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FARMATS

The document is a discharge sheet from Liben Primary Hospital under the Amhara National Regional Health Bureau, detailing patient information, admission and discharge dates, physician's signature, and the patient's condition upon discharge. It includes sections for medication instructions, follow-up care, and vital signs. Additionally, there are order and progress sheets for tracking patient care and treatment.

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Biruk
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2 views

FARMATS

The document is a discharge sheet from Liben Primary Hospital under the Amhara National Regional Health Bureau, detailing patient information, admission and discharge dates, physician's signature, and the patient's condition upon discharge. It includes sections for medication instructions, follow-up care, and vital signs. Additionally, there are order and progress sheets for tracking patient care and treatment.

Uploaded by

Biruk
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Amhara National Regional Health Bureau ,Liben primary hospital

Discharge sheet
Patient name-------------------------------------------------- Age------ Sex------
MRN---------------- Ward------- Bed.No-----

Date of admission-------------------------- date of discharge------------------------


Physician Name&Sign -------------------

Course in the Hospital

_________________________

Condition on discharge ፡ cured----- improved------- No.change--------


dead-------Referred______Transfer ______Against

Final
diagnosis__________________________________________________________________________
___________________________________________________
Amhara National Regional Health Bureau ,Liben primary hospital
Medication at home

Instruction at home

Follow up care

Appointment date----------------------place--------------------- to be seen


by---------------------------------------------

Order sheet

Name---------------------------------------------------------- Age--------- Sex----- Card.No----------------------------------

Date Working Dx. Dr.sign. Nurse sign


Amhara National Regional Health Bureau ,Liben primary hospital

Progress sheet

Date Name-------------------------------------- Age-------- Sex ------ Card No----------------------------


Amhara National Regional Health Bureau ,Liben primary hospital
Amhara National Regional Health Bureau ,Liben primary hospital

VITAL SIGN SHEET

Patient name………………………..age….sex……..dx…………… bed no------

Date Time B/P P/R R/R T sO2 IN NAME


o PUT/OU &SIGN
T PUT
Amhara National Regional Health Bureau ,Liben primary hospital

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