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Surat Rujukan Rumah Sakit

Surat Rujukan Rumah Sakit

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Published by Adhi Wiratma

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Categories:Types, Brochures
Published by: Adhi Wiratma on Jun 15, 2011
Copyright:Attribution Non-commercial

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06/20/2013

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SURAT RUJUKAN
Kepada YthTs. dr. JagaLaboratorium BedahRumah Sakit SanglahDengan hormat,Mohon perawatan lebih lanjut penderita tersebut di bawah ini : N a m a : AGA PRAMANA I KOMANGUmur : 24 Th 4 BlJenis Kelamin : Laki-lakiAlamat : Jalan Batubulan 100X, Gianyar, BaliPemeriksaan Fisik : Tensi : 115/75, 80/menit.Keluhan Utama : Sakit PerutKeluhan Tambahan : mual, pusing, melilitPemeriksaan Penunjang :Lab : Leukosit BRontgen : -Lainnya : -Diagnosis kerja : ABDOMINAL PAINTindakan yang telah dilakukan : Konsul bedahAlasan dirujuk : memerlukan penanganan lebih lanjut.Denpasar, 201_ Btk calldr. I Gede dueg Pradnyana Sp.PD

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