Resume Medis
Resume Medis
DINAS KESEHATAN
UPTD PUSKESMAS TEGUHAN
Alamat : Jl. Raya Ngawi-Jogorogo No.100 Paron Ngawi (63253)
Telp.081333114446
email: puskteguhan@gmail.com
RESUME MEDIS
Nama Pasien : No BPJS :
Umur / Kelamin : Tgl. Masuk :
Pekerjaan : Tgl. Keluar :
Alamat : Dokter yang merawat :
1. DIAGNOSA AWAL
a. Anamnesa Singkat : ................................................................................................
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b. Pemeriksaan fisik : Keadaan umum pasien : ..................................................
c. Laboratorium : ..............................................................................................
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2. Terapi / Tindakan
Terapi / tindakan yang diberikan : ..........................................................................................
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3. DIAGNOSA AKHIR
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4. TINDAKAN LANJUT
Sembuh
Teguhan, .......................................
Dokter yang merawat
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