8. Dada:
Jantung:
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Paru:
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9. Abdomen
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10. Urogenital
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11. Ekstremitas
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12. Kulit dan kuku
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13. Keadaan lokal
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D. Pemeriksaan Penunjang
1. Laboratorium
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2. Photo
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3. Lain-lain
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E. Terapi
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ANALISA DATA
Nama Klien : ..................... Ruangan/kamar : ..............................
Umur : ..................... No. RM : ..............................
IMPLEMENTASI
NO. DX KEP TANGGAL / JAM IMPLEMENTASI PARAF
EVALUASI