Fluid Restriction Timetable
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1Fluid Restriction Timetable for ______________ - ______ Cups or ______ounces (_____ cc)
Times
Amount
Sunday
Monday
Tuesday
Wednesday Thursday
Friday
Saturday
8a B'fast
9
10
11
Noon
1p
2
3
4
5 Dinner
6
7
8
9
O/N
Totals:
Fluid Restriction Timetable for ______________ - ______ Cups or ______ounces (_____ cc)
Times
Amount
Sunday
Monday
Tuesday
Wednesday Thursday
Friday
Saturday
8a B'fast
9
10
11
Noon
1p
2
3
4
5 Dinner
6
7
8
9
O/N
Totals:
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