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Oxygen Tank Refill Log 2024

The document is a monitoring form for oxygen tank refills at Aurora Memorial Hospital in Baler, Aurora, Philippines for a month in 2024, tracking the date, time, and number of refills of different sized oxygen tanks.
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0% found this document useful (0 votes)
9 views2 pages

Oxygen Tank Refill Log 2024

The document is a monitoring form for oxygen tank refills at Aurora Memorial Hospital in Baler, Aurora, Philippines for a month in 2024, tracking the date, time, and number of refills of different sized oxygen tanks.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

PROVINCE OF AURORA
AURORA MEMORIAL HOSPITAL
Brgy. Reserva, Baler, Aurora
Email: auroramemhos@gmail.com
PhilHealth Accredited Health Care Provider

OXYGEN TANK REFILLED MONITORING FOR THE MONTH __________2024

NUMBER OF HOSPITAL TANK REFIILED


DATE START END RUNNING TIME
EXTRA SMALL SMALL MEDIUM LARGE EXTRA LARGE TOTAL

NOTED BY: _____________________


Republic of the Philippines
PROVINCE OF AURORA
AURORA MEMORIAL HOSPITAL
Brgy. Reserva, Baler, Aurora
Email: auroramemhos@gmail.com
PhilHealth Accredited Health Care Provider

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