PEMERIKSAAN FISIK DAN VITAL SIGN PEMERIKSAAN FISIK DAN VITAL SIGN PEMERIKSAAN FISIK DAN VITAL SIGN
TENSI : ______________________________mm/Hg TENSI : ______________________________mm/Hg TENSI : ______________________________mm/Hg
NADI : ______________________________ x/menit NADI : ______________________________ x/menit NADI : ______________________________ x/menit
RR : ______________________________ x/menit RR : ______________________________ x/menit RR : ______________________________ x/menit
BB : ______________________________ kg BB : ______________________________ kg BB : ______________________________ kg
TEMERATUR : ______________________________ C TEMERATUR : ______________________________ C TEMERATUR : ______________________________ C
GULA DARAH : ______________________________ mg/dl GULA DARAH : ______________________________ mg/dl GULA DARAH : ______________________________ mg/dl
Dx : ___________________________________ Dx : ___________________________________ Dx : ___________________________________
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INJEKSI : ___________________________________ INJEKSI : ___________________________________ INJEKSI : ___________________________________
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