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    Awwaludin Farhan
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    Dokumen tersebut berisi format rekam medis pasien di Klinik Siti Hajar NU yang mencakup identitas pasien, keluhan, perincian perawatan dan obat-obatan yang diberikan beserta harganya.

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    Dokumen tersebut berisi format rekam medis pasien di Klinik Siti Hajar NU yang mencakup identitas pasien, keluhan, perincian perawatan dan obat-obatan yang diberikan beserta harganya.

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    29 tayangan1 halaman

    Daftar

    Diunggah oleh

    Awwaludin Farhan
    Dokumen tersebut berisi format rekam medis pasien di Klinik Siti Hajar NU yang mencakup identitas pasien, keluhan, perincian perawatan dan obat-obatan yang diberikan beserta harganya.

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    © All Rights Reserved
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    PT. BUDI MEDIKA PT. BUDI MEDIKA PT.

    BUDI MEDIKA
    KLINIK SITI HAJAR NU KLINIK SITI HAJAR NU KLINIK SITI HAJAR NU
    DS. POHSANGIT TENGAH – KEC. WONOMERTO DS. POHSANGIT TENGAH – KEC. WONOMERTO DS. POHSANGIT TENGAH – KEC. WONOMERTO
    KABUPATEN PROBOLINGGO KABUPATEN PROBOLINGGO KABUPATEN PROBOLINGGO
    Email : kliniksitihajar.nu@gmail.com , Telp : (0335) 4491612 Email : kliniksitihajar.nu@gmail.com , Telp : (0335) 4491612 Email : kliniksitihajar.nu@gmail.com , Telp : (0335) 4491612

    Nama : Umur: Nama : Umur: Nama : Umur:


    Alamat : No. Reg: Alamat : No. Reg: Alamat : No. Reg:
    Keluhan : Keluhan : Keluhan :
    Kamar : Kamar : Kamar :
    PERINCIAN PERINCIAN PERINCIAN
    Tgl : ..................................... s/d ................................................ Tgl :...................................... s/d ................................................. Tgl : ..................................... s/d .................................................
    ALKES : ALKES : ALKES :
    INFUSET PED / DWS................................... Rp …………..… INFUSET PED / DWS .................................. Rp …………..… INFUSET PED / DWS .................................. Rp …………..…
    SF .................................................................. Rp …………..… SF ................................................................. Rp …………..… SF .................................................................. Rp …………..…
    AS ................................................................. Rp …………..… AS ................................................................. Rp …………..… AS ................................................................. Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎OKSIGEN ................................................... Rp …………..… ∎OKSIGEN .................................................. Rp …………..… ∎OKSIGEN .................................................. Rp …………..…
    ∎GELANG PASIEN .................................... Rp …………..… ∎GELANG PASIEN ................................... Rp …………..… ∎GELANG PASIEN .................................... Rp …………..…
    OBAT-OBATAN : OBAT-OBATAN : OBAT-OBATAN :
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………..… ∎.................................................................... Rp …………..… ∎ .................................................................... Rp …………..…
    ∎ .................................................................... Rp …………...... ∎.................................................................... Rp …………...... ∎ .................................................................... Rp …………......
    ∎ .................................................................... Rp …………….. ∎.................................................................... Rp …………….. ∎ .................................................................... Rp ……………..
    ∎ .................................................................... Rp …………….. ∎.................................................................... Rp …………….. ∎ .................................................................... Rp ……………..
    TABLET : TABLET : TABLET :
    ....................................................................... Rp ……..……… ....................................................................... Rp ……..……… ....................................................................... Rp ……..………
    ....................................................................... Rp ……..……… ....................................................................... Rp ……..……… ....................................................................... Rp ……..………
    LAIN-LAIN : LAIN-LAIN : LAIN-LAIN :
    ....................................................................... Rp ……..……… ....................................................................... Rp ……..……… ....................................................................... Rp ……..………
    ....................................................................... Rp ……..……… ....................................................................... Rp ……..……… ....................................................................... Rp ……..………
    ....................................................................... Rp ……..……… ....................................................................... Rp ……..……… ....................................................................... Rp ……..………
    VISITE DOKTER........................................ Rp ……...……... VISITE DOKTER ....................................... Rp ……...……... VISITE DOKTER ....................................... Rp ……...……...
    KAMAR DAN PERAWATAN ................... Rp ………..…… KAMAR DAN PERAWATAN .................. Rp ………..…… KAMAR DAN PERAWATAN ................... Rp ………..……
    ADMINISTRASI ......................................... Rp ………..…… ADMINISTRASI ......................................... Rp ………..…… ADMINISTRASI ......................................... Rp ………..……

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