Dr. Suranti Dr. HESTI Dr. FAHMI: Koas

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Dr. Suranti Dr. HESTI Dr. FAHMI: Koas

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Bernadetha Vania

Followup

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Tgl: dr. SURANTI dr. HESTI dr.

FAHMI
Bed___ Bed___ Bed___
Nama: Umur: Nama: Umur: Nama: Umur:
BB: Hari ke-: BB: Hari ke-: BB: Hari ke-:
S

O KU: KU: KU:

Kesadaran: Kesadaran: Kesadaran:
TD: HR: Suhu: TD: HR: Suhu: TD: HR: Suhu:
RR: SatO2: RR: SatO2: RR: SatO2:
Status Generalisata Status Generalisata Status Generalisata

A
P
Tgl: dr. SURANTI dr. HESTI dr. FAHMI
Bed___ Bed___ Bed___
Nama: Umur: Nama: Umur: Nama: Umur:
BB: Hari ke-: BB: Hari ke-: BB: Hari ke-:
S

O KU: KU: KU:

Kesadaran: Kesadaran: Kesadaran:
TD: HR: Suhu: TD: HR: Suhu: TD: HR: Suhu:
RR: SatO2: RR: SatO2: RR: SatO2:
Status Generalisata Status Generalisata Status Generalisata

A
P
KOAS :

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