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Patients weekly report form
This weekly report from a hospital documents the number of patients treated for various common illnesses and injuries. It includes data on first aid cases, recordable and restricted injuries, and fatalities. The report also lists the total number of patients seen broken down by conditions such as upper respiratory infections, backaches, gastritis, diarrhea, colds and flu, and several other diseases. It appears to be signed by the nurse and safety manager documenting the data.
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Patients weekly report form
- 1. S. No QuantityTotal 1 2 3 4 5 6 7 8 9 10 11 INJURIES First Aid Recordable Restricted Fatality LTI 12 13 Mahdi Ameen Jaffar DAWOOD AKBAR Male Nurse Safety Manager TOTAL PATIENTS URTI BACKACHE GASTRITIS DIARRHEA COLD-FLU PATIENTS WEEKLY REPORT 098-C58 ALL OTHER CASE HOSPITAL REFERRAL Diseases SKIN DISEASES TOOTHACHE UTI HYPERTENTION EYE DISEASES Date: