Discharge Header
Patient Name
text
Date of Birth
date
Address
We report on the in-patient stay of [Patient Name] from [Admission Date] to [Discharge Date].
Admission Date
Discharge Date
Recipient
Medical Report
Previous Findings
Diagnoses
Therapeutic Procedures
Clinical Course
Further medical instructions, advise or procedures to the patient and its primary care physician
Discharge Medication
Footer
We thank you for the admission of the patient! Sincerely yours,
Physician's Signature