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  • Voiding Diary

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    Rizky Hutomo Aji
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    This document is a 3-day voiding diary for tracking fluid intake, urine output, and frequency of urination. It collects information such as the type and amount of fluids consumed, urine volume, time between feeling the urge to urinate and actually urinating, and any notes. The diary is meant to be completed over 3 days to assess bladder habits and function.

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    Rhassy

    Original Title

    Voiding Diary (1)

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    This document is a 3-day voiding diary for tracking fluid intake, urine output, and frequency of urination. It collects information such as the type and amount of fluids consumed, urine volume, time between feeling the urge to urinate and actually urinating, and any notes. The diary is meant to be completed over 3 days to assess bladder habits and function.

    Copyright:

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

    Voiding Diary

    Uploaded by

    Rizky Hutomo Aji
    This document is a 3-day voiding diary for tracking fluid intake, urine output, and frequency of urination. It collects information such as the type and amount of fluids consumed, urine volume, time between feeling the urge to urinate and actually urinating, and any notes. The diary is meant to be completed over 3 days to assess bladder habits and function.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    VOIDING DIARY BLADDER

    Mohon Melengkapi Formulir Vioding Diary Selama 3 Hari


    Nama :______________________________________________________________
    Usia :______________________________________________________________
    Jenis Kelamin : Laki-Laki / Perempuan
    Berat Badan : Kg
    INTAKE CAIRAN WAKTU ANTARA
    VOLUME PERASAAN INGIN
    WAKTU JUMLAH KETERANGAN
    JENIS URINE BERKEMIH HINGGA
    (ml)
    BERKEMIH (menit)
    06.00 AM Air putih 250 700 15 kebocoran
    07.00 AM
    08.00 AM 300 10
    09.00 AM kopi 200
    10.00 AM 50 15
    11.00 AM
    12.00 AM 100
    01.00 PM
    02.00 PM
    03.00 PM
    04.00 PM 300
    05.00 PM 100
    06.00 PM
    07.00 PM
    08.00 PM
    09.00 PM
    10.00 PM
    11.00 PM
    12.00 PM
    01.00 AM
    02.00 AM
    03.00 AM
    04.00 AM
    05.00 AM

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