Medical Progress and Vital Signs Template
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ScribdTranslationsMedical Progress and Vital Signs Template
Translated by
ScribdTranslations8/DATE AND TIME 9/EVOLUTION NOTES
Age
VITAL SIGNS
T/A TEMP. FREC. C. FREC. R. PESO: TALLA:
millimeters of degrees beats for breaths
mercury minute per minute kilograms centimeters
centigrade
NOTE: ALL MEDICAL NOTES MUST BE SIGNED BY THE ATTACHED DOCTOR OF THE SERVICE
217B2000-016-13
Evolution Notes 1/ SHEET No. of
2 /MEDICAL UNIT: 3/ FILE:
SAN SIMÓN ZOZOCOLTEPEC HEALTH CENTER
4/ PATIENT'S NAME (FATHER'S LAST NAME, MOTHER'S LAST NAME AND NAME(S)) 5/ EDAD: 6/ GENDER:
MALE Feminine
7/VITAL SIGNS
T/A millimeters TEMP FREC. C. FREC. R. breaths WEIGHT SIZE
degrees beats for kilograms
of mercury Celsius minute per minute centimeters
8/DATE AND TIME 9/Evolution Notes
NOTE: ALL MEDICAL NOTES MUST BE SIGNED BY THE ASSIGNED PHYSICIAN OF THE SERVICE
217B2000-016-13
8/DATE AND TIME 9/PROGRESS NOTES
Age years
CC centimeters
IMC
VITAL SIGNS
T/A TEMP. degrees FREC. C. FREC. R. WEIGHT: SIZE:
millimeters beats for breaths
of mercury centigrade minute per minute kilograms subways
NOTE: ALL MEDICAL NOTES MUST BE SIGNED BY THE ASSIGNED PHYSICIAN OF THE SERVICE
217B2000-016-13
Progress Notes 1/ SHEET No. of
2 /MEDICAL UNIT: 3/ FILE:
SAN SIMÓN ZOZOCOLTEPEC HEALTH CENTER
4/ NOMBRE DEL PACIENTE (APELLIDO PATERNO, APELLIDO MATERNO Y NOMBRE (S)) 5/ EDAD: 6/ GENDER:
years
MALE FEMININE
7/VITAL SIGNS
T/A millimeters TEMP FREC. C. FREC. R. breaths WEIGHT SIZE
degrees beats for
of mercury per minute kilograms subways
centigrade minute
8/DATE AND TIME 9/Evolution Notes
CC centimeters
IMC
NOTE: ALL MEDICAL NOTES MUST BE SIGNED BY THE ATTACHED PHYSICIAN OF THE SERVICE
217B2000-016-13