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STIKER OBAT HIGH ALERT PADA BOTOL INFUS

STIKER IDENTITAS PASIEN


NAMA
:.....................................................................
TGL LAHIR : ....................................................................
NO.RM
HIGH
: .....................................................................
CAIRAN INFUS ALERT
: ....................................................................
BOTOL KE : ....................................................................
OBAT YANG DITAMBAHKAN JUMLAH

TANGGAL PEMBERIAN :....................................................


JAM..............................................
DIBERIKAN OLEH :....................................................DI CEK

STIKER OBAT HIGH ALERT PADA BOTOL INFUS


STIKER IDENTITAS PASIEN
NAMA
:.....................................................................
TGL LAHIR : ....................................................................
NO.RM
HIGH
: .....................................................................
CAIRAN INFUS ALERT
: ....................................................................
BOTOL KE : ....................................................................
OBAT YANG DITAMBAHKAN JUMLAH

TANGGAL PEMBERIAN :....................................................


JAM..............................................
DIBERIKAN OLEH :....................................................DI CEK

STIKER OBAT HIGH ALERT PADA BOTOL INFUS


STIKER IDENTITAS PASIEN
NAMA
:.....................................................................
TGL LAHIR : ....................................................................
NO.RM
HIGH
: .....................................................................
CAIRAN INFUS ALERT
: ....................................................................
BOTOL KE : ....................................................................
OBAT YANG DITAMBAHKAN JUMLAH

TANGGAL PEMBERIAN :....................................................


JAM..............................................
DIBERIKAN OLEH :....................................................DI CEK