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RSU.

MITRA DELIMA
Jl.Raya Bulupayung No. 1B Krebet, Kec. Bululawang
Kab. Malang 65171 Telp. (0341)805183
Email : rsumitradelima@ymail.com

BORANG KASUS DOKTER UMUM DALAM MASA


SUPERVISI, PEER, DAN MANDIRI

NAMA :
IDENTITAS LEVEL KETERANGAN
NO TANGGAL DIAGNOSIS TATALAKSANA
PASIEN KOMP SUPERVISI PEER MANDIRI
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RSU.MITRA DELIMA
Jl.Raya Bulupayung No. 1B Krebet, Kec. Bululawang
Kab. Malang 65171 Telp. (0341)805183
Email : rsumitradelima@ymail.com

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RSU.MITRA DELIMA
Jl.Raya Bulupayung No. 1B Krebet, Kec. Bululawang
Kab. Malang 65171 Telp. (0341)805183
Email : rsumitradelima@ymail.com

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RSU.MITRA DELIMA
Jl.Raya Bulupayung No. 1B Krebet, Kec. Bululawang
Kab. Malang 65171 Telp. (0341)805183
Email : rsumitradelima@ymail.com

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RSU.MITRA DELIMA
Jl.Raya Bulupayung No. 1B Krebet, Kec. Bululawang
Kab. Malang 65171 Telp. (0341)805183
Email : rsumitradelima@ymail.com

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KESIMPULAN:

RENCANA TINDAK LANJUT:

Ketua Komite Medis Ketua Sub Komite Mutu

dr. Ni Luh Putu Herli M, Sp.A dr. M. Luqman Fadli

Bululawang,....................

DIREKTUR

Dr. Nofita D. Harjayanti

SARAN:

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