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Form DHF Ruang Intensif

NAMA : IWL : BB :
RUANG : BBI : IWL BBI :

CC TOTAL
Urine/Kg TABUNGAN
BB
TGL Jam T N S RR WBC HB HCT PLT CM CK IWL BALANCE
OBSERVASI PASIEN DIABETES

Nama
BB
HASIL AGD INSTRUKSI
Tgl Jam Hasil BS pH PCO2 PO2 BE HCO3 SaO2 ACTRAPID BOLUS KET
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