EMERGENCY MEDICAL AMBULANCE SERVICES MINISTRY OF HEALTH

“Wahai Tuhan kami berikanlah rahmat kepada kami dari sisi-Mu dan sempurnakanlah bagi kami petunjuk yang lurus dalam urusan kami (ini)”.
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DAILY AMBULANCE REPORT LOG

(non operational) support team may include PG support, logistic support or Admin support.  
(Incharge, staff, delta )
(BGXXXX) 
(please state if other vehicle involve or used)
Mukim
(AGE/GENDER, C/O-COMPLAINT OF, H/O-HISTORY OF, K/C-KNOWN CASE [allergies], O/A-ON ARRIVAL, O/E-ON EXAMINATION, MX-MANAGEMENT, DISPOSITION 
(-approprite values(VITALSIGN)/findings should be stated properly)
(-state who produce the report 
at the end .....- SNPXXXX)