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Rm: Name: Resno: NM24339 Age: Gender: Hgt: in. IBWR: -264--244 AdmDt: DOB: NMP: A SelectMenu: Physician: AdEq:
Diet: DinLoc: RM RM RM Dx:

__Breakfast______Lunch_______Supper_____A.M._Snack___H.S._Snack__MedicationsMedicationsDiet_History/Tubefeeding/BEE/BMICardex WeightsCardex MealsCardex LabsCardex Skin



















Aft Snack:



















__Date__WeightWt Chg_30dy__90dy__180d_
__Date___Brk__Lch__Sup__10a__Aft___HS__
__Date___Hb__Hct__Alb_PreAlb_Glu__BUN__Cre__K+__Na__Cl-__Phos_
__Date__Adm/W_____Location_____Stage


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