Pencatatann Tind Medis
Pencatatann Tind Medis
Diagnosa : ..................................................................................................................................................
Nama Tindakan : ..................................................................................................................................................
Tanggal Tindakan : .......................................... Jam Tindakan..............................WIB
Jenis Anastesi : □ Lokal □ ………………………………….
LAPORAN TINDAKAN
( ............................................) ( ............................................)
Tanda Tangan & Nama Terang Tanda Tangan & Nama Terang