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(0411) 3613502 – (0411) 3620025
HP . 085 322 322 325 – Email : rsiakartini@gmail.com
LEMBAR Nama : No. RM
TRANSFER Tgl Lahir/Umur : Ruang Rawat Terakhir PASIEN DALAM Jenis Kelamin : LK / PR Badan Jaminan RUMAH SAKIT Tgl/Jam Masuk RS : Tgl. Keluar RS Diagnosa Masuk : ............................................................................................................... Diagnosa Sekarang : .............................................................................................................. Tanggal dan Jam Pindah : .............................................................................................................. Dari Ruang/ Kamar : .............................................................................................................. Pindah Ke Ruang Kamar : ..............................................................................................................