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Adult ER Discharge Summary Form

Fatima Memorial Hospital in Lahore provided an adult ER discharge summary form for a patient. The form collected information such as the patient's registration number, date and time of registration, name, medical record number, age, contact number, gender, and address. This brief summary highlights the key details and purpose of the document.

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Angel Sara Qudoos
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3K views2 pages

Adult ER Discharge Summary Form

Fatima Memorial Hospital in Lahore provided an adult ER discharge summary form for a patient. The form collected information such as the patient's registration number, date and time of registration, name, medical record number, age, contact number, gender, and address. This brief summary highlights the key details and purpose of the document.

Uploaded by

Angel Sara Qudoos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FATIMA MEMORIAL HOSPITAL

Shadman , Lahore
Tel: 111-555-600, 37421920-33, Fax: 37421993
E-mail: [email protected] , Website: www.fmsystem .org
Approved by C.B.R. Under section 2(36) of the income Tax Ordinance 2001

ADULT ER DISCHARGE SUMMARY FORM

Reg.#:__________________________________ Date: ________________ Reg. Time:_______________


Name:___________________________________________ MR #:____________________________
Age:_________________ Contact #:________________ Gender Male Female
Address:___________________________________________________________________________

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