May we have your permission to instruct our nurses to visit Mrs. ...... in accordance with our routine, and report each visit to you?
A prompt reply on the enclosed slip will be greatly appreciated.
Cordially yours,
Form for report sent after each nursing: visit to the patient’s doctor, either privately engraved or the hospital resident.
PRENATAL VISITS
Name of patient, District, Date,
Address, Nurse, Agency,
T P R, Nipples: Erect, Flat or inverted, Edema: Face, Feet, Legs.
Varicose veins, Dyspnoea, Spots before eyes, Nausea or vomiting, A.M., All day.
Headache, Constipation, Diarrhea, Vaginal discharge: White, Yellow, or Bloody.