NMSH—*orm 59
“(19397

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- CLINICAL RECORD - Sa - Z ee

Rate

 

 

The medical officer shall enter or dictate for entry in this record: (1) A concise history from the health record and patient; (2) the findings on compiete
physical examination; (3) all important laboratory, x-ray, and other clinical findings; (4) ead treatments and diets ordered or discontinued; (5) changes in
condition and diagnosis; (6) condition on discharge or transfer or, in cas2 of death, the autopsy findin

This record shall be si, igned by each medical officer making entries therein and filed in the oRnical jacket.

DATE

ngs (when practicable).

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