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Burns Patient Registry
Burns Patient Registry
Patient Name
Age
Gender
Contact
Address
Hospital Address
Date of Injury
Cause of Burn
Location of Burn
Burn Severity
Mode of Burn
Burn Severity
1st Degree
2nd Degree
3rd Degree
Total Body Surface Area (TBSA) Affected (%)
Date of Admission
Date of Surgery
Type of Surgery
Date of Discharge
Follow-up Appointments
Dama
Referal
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