LEMBAR PEMANTAUAN

PASIEN KONFIRMASI COVID-19

UPT.PUSKESMAS SANGIANG

Nama Pasien : Nuraenih

Alamat :Sangiang Jaya Rt 004/03
Sumber Penularan :Suspek
Hasil Lab :RAT ( + ) & PCR ( + ) TGL : 16 Juni 2021 Lab :-

H1 H2 H3 H4 H5 H6 H7 H8 H9 H10 H11 H12 H13 H14

Pemantauan Harian
TGL : 16/6/21 TGL :17/6/21 TGL :18/6/21 TGL :19/6/21 TGL :20/6/21 TGL :21/6/21 TGL :22/6/21 TGL :23/6/21 TGL :24/6/21 TGL :25/6/21 TGL :27/6/21 TGL :28/6/21 TGL :29/6/21 TGL :30/6/21

Suhu Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal

Sehat v v v v v v v v v v v v v v

Demam Batuk
Sesak Nafas

Keluhan Lain anosmia anosmia anosmia anosmia anosmia anosmia anosmia anosmia anosmia anosmia anosmia

Dokumentasi
Tangerang, 01 Juli 2021
Pemantau

Kartika Sari, Str Keb

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