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DEPARTMENT OF FAMILY & COMMUNITY MEDICINE

AMOSUP-SEAMENS HOSPITAL MANILA


ASSOCIATED MARINE OFFICERS & SEAMENSS UNION OF THE PHILIPPINES

DFCM Office 4th floor Seamens Hospital Annex Bldg. Cabildo cor. San Jose Streets, Intramuros, Manila Telefax number (02) 8714214, Mobile Number: +639053380640,+639232892881 Email add:dfcmseamensmanila@yahoo.com

ER CENSUS
DATE:_________________________________________ CONSULTANT:_______________________________ SERVICES:___________________________________

No. of Cases Admitted Pedia OB IM Surgery Discharged Mortality

Total

DEPARTMENT OF FAMILY & COMMUNITY MEDICINE


AMOSUP-SEAMENS HOSPITAL MANILA
ASSOCIATED MARINE OFFICERS & SEAMENSS UNION OF THE PHILIPPINES

DFCM Office 4 floor Seamens Hospital Annex Bldg. Cabildo cor. San Jose Streets, Intramuros, Manila Telefax number (02) 8714214, Mobile Number: +639053380640,+639232892881 Email add:dfcmseamensmanila@yahoo.com

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ER CENSUS ( ADMITTED)
DATE:_________________________________________ Name of Patient/ age/gender Diagnosis Diagnostic CONSULTANT:_______________________________ SERVICES:___________________________________ ER Management

DEPARTMENT OF FAMILY & COMMUNITY MEDICINE


AMOSUP-SEAMENS HOSPITAL MANILA
ASSOCIATED MARINE OFFICERS & SEAMENSS UNION OF THE PHILIPPINES

DFCM Office 4th floor Seamens Hospital Annex Bldg. Cabildo cor. San Jose Streets, Intramuros, Manila Telefax number (02) 8714214, Mobile Number: +639053380640,+639232892881 Email add:dfcmseamensmanila@yahoo.com

ER CENSUS (Discharged)
DATE:_________________________________________ Name of Patient/ age/gender Diagnosis Diagnostic CONSULTANT:_______________________________ SERVICES:___________________________________ ER Management Home advised

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