RESUME/RINGKASAN KELUAR PASIEN PERSALINAN

NO. REGISTER :
TGL. MASUK : JAM :
TGL. KELUAR : JAM :
IDENTITAS PASIEN
Nama pasien : Jenis kunjungan :
Umur : Nomor kartu :
Jenis kelamin : Penanggung jawab biaya :
Agama : No. Tlp :
Pekerjaan : Diagnosa sementara :
Alamat : Diagnosa medic :
Dokter penanggung jawab : dr.RR Budi Wahyu W

DIAGNOSA SELAMA DI RAWAT :...............................................................................................................

DIAGNOSA AKHIR : ..................................................................................................................................
RINGKASAN RIWAYAT PENEMUAN HASIL PEMERIKSAN :
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TEMUAN FISIK :
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HASIL DATA PENUNJANG :
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PERKEMBANGAN SELAMA PERAWATAN/ RAWAT INAP :
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KEADAAN PENDERITA, PENGOBATAN, KESIMPULAN SAAT KELUAR RAWAT INAP :
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Batuyang 2019
Mengetahui
Dokter pemeriksa

( dr.RR Budi Wahyu W )