NMSH—Form 59

(1939)
—, rese Ns,

CLINICAL RECORD

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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 compete
physical examination; (3) all important laboratory, x-ray, and other clinical findings; (4) the treatments and diets ordered or discontinued; (5) changes in
condition and diagnosis; (6) condition on discharge or transfar or, in case of death, the autopsy findings (when practicable).

This record shall be signed by each medical officer making a, aaa therein and filed in the clinical jacket. :

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