Nume si prenume : ____________________________________ FO:___________________

Data: _____________

Ora Diureza (ml) Ora Diureza (ml)

0-1 12-13
1-2 13-14
2-3 14-15
3-4 15-16
4-5 16-17
5-6 17-18
6-7 18-19
7-8 19-20
8-9 20-21
9-10 21-22
10-11 22-23
11-12 23-24
total total

Diureza 24 ore: __________ ml