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Lampiran 3A, PENGKAJIAN KEPERAWATAN DASAR Tanggal Pengkajian: .{ Tanggal Masuk RS: 39. 5, Ruanganikelas : oi. No. Rekam Medis: . 4. DATA BIOGRAFI 1. Nama Pasien: ... Anes. . Tempat Tanggal lahir/Usia TaN by . denis Kelamin: .. As: aut Status Perkawinan : Pendidikan: S\"? . Pekerjaan: 2 3 4 5. 6. Suku bangsa/ Bahasa: 7. 8. 9. Aamat rumah: 1. Sumber informasi B._RIWAYAT KEPERAWATAN 1. Riwayat Penyakit Sekarang : a Diagnosa medis: ('S. Qu 95. Moe. Deas 2 b. Tanggal mulai sakit c. Keen yang dirasakan 1) Faktor pencetus keluhan : €! ! 2) Terjadinya keluhan: (_) Tiba-tiba « () Berangsur-angsur 3) Lama keluhan : 4) Faktor yang dapat mengurangi Mien ods, Nas OW Veneta 5) Faktor yang dapat memperberat : \’ Ys dO, WHA ese, oe (uu 4. Dikirim oleh :(./)Dokter( ) RS (_ ) Puskesmas (— ) Lain-tain ©. 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