6 MINGGU POSTNATAL
Hari/Tanggal :
Waktu :
Tempat :
I. SUBJEKTIF
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II. OBJEKTIF
1. Keadaan umum :
2. Tanda-tanda vital
a. Nadi :
b. Pernafasan :
c. Suhu :
3. Antoprometri
BB :
PB :
4. Pemeriksaan fisik
Perut :
Kulit :
III. ASSESMENT
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IV. PLAN OF ACTION
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