Physician Care Record, New Port Richey Hospital

Date:December 5, 1995

The Physician Care Record form from New Port Richey Hospital generated when Lisa was admitted on December 5, 1995.

The information listed on the form includes the following:

Time 2130 T (Temperature) 0 P (Pulse) 0 R (Respiration) 0 BP (Blood Pressure) 0 CC CPR Diagnostic Orders BCXI5

The Triage Notes are illegible.

History: Physical: 32 yo wf to ER by P.V. [] absent VS noted to have S.T today & tonight lethargy - to ER for eve. In car on way stopped breathing just as they arrived to ER

Unresponsive - pupils unreactive - neck supple - absent heart beat

[illegible) CPR Death