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Get SDRC Medication Administration Record (MAR)

P = Program. Date of Birth: Sex: VITAL SIGNS TEMPERATURE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PULSE RESPIRATION WEIGHT PRN AND MEDICATIONS NOT ADMINSTERED Date Hour Initials Medication Reason Initials Result 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Name I:\CA\KATHY\RSDNTL RCRDS FORMS \MEDICATION ADMINISTRATION RECORD.DOC MO/ YR Staff Signature 29 30 31 .

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