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RSUD YAYASAN YARSI SAMARINDA

Nama:

TIMBANG TERIMA PASIEN TTL:


SBAR (Situasion, Background, Assessment, Recommendation) Jenis kelamin: L/P
No RM:

Ruangan: Lembar ke :

TGL/JAM
S B A R NAMA &
TTD
NAMA &
TTD
SITUASION BACKGROUND ASSESSMENT RECOMMENDATION PEMBERI PENERIMA

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