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PREFEITURA DA CIDADE DO RIO DE JANEIRO

SECRETARIA MUNICIPAL DE SAUDE


Subsecretaria de Atenção Hospitalar, Urgência e Emergência
Coordenadoria Geral de Emergência da AP 5.2
Hospital Municipal Rocha Faria

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(Profissão)

NOME: Nº PRONTUARIO:

CLÍNICA: ENFERMARIA: LEITO:

DATA/HORA DESCRIÇÃO

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É obrigatório a cada relato o registro de data/hora, assinatura, carimbo ou número de registro no
conselho da classe.

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