Department of HealthEAST AVENUE MEDICALCENTER

East Avenue, Quezon City

DISCHARGE SUMMARY

Name: Ward: Room No. Case No.Sex Civil Status Attending Physician: Date Admitted: DATE:

I. CLINICAL ABSTRACT :

II: LABORATORY EXAMINATION:

III. COURSE IN THE WARD:

IV. MEDICATION:

V. FINAL DIAGNOSIS:

________________M.D Resident on Duty

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