Scribd Logo
Upload

Welcome to Scribd!

  • Bestelan Hal 2 Coba

    Uploaded by

    annaprathiwi
    5 views2 pages
    kjhijijjn

    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
    kjhijijjn

    Copyright:

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

    Bestelan Hal 2 Coba

    Uploaded by

    annaprathiwi
    kjhijijjn

    Copyright:

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

    KENDALI MUTU DAN BIAYA

    NO. RM : PESERTA BPJS / JKN TGL MRS : … …………..


    NAMA PASIEN : HAK KLS : ……………………………..
    TEMPAT/TGL. LHR : RUANGAN/KLS : ………………………
    DPJP : EST.HARI PERAWATAN :…..... HARI

    TGL. CODING TGL. CODING TGL. CODING

    DX. UTAMA : DX. UTAMA : DX. UTAMA :

    D. SEKUNDER : D. SEKUNDER : D. SEKUNDER :

    1. 1. 1.
    2. 2. 2.
    3. 3. 3.
    TINDAKAN : TINDAKAN : TINDAKAN :

    1. 1. 1.
    2. 2. 2.
    SPC DRUGS SPC DRUGS SPC DRUGS
    PROCEDUR PROCEDUR PROCEDUR
    PLAFON PLAFON PLAFON
    DR RUANGAN DR RUANGAN DR RUANGAN

    PEMBIAYAAN :
    TGL PEMBAYARAN SISA PEMBAYARAN CATATAN :

    You might also like