Patient name and identification number
Date and time of receipt
Unit, ward, or department receiving the patient
Source of transfer or admission
Reason for admission or transfer
Presenting condition on arrival
Vital signs on arrival
Level of consciousness
Pain assessment
Mobility status
Skin condition and any wounds
Allergies
Current medications
IV lines, drains, catheters, or tubes present
Oxygen therapy or respiratory support in use
Belongings received with the patient
Safety risks or special precautions
Name and designation of receiving nurse
Signature or initials of receiving nurse
Signature or initials of transferring staff if required
