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MEDICATION(S) ADDED

MEDICATION(S) ADDED 1- _______ Qty: ______ 2- _______ Qty: ______ Flow rate __________ml/hour Patient/Ch/Date/Time/By Color:...

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ALLERGIES

Allergies Colour: Black/Fluo Red Quantity: 500 labels per roll Size: 2 5/8 x 2 5/8 in.

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