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Operative Note

Date and Time of procedure:

Pre-op Diagnosis:

Postop Diagnosis:


Main Surgeon:

Surgical Assist:

Residents/Medical Students:

Anesthesia: Type and Anesthesiologist




Urine Output:

IV Fluids given:  Amount and Type

Findings: Including exam under anesthesia (EUA)

Operative  Specimen:


Disposition: Where will they be admitted to? ICU? CCU?