HDU Healthcare Pvt. Ltd.

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


    Kindly use the reference image given below

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