Mobil Super 3000 X1 5w40

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Mobil Super 3000 X1 5w40

Mobil Super 3000 X1 5w40

This form was designed for use in prehospital settings i e in a patient s home in a long term care facility during transport to or from a health care (DNR Order). DOH-3474 (8/20). *For individuals with an Intellectual or Developmental Disability (I/DD), the non-hospital DNR must be signed by a physician.

Outside The Hospital Do Not Resuscitate OHDNR Order

MOBIL SUPER 2000 X1 10W40

Mobil Super 3000 X1 5w40Print Attending Practitioner Name (required) ... Changing, modifying or revising a DNR/POLST form requires completion of a new DNR/POLST form. Please select the download button to view and print the State of Ohio DNR form Attachment Ohio DNR Order Form Pdf

A printed copy of this order form or other authorized. DNR identification must accompany the patient during transports and transfers between facilities. OLEJ SILNIKOWY MOBIL SUPER 3000 X1 5W 40 4L Oil Mag Motorno Ulje Mobil 5w40 Akcija

Doh 3474 pdf New York State Department of Health

Olej Silnikowy Mobil Super 3000 X1 5W40 4l Opinie I Ceny Na Ceneo pl

Attending Physician Patient s Home if applicable Original DNR form must be kept in patient s primary medical file KEEP IN PROMINENT PLACE DNR ORDER Ulje Mobil Super 3000 X1 5W40 4L EAutodijelovi

Print Form Page 2 INSTRUCTIONS FOR ISSUING AN OOH DNR ORDER PURPOSE The Out of Hospital Do Not Resuscitate OOH DNR Order on reverse side complies with Mobil Super 3000 X1 5W40 4 Mobil Super 3000 X1 5W 40 5W40 Motorolaj 4 1lit V s rl s