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    rkam medis

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    REKAM MEDIS PASIEN

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    rkam medis

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    10 views3 pages

    Rekam Medis Pasien

    Uploaded by

    dedemuhimat
    rkam medis

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    UPTD PUSKESMAS PAMARAYAN

    Jln Raya Harendong Jawilan Km. 2 Pamarayan


    Rekam Medis Pasien Rawat Jalan

    Nama : Jenis Kelamin : Laki Laki /Perempuan


    Umur : Tahun Alamat :..
    Jamkes : BPJS ..
    No/Tgl
    No/Tgl SOAP
    SOAP Paraf
    S S KU :.
    :.
    RPS :.
    RPS .
    :.
    BB :.Kg, TB :..cm, TD:....../..mmHg, R:x/m, N:. X/m,
    .
    O S:..c
    O BBJantung :.Kg, TB :..cm,
    : Reguler/Ireguler, TD:....../..mmHg,
    BJ I-II N/dbn, g-/+,m - / + R:x/m, N:. X/m,
    Paru :S:..C
    Vasikuler Bromchial, Rh:/., Wh:.../.., Slum:./.
    Jantung : Reguler/Ireguler, BJ I-II N/dbn, g-/+,m - / +
    St.Lokasi :
    Paru :.
    Vasikuler Bromchial, Rh:../., Wh:.../..,
    WD/ :
    Slum:../
    DD/ :
    St.Lokasi :.
    A Th/ :
    .

    A P WD/
    KIE :.
    :
    DD/ :.
    :
    P Th/ :.
    No/Tgl SOAP
    . Paraf
    S KIE
    KU :.
    :..
    RPS :.
    :..
    ..
    BB :.Kg, TB :..cm, TD:....../..mmHg, R:x/m, N:. X/m,
    O S:..c
    Jantung : Reguler/Ireguler, BJ I-II N/dbn, g-/+,m - / +
    Paru : Vasikuler Bromchial, Rh:../., Wh:.../..,Slum:../
    St.Lokasi :..
    ..
    WD/ :..
    DD/ :..
    A Th/ :..
    ..
    P KIE :..
    :.

    No/Tgl SOAP Paraf


    S KU :..
    RPS :..
    ..
    BB :.Kg, TB :..cm, TD:....../..mmHg, R:x/m, N:. X/m,
    O S:..C
    Jantung : Reguler/Ireguler, BJ I-II N/dbn, g-/+,m - / +
    Paru : Vasikuler Bromchial, Rh:../., Wh:.../..,Slum:../
    St.Lokasi :..
    ..
    WD/ :..
    DD/ :..
    A Th/ :.
    ..
    P KIE :..
    :..
    UPTD PUSKESMAS PAMARAYAN
    Jln Raya Harendong Jawilan Km. 2 Pamarayan
    Rekam Medis Pasien Rawat Jalan

    Nama : Jenis Kelamin : Laki Laki /Perempuan


    Umur : Tahun Alamat :..
    Jamkes : UMUM ..
    No/Tgl
    No/Tgl SOAP
    SOAP Paraf
    S S KU :.
    :.
    RPS :.
    RPS .
    :.
    BB :.Kg, TB :..cm, TD:....../..mmHg, R:x/m, N:. X/m,
    .
    O S:..c
    O BBJantung :.Kg, TB :..cm,
    : Reguler/Ireguler, TD:....../..mmHg,
    BJ I-II N/dbn, g-/+,m - / + R:x/m, N:. X/m,
    Paru :S:..C
    Vasikuler Bromchial, Rh:/., Wh:.../.., Slum:./.
    Jantung : Reguler/Ireguler, BJ I-II N/dbn, g-/+,m - / +
    St.Lokasi :
    Paru :.
    Vasikuler Bromchial, Rh:../., Wh:.../..,
    WD/ :
    Slum:../
    DD/ :
    St.Lokasi :.
    A Th/ :
    .

    A P WD/
    KIE :.
    :
    DD/ :.
    :
    P Th/ :.
    No/Tgl SOAP
    . Paraf
    S KIE
    KU :.
    :..
    RPS :.
    :..
    ..
    BB :.Kg, TB :..cm, TD:....../..mmHg, R:x/m, N:. X/m,
    O S:..c
    Jantung : Reguler/Ireguler, BJ I-II N/dbn, g-/+,m - / +
    Paru : Vasikuler Bromchial, Rh:../., Wh:.../..,Slum:../
    St.Lokasi :..
    ..
    WD/ :..
    DD/ :..
    A Th/ :..
    ..
    P KIE :..
    :.

    No/Tgl SOAP Paraf


    S KU :..
    RPS :..
    ..
    BB :.Kg, TB :..cm, TD:....../..mmHg, R:x/m, N:. X/m,
    O S:..C
    Jantung : Reguler/Ireguler, BJ I-II N/dbn, g-/+,m - / +
    Paru : Vasikuler Bromchial, Rh:../., Wh:.../..,Slum:../
    St.Lokasi :..
    ..
    WD/ :..
    DD/ :..
    A Th/ :.
    ..
    P KIE :..
    :..

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