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Formulir RL 3.

7
KEGIATAN RADIOLOGI

Kabupaten : Blitar

Tanggal : 01-06-2020 s.d. 30-06-2020

NO JENIS KEGIATAN JUMLAH


1 2 3
1 ANGKLE DEXTRA 1
2 BOF (BLASS OVERSIX FOTO) 4
3 BOF (BLASS OVERSIX FOTO)_CT 2
4 CLAVIKULA DEXTRA_CT 1
5 CRURIS DEXTRA_CT 2
6 CRURIS SINISTRA_CT_TB 1
7 CRURIS SINISTRA_TB 1
8 FEMUR DEXTRA_CT 1
9 FEMUR DEXTRA_CT_TB 1
10 FEMUR SINISTRA_CT_TB 1
11 GENU DEXTRA 1
12 GENU DEXTRA_CT_TB 1
13 HUMERUS DEXTRA 1
14 LLD (LEFT LATERAL DECUBITUS) 3
15 LUMBOSACRAL AP 3
16 LUMBOSACRAL AP_CT 1
17 LUMBOSACRAL LAT 3
18 LUMBOSACRAL LAT_CT 1
19 PEDIS DEXTRA 2
20 PEDIS DEXTRA_CT_TB 1
21 PELVIS_CT_TB 1
22 SHOULDER SINISTRA_CT_TB 1
23 SKULL AP 1
24 SKULL LAT 1
25 THORAK AP 32
26 THORAK AP_CT 25
27 THORAK AP_CT_TB 1
TOTAL 94
Mengetahui, Blitar,30/06/2020

NIP. NIP.

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