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PRAKTEK DOKTER UMUM PRAKTEK DOKTER UMUM

dr. Olyvia Widyastuti, S.Ked dr. Olyvia Widyastuti, S.Ked


Jl.Poros Balandangan Kec. Tamalatea Kab.Jeneponto Hp.081355989062 Jl.Poros Balandangan Kec. Tamalatea Kab.Jeneponto Hp.081355989062
SIP. 73.4/297/ITK/DPMPTSP/JP/III/2024 SIP. 73.4/297/ITK/DPMPTSP/JP/III/2024

Nama :................................................................... Nama :...................................................................

Tempat tgl lahir : .................................................................. Tempat tgl lahir : ..................................................................

Jenis kelamin :.................................................................... Jenis kelamin :....................................................................

Alamat : .................................................................... Alamat : ....................................................................

No HP : …………………………………………… No HP : ……………………………………………

Tgl// S Subjective (Anamnesis) Planning Paraf Tgl/ S Subjective (Anamnesis) Planning Paraf

waktu O Objektive (pemeriksaan) (rencana Tindakan/terapi) Waktu O Objektive (pemeriksaan) (rencana Tindakan/terapi)

A Assesment (Diagnosis) A Assesment (Diagnosis)


Tgl// S Subjective (Anamnesis) Planning Paraf Tgl/ S Subjective (Anamnesis) Planning Paraf

waktu O Objektive (pemeriksaan) (rencana Waktu O Objektive (pemeriksaan) (rencana Tindakan/terapi)


Tindakan/terapi)
A Assesment (Diagnosis) A Assesment (Diagnosis)

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