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NAMA PASIEN: DIAGNOSA PASIEN: NOMOR REGISTER:

LEMBAR BALANCE CAIRAN


INTERVAL WAKTU INTAKE MINUM INFUS OBAT LAINLAIN URIN OUTPUT
MUNTAH

BALANCE CAIRAN LAINLAIN INTAKE-OUTPUT

IWL

NAMA PASIEN: DIAGNOSA PASIEN: NOMOR REGISTER:

LEMBAR BALANCE CAIRAN


INTERVAL WAKTU INTAKE MINUM INFUS OBAT LAINLAIN URIN OUTPUT
MUNTAH

BALANCE CAIRAN LAINLAIN INTAKE-OUTPUT

IWL

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