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BIDAN

ARI RISDIANTY, Amd.Keb


SIPB Nomor : SD3/24/667/BPPTPM.03/XII/2016
Dusun Sukamenak RT. 07 RW. 11 Desa Mekarmukti Kecamatan Cisaga
HP. 081223038161

RESUME MEDIS

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TanggalKeluar : ................................................................................................................

Ringkasan Pasien Masuk :


Anamnesa : ................................................................................................................
Pemeriksaan fisik : ................................................................................................................
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Palpasi : ................................................................................................................
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V/T : ................................................................................................................
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Assasment : ................................................................................................................
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Rencana tindakan : ................................................................................................................

Ringkasan Pasien Keluar : ..........................................................................................................


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Ciamis, .........................20....
Bidang Penolong

ARI RISDIANTY, Amd.Keb.


NIP. 19871118 2017 04 02004

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