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  • Formulir Laporan Operasi

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    Muarrifa Muflihati
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    Formulir Laporan Operasi

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    Formulir Laporan Operasi

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    451 views1 page

    Formulir Laporan Operasi

    Uploaded by

    Muarrifa Muflihati
    Formulir Laporan Operasi

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    LAPORAN Nama : Umur :

    OPERASI
    Ruangan : No. RM :

    Nama Ahli Bedah : Nama Asisten : Nama Perawat :

    Nama Ahli Anastesi : Jenis Anastesi :

    Diagnose Pre – Operatif :

    Diagnose Post – Operatif :

    Jaringan yang di – eksisi/insisi: Dikirim untuk pemeriksaan P.4:

    Ya Tidak
    Tgl Operasi: Jam Operasi Dmulai: Jam Operasi Selesai: Lama Operasi Berlangsung:

    Laporan Operasi : ( Jika Perlu Dapat Dilanjutkan Dihalaman Sebelah )

    Tanda Tangan Ahli Bedah :

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