Anda di halaman 1dari 5

ASUHAN KEPERAWATAN PASIEN RAWAT JALAN

PUSKESMAS MAJENANG 1

Nama Pasien :..........................................


Tanggal Lahir/Umur :..........................................
Alamat :..........................................
No.FF / No.RM :................./........................
Diagnosa / Masalah Kesehatan :..........................................

No. TGL / JAM SUBJEKTIF OBJEKTIF ASSESMENT PERENCANAAN IMPLEMENTASI KEPERAWATAN EVALUASI PARAF
TD = mmHg
N = x / mnt
R = x / mnt
0
S = C
BB = kg
TB = cm
ASUHAN KEBIDANAN PASIEN RAWAT JALAN
PUSKESMAS MAJENANG 1

Nama Pasien :..........................................


Tanggal Lahir/Umur :..........................................
Alamat :..........................................
No.FF / No.RM :................./........................
Diagnosa / Masalah Kesehatan :..........................................

No. TGL / JAM SUBJEKTIF OBJEKTIF ASSESMENT PERENCANAAN IMPLEMENTASI KEPERAWATAN EVALUASI PARAF
TD = mmHg
N = x / mnt
R = x / mnt
0
S = C
BB = kg
TB = cm
ASUHAN KEBIDANAN PERSALINAN
PUSKESMAS MAJENANG 1

Nama Pasien :..........................................


Tanggal Lahir/Umur :..........................................
Alamat :..........................................
No.FF / No.RM :................./........................
Diagnosa / Masalah Kesehatan :..........................................

No. TGL / JAM SUBJEKTIF OBJEKTIF ASSESMENT PERENCANAAN IMPLEMENTASI KEPERAWATAN EVALUASI PARAF
TD = mmHg
N = x / mnt
R = x / mnt
0
S = C
BB = kg
TB = cm
DJJ = x/mnt
TFU = cm
HIS =
No. TGL / JAM SUBJEKTIF OBJEKTIF ASSESMENT PERENCANAAN IMPLEMENTASI KEPERAWATAN EVALUASI PARAF

Anda mungkin juga menyukai