AdministrationBalanceSheetMgAmpoules-
SURNAMENHS No _ _ _ / _ _ _ / _ _ _ _D.O.BFORENAMEADMINISTRATION/STOCK BALANCE SHEET …………….……………………….………… mg AMPOULESSyringe driver and stat dose medication administration must be recorded below.NEW STOCK SUPPLIERDATETIMENO IN BOXDRUGSTRENGTHAMOUNTGIVEN / ROUTEBATCHNOEXPIRYDATEDRUGSDESTROYEDSTOCK BALANCESIGNATURE ................
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