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Endorsement Sheet

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UPH- Dr JOSE G.

TAMAYO MEDICAL UNIVERSITY


Sto. Niño Biñan, Laguna

College of Nursing
NCM105

ENDORSEMENT SHEET
TOTAL CENSUS: _______________________ ENDORSED BY: _____________________
SHIFT: _________________________ ENDORSED TO:_____________________
DATE: _________________________ AREA: ______________________

ROOM # PATIENT'S NAME ATTENDING PHYSICIAN DIAGNOSIS DIET IV FLUIDS Special Instructions

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