayee Institute of Medical Sciences and

Dr Ram Manohar Lohia Hospital

Baba Kharak Singh Marg, New Delhi-110001
NURSING MEDICATION ADMINISTRATION RECORD

NAME OF PATIENT…………………………………………………………….…………AGE/SEX…………………………….CR NO……………………………………………………….………….……

WARD/UNIT……………..…………………..….………………..…..DIAGNOSIS…………………………………………………………………..……..………..…………………………………………….

VERIFIED BY
ADMINSTRATION RECORD BY NURSE

FREQUENCY
(DOCTOR)
DATE MEDICINE ROUTE DOSAGE
TIME TIME TIME
SIGN SIGN SIGN M E N
(M) (E) (N)

M = Morning, E= Evening, N = Night

OD= Once in a day/ BD= Twice in a day/ TDS = Thrice in a day / QID = Four times a day / SOS= Taken as required or used as needed