Alamat :
Diagnosis :
Persalinan :
Indikasi :
MRS :
Objektif
Tanggal Subjektif
HR RR T ATR/TGS
DL
/05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17
HB
HCT
WBC
PLT
KIMIA KLINIK
/05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17
GDS
Ureum
Kreatinin
SGOT
SGPT
FAAL HEMOSTASIS
/05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17
BT
CT
PPT
APTT
ELEKTROLIT
/05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17
Na
K
Cl
BILIRUBIN
/05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17 /05/17
TOTAL
INDIRECT