= Post, Fafem fier ve
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ADUATE INSTITUTE oF ea J proc LK
MEDICAL | EDUCATION at Hi
o CHANDIGARH AND RESEARC!
9 8Nd Treatment
ITIL LL [,
Page No,
Name... il Weight, cose ‘
fae RL, TUNG. i
CR No. & . A909 Sox. .uE Dn
Date... Bed Noes. es vs ‘Ward No. Ely
(53
Oral Dy Nurse’s Remarks
aed Dr's Sig. 0-60 > 25%
+ UNPUSION HEPoRLY . eeu 0-90 > BED
; Sod03U. Golos Iv yo-140 > =
: L yo- 180) 20
“i feeoty 190-220: 42
L
@ 2onithg. We ea -30 » O
ej -dornbeg ori} @ al thou “ee 310 1100
@
5
Diet and External Treatment
= Nbo 6hee
— Puc chae J“
— PRemeD UP, Or BY vm, vo
— CHET ALIAB Ohynetse CRY _ ile
~ STEP INMDLATEN OH — vITRES Q4y
— BOMLINCEN Tee FPIRemerny G2 h = ERs ae Le
- Urb @ CLrewy , Vie
Date. I6lu Nurse's Remarks
{ Injection/Blood Dr's Sig.
ye Components rene
(NT CEFUR IME St} det lope
4 Iv np
aan ”
INS femronte rac |, A-Ho
INT POND Le Te BD] Yin II
UNS &€s€T (8) se TRE we 4-fo
Ww
(NT TRAM DML LW hy 4-725 Ape
NB. : Nursing Officer will initial the time when injection and medicine are seminool
Deedes