Daily Report

Vital Signs
Pulse Rate
Time Bpm
Respiration Rate
Time pm
Blood Pressure
Time Systole
(mm of hg)
Daistole
(mm of hg)
Body Temperature
Time "F
Daily Output
Stool Output
Time Type & color
Urine Output
Time ml
Daily Intake
Water Intake
Time ml
Food Intake
Time Nature
Other
Other Essencials
Time mg/dl
FBS
PPBS
RBS
Dressing
Time Type