patient sheet no greys.cdr

Room:
Name:
MRN:
DOB:
Problem List:
Admt:
Age:
Meds:
1
CC:
HPI:
2
3
4
5
PMH:
Home Meds:
6
7
PSH:
8
All:
ROS:
9
FH:
SocH:
EtOH
Tobco
Drugs
pack/year
Quit?
ago
Copyright Mohammed S. Alo www.TheAlo.com
BP:
Tm:
Tc:
P:
R:
Sat:
I/O:
BP:
Tm:
Tc:
P:
R:
Sat:
I/O:
BP:
Tm:
Tc:
P:
R:
Sat:
I/O:
BP:
Tm:
Tc:
P:
R:
Sat:
I/O:
Imaging:
INR
PT
Ca TP
PO4 Alb
PTT
AST
LDH
ALT
AP
Bili
INR
PT
Ca TP
PO4 Alb
PTT
AST
LDH
ALT
AP
Bili
INR
PT
Ca TP
PO4 Alb
PTT
AST
LDH
ALT
AP
Bili
INR
PT
Ca TP
PO4 Alb
To do
PTT
AST
LDH
ALT
AP
Reflex
Motor
Bili
BP:
Tm:
Tc:
P:
R:
Sat:
I/O:
BP:
Tm:
Tc:
P:
R:
Sat:
I/O:
INR
PT
Ca TP
PO4 Alb
PTT
AST
LDH
ALT
AP
Bili
INR
PT
Ca TP
PO4 Alb
PTT
AST
LDH
ALT
AP
Bili
Copyright Mohammed S. Alo www.TheAlo.com