Anda di halaman 1dari 2

YAYASAN WAKAF UMI

UNIVERSITAS MUSLIM INDONESIA


FAKULTAS KEDOKTERAN
BAGIAN KARDIOLOGI
Sekretariat : Jl. Urip Sumoharjo Km. 05, Kantor Bagian Klinik Rs. Ibnu Sina Lt. 3. Telp (0411) 428384, Makassar 90231

ABSEN KOAS BEDSIDE TEACHING


Tanda Tangan Dokter Visite
Hari/Tanggal :..............................................
Daftar Pasien Visite (Nama/Umur/Ruangan):

1. ..................................................................................
2. ..................................................................................
3. ..................................................................................
4. ..................................................................................
5. ..................................................................................
6. .................................................................................
7. ..................................................................................
8. ..................................................................................
9. ..................................................................................
10. ..................................................................................
Dst..
No. NAMA STAMBUK PARAF

Anda mungkin juga menyukai