Rekam Medis Pengobatan-2

REKAM M
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PERUSAHAAN /
NO NAMA Tanggal Lahir JABATAN DEPARTEMEN TGL PENGOBATAN
KONTRAKTOR
Jl. P. Antasari No. 33 B RT.02 Samarinda 75124

Telp. (0541) 735602/769357
e-mail : lab.kumala@yahoo.com
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Plan / Tatalaksana Status Akhir Pasien Sick Permit / Ijin Sakit Dokter Pemeriksa
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Alasan dirujuk,
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c Rawat Inap
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c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit

Telp. (0541) 735602/769357
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal

Telp. (0541) 735602/769357
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................

Telp. (0541) 735602/769357
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan

Telp. (0541) 735602/769357
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit

Telp. (0541) 735602/769357
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal

Telp. (0541) 735602/769357
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................

Telp. (0541) 735602/769357
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan

Telp. (0541) 735602/769357
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit

Telp. (0541) 735602/769357
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,

Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal

Telp. (0541) 735602/769357
c Rawat Jalan
c Rawat Inap
c With Sick Permit
c Dirujuk, ke ........................
Alasan dirujuk,
c Meninggal
c Rawat Jalan
c Rawat Inap
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Alasan dirujuk,
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Telp. (0541) 735602/769357
Alasan dirujuk,
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Telp. (0541) 735602/769357
c Meninggal
c Rawat Jalan
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Alasan dirujuk,
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Telp. (0541) 735602/769357
c Rawat Inap
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Telp. (0541) 735602/769357
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Telp. (0541) 735602/769357
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c Rawat Jalan
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Telp. (0541) 735602/769357
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Telp. (0541) 735602/769357
c Rawat Jalan
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c Meninggal

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Jl. P. Antasari No. 33 B RT.02 Samarinda 75124

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