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Urine OutputEach time you urinate, write down the time and indicate the amount of urine (small, medium, or large) by circling one of the droplets.
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Week of:__/__/____through__/__/____
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
WeightRecord your weight each day at the same time.
AM
AM
AM
AM
AM
AM
AM
PM
PM
PM
PM
PM
PM
PM
Use this tracker to record your urine output and weight each day—and share your results with your nurse or doctor. You can download and print copies of this form at FreseniusKidneyCare.com/UrineTracker.
URINE TRACKER
KCCS002001_v02 | © 2020 Fresenius Medical Care. All Rights Reserved.