Daily Record Sheet - GE BiliSoft Operation And Maintenance Manual

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Daily Record Sheet

Name:
Birth Date:
Method of Temperature Taking:
Time Temperature
Times when baby is put on and taken off phototherapy treatment:
On Off
Comments:
M1110147 Rev.5 © 2007 Datex-Ohmeda. All rights reserved.
Date:
Bilirubin Level:
Number of Diapers
(indicate wet and/or stool with description)
On Off
Amount Fed
On Off
3-3