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  • Lembar Infromasi Pasien

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    Yuda Alhabsy
    6 views2 pages
    informasi

    Original Title

    LEMBAR INFROMASI PASIEN

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    informasi

    Copyright:

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

    Lembar Infromasi Pasien

    Uploaded by

    Yuda Alhabsy
    informasi

    Copyright:

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

    PEMERINTAH KABUPATEN BANYUWANGI

    DINAS KESEHATAN
    UPTD PUSKESMAS SEPANJANG
    Jalan Raya Pasar No. 05 GlenmoreTelp.(0333) 821273 Kode Pos 68466
    email: puskesmas.sepanjang@yahoo.com
    GLENMORE - BANYUWANGI

    LEMBAR INFORMASI UMUM PASIEN

    NAMA :
    TANGGAL LAHIR :
    ALAMAT :
    TGL/JAM MATERI INFORMASI METODE EVALUASI TT & NAMA TT NAMA PEMBERI INFORMASI
    PASIEN/KELUARGA

    METODE : 1. DISKUSI (D), 2. CERAMAH (C), 3. OBSERVASI (O), 4. DEMONSTRASI (DEMO), 5. SIMULASI (S), 6. PRAKTERK LANGSUNG (PL)

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