Scribd Logo
Upload

Welcome to Scribd!

  • Book Aaa

    Uploaded by

    Lisnawati Pagisi
    4 views2 pages
    This document appears to be a medical record template for registering patients at a clinic. It includes fields for patient name, date of registration, BPJS insurance number, registration status, address, age, marital status, symptoms, treatment details, diagnosis, medications, internal referrals and discharge status. The internal referrals section lists codes for different departments within the clinic including general practice, emergency department, laboratory, maternal and child health, and dentistry.

    Original Description:

    Original Title

    BOOK AAA.xlsx

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document appears to be a medical record template for registering patients at a clinic. It includes fields for patient name, date of registration, BPJS insurance number, registration status, address, age, marital status, symptoms, treatment details, diagnosis, medications, internal referrals and discharge status. The internal referrals section lists codes for different departments within the clinic including general practice, emergency department, laboratory, maternal and child health, and dentistry.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views2 pages

    Book Aaa

    Uploaded by

    Lisnawati Pagisi
    This document appears to be a medical record template for registering patients at a clinic. It includes fields for patient name, date of registration, BPJS insurance number, registration status, address, age, marital status, symptoms, treatment details, diagnosis, medications, internal referrals and discharge status. The internal referrals section lists codes for different departments within the clinic including general practice, emergency department, laboratory, maternal and child health, and dentistry.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ASKES/ JAMKESMAS

    Pendaftaran Bulan/Thn :

    Nama Pasien Status pulang


    No. Tgl Nomor BPJS Reg P/L Alamat Umur Ku/Ka Keluhan Terapi/Dosis Diagnosa
    Nama Obat Rujuk. Rujuk.
    TB BB TD RR
    Pasien Jln Internal Lanjut

    Rujukan Internal:
    (1=MTBS),(2=UGD),(3=LAB),(4=KIA/KB),(5=Gigi)

    You might also like