|
Physician
|
Assistants:
|
|
Anesthesia
|
Tissue Removed
|
|
Pre-operative diagnosis:
|
Count Complete
|
|
Post-operative diagnosis
|
Surgical Wound Class
• • •
|
|
Operation
|
|
|
Gross Findings:
|
|
|
Procedure:
|
|
|
Inmediate Post. Op. Condition:
|
|
|
Estimate Blood Loss
|
|
|
Physician Name
|
|
