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Daily Round Checklist

Bed No. Name No of Day Assessment Pending Remarks, If any


of Stay
Lines Catheter Skin Hygiene On Device Medicine Status Investigation Pending Reports Pending
ICU 1

1001

1002

1003

1004

1005

1006

1007

1008
ICU 2

1009

1010

1011

1012

1013

1014

1015

1016
ICU 3

1017

1018

1019

1020

1021

1022

1023

1024

1025

1026
ICU 6

1048

1049

1050

1051

1052

1053

ICU 7

1054

1055

1056

1057

1058

1059

1060

1061

1062

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