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Hospital Detail
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EMERGENCY ADMISSION
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S. No.
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Date
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Patient Name
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UHID
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Age/Sex
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Time
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Assessed by
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Provisional Diagnosis
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Triage Category
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Final Remarks
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Signature of Doctor
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Arrival
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Assessment started
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Assessment ended
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Taken for Assessment
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Friday, February 8, 2019
FORMAT FOR EMERGENCY ADMISSION REGISTER
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