IN THIS MEDICAL RECORD STITCHING AND NUMBERED: 36 sheets

Nurse-midwife on duty: signed

Grant: on 01 August 2011

1.      Delivery record: signed

2.      Medical certificate to the Civil Status Registration Office for register the birth of a child:

series 45A no. 188144 receive (signed)

3.      Certificate of incapacity of work

4.      Discharge list with epicrisis

5.      Photocopies ofanalysis

6.      Photocopies of ultrasonography

7.      X-ray pictures

Sanitized: on 28 July 2011                                                    Nurse-midwife on duty: signed

Examination on pediculosis: on 28 July 2011                       Nurse-midwife on duty: signed 

Administration is not responsible for money and valuables.

I familiarize oneself with day regimen.

Paraphernalias: my husband kept.