HDU Healthcare

Patient Assessment Form

Patient Details

Hospital Details

Lines Present

Clinical Details

Current Vitals

0 : No Pain
1-3 : Mild
4-6 : Moderate to Severe
7-9 : Very Severe
10 : Worst Pain Possible

ABG Test

LAB Values

GCS

Kindly use the reference image given below:
Glassgow Coma Scale

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