PhilHealth Annex I.1B: Checklist of Essential Health Services for Exit Site Infection and
Fill PhilHealth Annex I.1B: Checklist of Essential Health Services for Exit Site Infection and online and download the official form as a PDF, ready to print. Every input is mapped to its printed box, so IDs, dates and amounts land digit by digit in the right cells, and a value the form cannot hold is refused with the reason instead of being printed wrong.
What you will need: Case No, DATE OF CONSULTATION (mm/dd/yyyy), Last Name, First Name, Suffix, Middle Name, PhilHealth ID Number, Same as patient, Name of the Attending Nephrologist, Creatinine, Sodium, Potassium, Calcium, Albumin, Scout film of abdomen (as indicated).
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