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    COP-CL-002 Diet Requisition Sheet

    Uploaded by

    Moazzam Ch
    This document contains a diet requisition sheet that is to be submitted by 1:30 PM the day before required. It includes fields for the date, ward, patient name, bed number, hospital number, and diet specifications for breakfast, lunch, and dinner. Additional fields include any special instructions or expectations for the patient the following day. Common diet types and medical abbreviations are defined at the bottom. Contact numbers and a note about clearing meals after one hour of serving are also included.

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    © All Rights Reserved
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    COP-CL-002 Diet Requisition Sheet

    Uploaded by

    Moazzam Ch
    176 views1 page
    This document contains a diet requisition sheet that is to be submitted by 1:30 PM the day before required. It includes fields for the date, ward, patient name, bed number, hospital number, and diet specifications for breakfast, lunch, and dinner. Additional fields include any special instructions or expectations for the patient the following day. Common diet types and medical abbreviations are defined at the bottom. Contact numbers and a note about clearing meals after one hour of serving are also included.

    Original Title

    COP-CL-002 Diet Requisition Sheet (1)

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    This document contains a diet requisition sheet that is to be submitted by 1:30 PM the day before required. It includes fields for the date, ward, patient name, bed number, hospital number, and diet specifications for breakfast, lunch, and dinner. Additional fields include any special instructions or expectations for the patient the following day. Common diet types and medical abbreviations are defined at the bottom. Contact numbers and a note about clearing meals after one hour of serving are also included.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    176 views1 page

    COP-CL-002 Diet Requisition Sheet

    Uploaded by

    Moazzam Ch
    This document contains a diet requisition sheet that is to be submitted by 1:30 PM the day before required. It includes fields for the date, ward, patient name, bed number, hospital number, and diet specifications for breakfast, lunch, and dinner. Additional fields include any special instructions or expectations for the patient the following day. Common diet types and medical abbreviations are defined at the bottom. Contact numbers and a note about clearing meals after one hour of serving are also included.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Diet Requisition Sheet

    (TO BE SUBMITTED BY 13:30 PM ON THE DAY PRIOR TO REQUIREMENT)

    Date: Ward:

    DIET SPECIFICATION PATIENT


    BED HOSP SPECIAL EXPECTATION
    PATIENT NAME ATTENDANT
    NO. NO. BF L D INSTRUCTIONS FOR THE NEXT
    DAY

    N Normal Diet DM Diabetic Diet IDDM Diabetic on Insulin


    R Renal BL Bland LS Low Salt
    S Soft FL Fluid NG Nasogastric
    NPM Nil By Mouth LF Low Fat LP Low Protein
    BF Breakfast L Lunch D Dinner

    Contact Numbers: 2277- 4865, 2277- 4867

    **Note: Kindly note that, clearing patients’ meals after one hour from serving time.

    COP-CL-002- Diet Requisition Sheet

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