🚨 Emergency Contact Card

For Patients on Home Nutrition Support (TPN / Enteral)

Pakistan Society for Parenteral and Enteral Nutrition (PSPEN)

🏠 Home

🏠 PSPEN Home Page

✏️

Fill in Patient Details

👤 Patient Information

Patient Name

Age

Gender Select... Male Female Other

Blood Group Select... A+A- B+B- AB+AB- O+O-

Diagnosis

🍽️ Nutrition Details

Type of Nutrition Select... TPN (Total Parenteral Nutrition) Enteral Nutrition Both TPN & Enteral

Feeding Method Select... Central Line PICC Line NG Tube NJ Tube PEG Tube Jejunostomy Other

Infusion Schedule

Allergies

📞 Emergency Contacts

1 Primary Contact

Name

Relationship

Phone

2 Secondary Contact

Name

Phone

🏥 Treating Team

Doctor Name

Hospital Name

Nutritionist / Dietitian

Contact Number

👁️

Live Preview (Single Card)

↑ Single card — Print / PDF will have 4 cards per A4 page

🖨️

Print-Ready Layout — A4 Page (4 Cards)

Cut along dashed lines. Each card: 105mm × 148.5mm

210 × 297 mm ✂️

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Cut Along Lines

After printing, cut along dashed lines to separate 4 individual cards.

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Laminate for Durability

Laminate each card for water resistance and long-term use.

📌

Distribute Cards

Patient, caregiver, home entrance, hospital file — keep one in each.

Pakistan Society for Parenteral and Enteral Nutrition

PSPEN — Promoting safe nutrition support across Pakistan

Emergency Contact Card Generator v1.1

For educational and clinical use only