R
Registration queue
4
Appointments
78
Patients
Referrals received
Patient details
Queue display
Report centre
More
+2
SH
2
Print
Chup Design System
Mid Valley
My day
Complaint
Feedback
BM
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EN
A4 documents
Receipt · office copy, one Cashier box
Invoice · long table to page 2, totals, e-Invoice QR
Consent · signature boxes, signed and unsigned
Report · A4 landscape
Eye clinic · Spectacle Prescription ISEC/CL-F19
Eye clinic · Transfer Letter ISEC/CL-F20
Eye clinic · Consent for Eye Surgery and Anaesthesia ISEC/CL-F14, one signature missing
Eye clinic · Imaging Examination Slip, no form number
Eye clinic · JPJ vision form, no form number
Eye clinic · Case Label ISEC/OT-S02
Eye clinic · Eye results ISEC/CL-F18, the tab on screen
Eye clinic · Imaging report, no form number
Eye clinic · Quotation ISEC/BIL-F30
Eye clinic · Myopia progress report, no form number
Eye clinic · Casualty downtime forms, no form number
Discharge summary · sections, medicines table, two signature boxes
Form kit · ticks and pre-filled answers, two signers (DC-F03)
Form kit · score table with its band, history table (NUR-F11)
Form kit · A4 landscape chart, row tables (NUR-F13)
Form kit · blank, three signers (CL-F04)
Day-case admission sheet NUR-F01 · identity, sections, nurse box
Downtime order log CL-F26 · lines to write on
Medication overview · the offline chart, to page 2
Medication administration record · A4 landscape
Duty roster · A4 landscape, a week of shifts
Peripheral IV Cannula Care Chart NUR-F02 · the blank chart: cannula and VIP score tables to write on, the VIP key
Nursing Kardex NUR-F19 · landscape, eleven titled tables, empty ones say None recorded
Nursing Diagnoses and Interventions NUR-F20 · landscape, the care plan and its entries
Vital Signs NUR-F21 · landscape, observations and charts in two tables
Select a Chart NUR-F22 · the chart list
Assessment (Morse fall scale NUR-F11) · items, score, who recorded it
Clinical notes CL-F28 · one section per note, signed by the clinicians
Referral letter CL-F07 · a referral received
Referral letter CL-F07 · a referral out, signed electronically
Discharge despatch checklist NUR-F10 · one table per party, two signature boxes
Purchase order · summary table, three sign boxes
Goods return note · draft, lines with batch and reason
Credit note · recorded amount, signed boxes
Tax Invoice BIL-F02 · the bill, its totals and the e-Invoice strip
Deposit Receipt BIL-F03 · one Cashier box
Deposit Refund Voucher BIL-F05 · Refund received by
Instalment Plan BIL-F11 · schedule, Billing Office box
Guarantee Letter Summary BIL-F17 · two sections, Registration box
AR Official Receipt AR-F01 · duplicate chip, Cashier box
Close Till Report AR-F06 · expected, counted, variance
Refund Note AR-F04 · draft chip, Refund received by box
Claim Form INS-F02 · draft chip, Insurance Officer box
Panel Follow-up Letter INS-F06 · request details and a note
Official Receipt BIL-F01 · first print, no duplicate chip
Consolidated Receipt BIL-F04 · one row per bill, one total
Refund Voucher BIL-F06 · one Refund received by box
Supplementary Bill BIL-F13 · added charges, one Billing Office box
Healthcare Package BIL-F18 · package, order, price
Healthcare Package Bill BIL-F19 · one package line, extra, total
GL Verification INS-F03 · letter, status, Insurance Officer box
Guarantee Letter INS-F04 · validity, co-pay, approved amount
Scanned GL INS-F05 · filing sheet, Registration box
Credit Note AR-F02 · the charge line, credit amount
Debit Note AR-F03 · the charge line, debit amount
Non-debtor Refund Voucher AR-F05 · no debtor line, Refund received by box
Bills Issued Report BIL-R01 · A4 landscape, every bill, gross / discount / total
Ageing Detail Report AR-R01 · A4 landscape, billed / settled / balance
Account Reminder Letter AR-F08 · the aged bill, balance due
Bounced Cheque Notice AR-F07 · cheque, bank, reason, amount
Pre-authorisation and GL Request INS-F01 · request and the panel limit
Culling list · records office, two signature boxes
Deficiency report · long table, one signature box
Return list · coding cases returned to the doctor
Folder request slip · one request, two signature boxes
PDPA notice · one data-subject request
Non-disclosure · patient identity, two signature boxes
Records summary · key-value cards and a table
Record bundle · release cover sheet with parts and counts
Release of information · acknowledgement of one report request
Scan batch · reprint of one batch with its index numbers
Chart view · one section per card of the view
Patient file · one section per card of the file
Folder notices · the Notices list as a slip
Medical record status · folders with location and holder
Folder label · one folder register entry
Clinical note · signed by its author
Bill · Billing figures printed as given
Diagnosis grouping · one coded case
Document label · one filed document
Report A82 · coding cases, landscape, one signature box
Report A88 · monthly return cells
Report A97 · new patients by state and postcode
Employee profile · Personal and Employment, one Human Resource box
Engine-laid documents (sheet-doc)
Certificate · statement, QR, stamp
Landscape table · prescription
Money table and totals · fee report
Numbered list · patient leaflet
Operation theatre
Operation List · ISEC/OT-L01
Daycare Operation List · ISEC/OT-L01
Operation List (one day) · ISEC/OT-L01
Operation List (dashboard) · ISEC/OT-L01
Operation List (scheduler) · ISEC/OT-L01
OT Schedule Board · ISEC/OT-L02
Anaesthetic Duty List · ISEC/OT-L03
Pre-Anaesthesia To-do List · ISEC/OT-L04
OT Booking · ISEC/OT-F01
OT Calling Slip · ISEC/OT-S01
Daycare Admission Slip · ISEC/OT-D01
Daycare Patient Instructions · ISEC/OT-D02
Daycare Deposit Requirement · ISEC/OT-D03
Pre-operative Checklist · ISEC/OT-F04
Surgical Safety Checklist · ISEC/OT-F07
Peri-operative Movement Record · ISEC/OT-F06
Swab & Instrument Count · ISEC/OT-F09
Operation Record · ISEC/OT-F10
OT Nursing Record · ISEC/OT-F11
Implant Form · ISEC/OT-F17
Surgeon Preference Card · ISEC/OT-F15
Pre-Anaesthesia Assessment · ISEC/OT-F02
Consent for Anaesthesia · ISEC/OT-F03
Anaesthesia Record · ISEC/OT-F08
Recovery Record · ISEC/OT-F12
Recovery Room (PACU) Checklist · ISEC/OT-F13
CSSD Set Checklist · ISEC/CSSD-F01
CSSD Set Label · ISEC/CSSD-F02
CSSD Sterile Label · ISEC/CSSD-F03
CSSD Request Form · ISEC/CSSD-F04
Load recall list · ISEC/CSSD-F05
Bowie-Dick recall list · ISEC/CSSD-F05
OT Calling Slip (transfer) · ISEC/OT-S01
OT Register · ISEC/OT-R01
Anaesthesia Register · ISEC/OT-R01
OT Census · ISEC/OT-R01
GA and Complications · ISEC/OT-R01
DDA Register · ISEC/OT-R01
Cancellation / Postponement · ISEC/OT-R01
Specimen Register · ISEC/OT-R01
OT Incident Register · ISEC/OT-R01
Body Part Disposal Register · ISEC/OT-R01
Organ Procurement Register · ISEC/OT-R01
Death in OT Register · ISEC/OT-R01
Pharmacy documents
Pharmacy · Worksheet PHM-F01
Pharmacy · Fill list PHM-F14
Pharmacy · Transcription PHM-F02
Pharmacy · Prescription PHM-F16
Pharmacy · Medication profile PHM-F09
Pharmacy · Patient leaflet
Pharmacy · Drop calendar CL-F29
Pharmacy · Downtime dispensing sheet
Pharmacy · Doctor prescription PHM-F16
Pharmacy · Charges summary PHM-F19
Pharmacy · Template form PHM-F20
Pharmacy · MOH report PHM-R01
Pharmacy · High-alert storage FM/PHARM/2017-9
Pharmacy · GA request order
Pharmacy · Partial supply PHM-F03
Pharmacy · SPUB R1 PHM-F04
Pharmacy · Prescription checklist PHM-F05
Pharmacy · Incident report PHM-F12
Pharmacy · ADR record PHM-F06
Pharmacy · Allergy card PHM-F07
Pharmacy · Drug monograph PHM-F08
Pharmacy · Cytotoxic incident PHM-F13
Pharmacy · TDM request PHM-F10
Pharmacy · Monitoring list PHM-F11
Pharmacy · Prescription KKM Lampiran 3 PHM-F16
Pharmacy · Prescription record PHM-F15
Pharmacy · Verbal order FM/PHARM/2017-2
Pharmacy · Stock card
Pharmacy · Controlled drugs register
Pharmacy · Stock count sheet
Pharmacy · Fridge temperature log
Labels
Patient label · 50 × 25 mm
Patient label · 70 × 35 mm
Wristband, adult · Adult 25 × 280 mm
Wristband, child · Child 25 × 180 mm
Drug label · 80 × 60 mm
Drug label · Wrap + flag 110 × 20 mm
Drug label · 70 × 45 mm
Specimen label · 50 × 25 mm
Specimen label · 70 × 35 mm
Shelf / bin label · 50 × 25 mm
Shelf / bin label · 70 × 35 mm
CSSD tray label · 40 × 20 mm
CSSD tray label · 60 × 40 mm
CSSD tray label · 100 × 50 mm
Roll documents
Queue ticket · 80 mm roll
Queue ticket · 58 mm roll
Payment receipt · 80 mm roll
Payment receipt · 58 mm roll
Deposit receipt · 80 mm roll
Deposit receipt · 58 mm roll
Marketing
Assist poster