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  • Format Morning Report

    Diunggah oleh

    Annisa Tri Nastiti
    48 tayangan2 halaman

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    48 tayangan2 halaman

    Format Morning Report

    Diunggah oleh

    Annisa Tri Nastiti

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    MORNING REPORT

    Nama : _____________________________________
    Kelompok : _____________________________________
    Tempat : _____________________________________
    Hari/Tanggal : _____________________________________

    I. Identitas Pasien
    No Reg : ________________________________________________________
    Nama : ________________________________________________________
    Umur : ________________________________________________________
    Jenis Kelamin : ________________________________________________________
    Alamat : ________________________________________________________
    Pekerjaan : ________________________________________________________
    II. Diagnosa Medis
    ______________________________________________________________________
    III. Riwayat Penyakit Sekarang
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    IV. Vitas Sign
    ______________________________________________________________________
    V. Pemeriksaan Fisik
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    VI. Pemeriksaan Khusus
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    VII. Diagnosa Fisioterapi
    ______________________________________________________________________
    ______________________________________________________________________
    VIII. Tujuan Fisioterapi
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    IX. Rencana Tindakan Fisioterapi
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    X. Intervensi Fisioterapi
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    XI. Evaluasi
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________
    ______________________________________________________________________

    ___________, ___________ 2020


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