CNP
Numele_____________________________ Prenumele_________________________________
Anul__________luna________Nr. foii de observaie_______Nr. Salon_______Nr. pat_________
Temp
Puls
T.A.
Resp.
Ziua
Zile de boal
35
30
160
41O
30
25
140
40O
25
20
120
39O
20
15
100
38O
15
10
80
37O
10
60
36O
Lichide ingerate
Diurez
Scaune
Diet
D S
D S
D S
D S
D S
D S
D S D S D S D S
D S D S D S D S
D S D S D S D S
D S D S D S D S
D S D S D S D S
D S D S