DIET LIST
NURSING UNIT: SURGERY WARD/ RED STATION 01/14/2023 SATURDAY
PATIENT'S NAME PRESCRIBED DIET
Surgery A / 110
Bed #1 ANTONIO, LUZMINDA DAT
#2 CASSION, MICHAELA JEYN NPO ABSOLUTE
#3
#4 MAGALUNA, ELDA DAT (DM)
#5
#6
#7
ORTHO / 111
Bed #1
#2 LUDAHAN, MARLON DAT
#3 SALUNDAGUIT, IVAN DAT
#4
#5 JAYME, TITO DAT
#6 BITOON, JUANITO DAT
Surgery B / 112
Bed #1 PACUDAN, ENARCISO NPO / FTW
#2 RAÑIN, JOVANY GEN.LIQUID DIET
#3 JANOG, LEONARDO DAT
#4
#5 MADREDIJO, DEXTER NPO / FTW
#6
#7 BOYLES, AGUSTIN SOFT DIET
Surgery C / 114
Bed #1 PALMA GIL,MARK DAT; NDCF
#2
#3 MOBO, OSCAR DAT
#4 ALBINO, PRISCILLA DAT
#5 ABUCAYON, FE DAT; NDCF
#6
#7 DO NOT OCCUPY DO NOT OCCUPY
Prepared by: Received by:
___________________________________ _____________________
Charge Nurse/Unit Manager Dietary Staff
Requisition and Issue Slip
LGU : City Government of Butuan Fund:
Division: BMC FPP Code: Date: September 7, 2022
Office: Nursing Service RIS NO.:
Requisition Balance from Issuance
Stock No. Unit Description Qty PPMP Qty
box Disposable face mask 3
pack Battery AA 2
pack Battery AAA 2
pc Permanent marker black 2
box Clean Gloves 2
pc Cadaver bag 3
pc Pulse Oximeter 1
gallon Alcohol 70% 1
Purpose:
Requested by: Approved by: Issued by:
Signature:
Printed Name: GWENDOLYN AURORA M. VASQUEZ,RN LORIEN B. GERONA,RN,MN
Designation: OIC-NUM SURGICAL UNIT OIC Chief Nurse
Date:
Noted by:
RICHARD JAY GUZMAN
PSO IV
Requisition and Issue Slip
LGU : City Government of Butuan Fund:
Division: BMC FPP Code: Date: September 7, 2022
Office: Nursing Service RIS NO.:
Requisition Balance from Issuance
Stock No. Unit Description Qty PPMP Qty
box Disposable face mask 3
pack Battery AA 2
pack Battery AAA 2
pc Permanent marker black 2
box Clean Gloves - Medium 2
pc Cadaver bag 3
pc Pulse Oximeter 1
gallon Alcohol 70% 1
Purpose:
Requested by: Approved by: Issued by:
Signature:
Printed Name: GWENDOLYN AURORA M. VASQUEZ,RN LORIEN B. GERONA
Designation: OIC-NUM SURGICAL UNIT OIC Chief Nurse
Date:
Noted by:
RICHARD JAY GUZMAN
PSO IV
Date: September 7, 2022
Issuance
Remarks
Received by:
Date: September 7, 2022
Issuance
Remarks
Received by:
TOTOAL TOTAL
TOTAL TOTAL TRANS- TRANS- TOTAL TOTAL TOTAL
WARD 11-7 7-3 3-11 PENDING VACANT
CENSUS ADMISSION IN OUT DISCHARGED DEATH
DISCHARGE 02 ROOM
PEDIA
MEDICINE
MATERNITY
SURGERY
COVID WARD
NICU
ICU
H.A.
TOTAL