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  • Kartu Medical Check Up New

    Diunggah oleh

    Andi Wijaya
    12 tayangan1 halaman
    kartu mc

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    KARTU MEDICAL CHECK UP NEW

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    kartu mc

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    12 tayangan1 halaman

    Kartu Medical Check Up New

    Diunggah oleh

    Andi Wijaya
    kartu mc

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    INDEK R.PERIANAL :........................................................

    KLINIK DKT
    TINGGI BADAN :……....cm ........................................................
    BERAT BADAN :……....kg
    R.GENITALIA :.......................................................
    Jl. Panglima Sudirman No. 16 Nganjuk Telp.081217838601
    KEPALA :.......................................................... ........................................................
    ...........................................................
    EXTREMITAS
    LEHER :.......................................................... ATAS :.......................................................
    ........................................................... BAWAH :.......................................................

    MATA KULIT :.......................................................


    VISUS :…………………………...................
    KENAL WARNA :…………………………………....... LABORATORIUM:.....................................................
    FOTO THORAX :.......................................................
    T.H.T ECG :.......................................................
    TELINGA :........................................................... RIWAYAT PENYAKIT : ............................................
    ............................................................ .........................................................................................
    HIDUNG :........................................................... SARAN/KESIMPULAN :...........................................
    MEDICAL CHEK UP ........................................................... .........................................................................................
    TENGGOROKAN:......................................................... .........................................................................................
    ............................................................ .........................................................................................
    .........................................................................................
    GIGI :........................................................... .........................................................................................
    ............................................................ .........................................................................................
    .........................................................................................
    THORAX :...........................................................
    ..........................................................................................
    NAMA :……………………………........ ............................................................
    ........................................................................................
    ALAMAT :………………………………… TENSI :.........../.......... mmHg
    NADI :...................... x/menit Nganjuk,................................
    TGL LAHIR :……………………………….... RR :...................... x/menit Dokter Pemeriksa

    ABDOMEN :...........................................................
    ............................................................

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