Quimica
Name:________________________________________ Date:_________________ Record:_____________
Vitals: Height____________ Weight _____________ Temp_____________HBP__________________
|ROS | ||CONSTIT. Normal____ Fever______ |P/ |
|Weight Loss_____ LossApetite_____ | |
|Weakness_____|1)_____________2)___________3)____________4)____________5)__________ |
|Others_____________________________ ||
||CC:____________________________________________________________
___ |
|HEET: ||
|Normal___ Headache___ |_____________________________________________________|
|Eye redness___ Blurred Vision___ | ||Visual loss____ Earache______ |S/____________________________________________________________
_____ |
|Tinnitus______ Nasal...
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