Page 49 - TERMINAL DISCHARGE GUIDELINE FIRST EDITION 2023
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Chapter 7
Terminal Discharge Pathway
7.10 Return of Medication
Patient’s Details
Butiran Pesakit
Name / Nama
NRIC/ID / No. K.P./ID
Name of Person Returning Medication
Nama Pemulang Ubat
Name / Nama
NRIC/ID / No. K.P./ID
Relationship to patient/
Hubungan dengan pesakit
Signature/Date
Tandatangan/ Tarikh
Staff Details
Butiran Kakitangan
Name / Nama
NRIC/ID / No. K.P./ID
Position
Jawatan
Signature/Date
Tandatangan/ Tarikh
Details of Medication
Returned
Butiran Ubat yang
Dipulangkan
HOSPITAL KUALA LUMPUR 49
TERMINAL DISCHARGE GUIDELINE 2023
