UNIVERSITAS MUHAMMADIYAH JEMBER

FAKULTAS ILMU KESEHATAN

PROGRAM STUDI NERS
Jl. Karimata No. 49 Telp.(0331) 336728 Fax. 337957 Kotak Pos 104 Jember 68121
Website : http://www.unmuhjember.ac.id, E-mail : Kantorpusat@unmuhjember.ac.id

RESUME KEPERAWATAN
MRS Tgl / Jam : No Reg :
Pengkajian tgl / Jam : Diagnosa Medis :
1. IDENTITAS
Nama : Orang yang bertanggung Jawab
Umur : Tahun/Bulan Nama :
Pekerjaan : Hubungan :
Pendidikan : Umur :
Alamat/ No Telp : Pekerjaan :
Agama : Alamat/No Telp :

2. DATA SUBJEKTIF DAN OBJEKTIF

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3. DIAGNOSA
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4. IMPLEMENTASI
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5. EVALUASI
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