Patients weekly report form
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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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