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  • Book Aaa

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    Lisnawati Pagisi
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    This document appears to be a medical record template for registering patients at a healthcare facility. It includes fields for patient name, date of registration, BPJS insurance number, address, age, symptoms, treatment/dosage, diagnosis, discharge status, and options for internal referrals to other departments like the maternity ward or dental department.

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    SRDTGW

    Original Title

    BOOK AAA

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    This document appears to be a medical record template for registering patients at a healthcare facility. It includes fields for patient name, date of registration, BPJS insurance number, address, age, symptoms, treatment/dosage, diagnosis, discharge status, and options for internal referrals to other departments like the maternity ward or dental department.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    5 views2 pages

    Book Aaa

    Uploaded by

    Lisnawati Pagisi
    This document appears to be a medical record template for registering patients at a healthcare facility. It includes fields for patient name, date of registration, BPJS insurance number, address, age, symptoms, treatment/dosage, diagnosis, discharge status, and options for internal referrals to other departments like the maternity ward or dental department.

    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 ;'KSFH Status pulang


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

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

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