Lembar Observasi Karakteristik Pasien Penyakit Gagal Jantung
Lembar Observasi Karakteristik Pasien Penyakit Gagal Jantung
No. Responden
Nama/Inisial
Umur
Jenis Kelamin
Pekerjaan
Pendidikan
Diagnosa Medis
:...............................................................................
:................................................................................
:...............................................................................
:................................................................................
:................................................................................
:................................................................................
: CHF (Congestive Heart Failure)/ Gagal Jantung
Palu,
Agustus 2015
Peneliti
Kadri