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  • Form Monitor Pasien Diambulans

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    ikanovi kurniasari
    13 views6 pages

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    form monitor pasien diambulans.xlsx

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    13 views6 pages

    Form Monitor Pasien Diambulans

    Uploaded by

    ikanovi kurniasari

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    RSUD 45 KUNINGAN

    FORM MONITORING
    PASIEN REFFRAL

    Tanggal : //..
    Kode Ambus : .....
    Petugas : ..
    MONITORING TANDA VITAL
    Jam TD Nadi Ritme Resp Suhu
    (mmHg) (/mnt) (/mnt) ( C)

    R
    IRR
    catatan :
    .....
    .....
    ..
    .....
    ORING Nama : ..
    FRAL Tgl Lahir : / L/P
    No RM : .

    Sat O GCS Ukuran Pupil Reaksi Pupil


    (Ex Vx Mx ) ( mm)

    Ka Ka :
    Ki Ki :

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