♡ Dr: Diet: Echo StressT CXR CT 8:
MRI Endo Dialysis
Activity: CCL Guiac Sputum
UA Stool Nares PT
RA NC___ ___%
IV: OT ST RT
12:
B: ____% L:____% BM:____
FC-NG-CT-PW-JP K+______ Mg + _____
In Out
PICC-OSTOMY INR_____PT_____PTT_____
♡ Dr: Diet: Echo StressT CXR CT 8:
MRI Endo Dialysis
Activity: CCL Guiac Sputum
UA Stool Nares PT
RA NC___ ___%
IV: OT ST RT
12:
B: ____% L:____% BM:____
FC-NG-CT-PW-JP K+______ Mg + _____
In Out
PICC-OSTOMY INR_____PT_____PTT_____
♡ Dr: Diet: Echo StressT CXR CT 8:
MRI Endo Dialysis
Activity: CCL Guiac Sputum
UA Stool Nares PT
RA NC___ ___%
IV: OT ST RT
12:
B: ____% L:____% BM:____
FC-NG-CT-PW-JP K+______ Mg + _____
In Out
PICC-OSTOMY INR_____PT_____PTT_____
♡ Dr: Diet: Echo StressT CXR CT 8:
MRI Endo Dialysis
Activity: CCL Guiac Sputum
UA Stool Nares PT
RA NC___ ___%
IV: OT ST RT
12:
B: ____% L:____% BM:____
FC-NG-CT-PW-JP K+______ Mg + _____
In Out
PICC-OSTOMY INR_____PT_____PTT_____
♡ Dr: Diet: Echo StressT CXR CT 8:
MRI Endo Dialysis
Activity: CCL Guiac Sputum
UA Stool Nares PT
RA NC___ ___%
IV: OT ST RT
12:
B: ____% L:____% BM:____
FC-NG-CT-PW-JP K+______ Mg + _____
In Out
PICC-OSTOMY INR_____PT_____PTT_____