Patient preperation
Information that should be obtained BEFORE the doctor sees the patient.
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ADDRESS
BLOODPRESSURE
COMPLAINT
COPAY
HEIGHT
HISTORY
INSURANCE
NAME
OTC
PULSE
RESPIRATIONS
TEMPERATURE
WEIGHT
| T | B | K | A | R | W | Y | P | G | R | P | U | F | A | Y |
| N | E | O | X | E | P | F | Q | I | I | I | Y | X | X | S |
| I | H | R | B | Y | R | H | R | P | N | T | B | H | Y | Y |
| A | E | E | U | P | O | U | Z | K | H | G | I | E | C | R |
| L | E | S | E | S | J | O | T | G | I | S | L | I | E | T |
| P | J | P | U | L | S | E | I | A | T | D | D | G | X | U |
| M | K | I | Y | W | E | E | A | O | R | H | T | H | Q | N |
| O | G | R | N | X | W | D | R | K | Z | E | F | T | T | I |
| C | K | A | I | S | T | Y | U | P | V | S | P | K | W | O |
| O | Q | T | D | R | U | Q | Q | J | D | Z | C | M | L | K |
| P | Z | I | Q | D | Q | R | B | B | Z | O | T | E | E | J |
| A | O | O | M | V | R | Y | A | X | R | V | O | Z | C | T |
| Y | U | N | A | M | E | E | T | N | K | F | U | L | G | C |
| O | E | S | P | A | B | U | S | V | C | I | N | W | B | S |
| Z | C | M | A | Y | M | H | O | S | C | E | L | J | H | Q |
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