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![-353060-342900 Name: ____________________________________________Group: _________________________Date: ______________Patient’s Name ____________________________________Diagnosis: _______________________________AGE:_____________________ASSESSMENTDIAGNOSISBACKGROUNDKNOWLEDGEPLANNINGINTERVENTIONSRATIONALEEVALUATION-353060-285750Patient’s Name ____________________________________Diagnosis: ___________________________________AGE:_____________________ INDICATIONCONTRAINDICATIONADVERSE REACTIONDRUG MECHANISMNURSING MANAGEMENTGeneric Name:Brand Name:Dosage:Route of Administration:]190500DaTE: _______________________________WARD: _____________________________NAMEBPTEMPRRCRIVFMEDICATIONSREMARKS](https://image.slidesharecdn.com/tables-100126233304-phpapp01/75/Tables-1-2048.jpg)


The document appears to be medical records containing sections for a patient's name, diagnosis, age, assessment, diagnosis, background knowledge, planning, interventions, rationale, and evaluation. It also includes spaces for a patient's name, diagnosis, age, indication for a drug, potential contraindications, adverse reactions, drug mechanism, and nursing management of a generic and brand name drug with dosage and administration route. The document seems to be a template for documenting a patient's medical history, assessments, care plan and medication administration.
![-353060-342900 Name: ____________________________________________Group: _________________________Date: ______________Patient’s Name ____________________________________Diagnosis: _______________________________AGE:_____________________ASSESSMENTDIAGNOSISBACKGROUNDKNOWLEDGEPLANNINGINTERVENTIONSRATIONALEEVALUATION-353060-285750Patient’s Name ____________________________________Diagnosis: ___________________________________AGE:_____________________ INDICATIONCONTRAINDICATIONADVERSE REACTIONDRUG MECHANISMNURSING MANAGEMENTGeneric Name:Brand Name:Dosage:Route of Administration:]190500DaTE: _______________________________WARD: _____________________________NAMEBPTEMPRRCRIVFMEDICATIONSREMARKS](https://image.slidesharecdn.com/tables-100126233304-phpapp01/75/Tables-1-2048.jpg)

