1. Fill in patient information: including name, gender, age, medical history, allergic history, etc.
2. Pharmaceutical service time: record the specific time of pharmaceutical service, including date and time period.
3. Service content: record the specific pharmaceutical services provided by pharmacists, such as medication guidance, drug side effect monitoring, rational drug use consultation, etc.
4. Service results: record the effect of pharmaceutical care, such as whether the expected effect is achieved, whether there are adverse reactions, etc.
5. Pharmacist's signature: Pharmacists should sign the record form, and indicate the service time and content, so as to facilitate follow-up traceability and evaluation.