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FORM MONITORING KELENGKAPAN REKAM MEDIK BEDAH

Bulan :
Tahun :

Monitoring Monitoring
Ass. Pra Ass. Pra Laporan Informed Asuhan PPA Pasca
Selama Pasca
No RM Sedasi Bedah Operasi Consent Keperawatan Bedah
Anestesi Anestesi
L TL L TL L TL L TL L TL L TL L TL L TL

Ket :
 L : Lengkap
 TL : Tidak Lengkap

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