Page 48 - TERMINAL DISCHARGE GUIDELINE FIRST EDITION 2023
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Chapter 7
Terminal Discharge Pathway
7.9 Medication Refill Record
• Please present “Authorization Slip for Medication Collection” & returned all used
syringes to exchange for refill medication.
• Sila hantar slip “Waris Yang Bertanggungjawab Mengambil Ubat” &
mengembalikan picagari yang telah dipakai untuk bekalan ubat susulan.
Name, NRIC/ID,
Name, Chop, & & Signature of
Refill Signature of Medication
Date Medication Quantity Staff Collector
Tarikh Ubat Kuantiti Nama, Cop, & Nama, No.
Pengisian Tandatangan K.P./ID, &
Kakitangan Tandatangan
Pengambil Ubat
HOSPITAL KUALA LUMPUR 48
TERMINAL DISCHARGE GUIDELINE 2023
