NOTE:
The area normally occupied by the patient identification section is removed
from the intake section (first page) of the form so the patient identification
section of the output section (second page) can be seen when the form is
closed. The pages are joined at their tops and the reverse (back) sides of
both pages are blank.
Figure 1-5. DD Form 792, Twenty-Four Hour Patient Intake and Output Worksheet
(bottom [output] section).
MD0920
1-9