RSU Manado MedIcal Center

N A M A PA S I E N :
KESEIMBANGAN CAIRAN
( FLUID BALANCE ) J E N I S K E LA M I N : L / P NO. RM
UMUR :
DPJP :
RUANGAN :
JENIS CAIRAN (SISA & INTAKE OUTPUT TOTAL 24 JAM
TGL JAM
KECEPATAN TETESAN) IV ORAL JENIS VOLUME INTAKE OUTPUT

K E S E I M BAN GAN CAI RAN ( F LU I D BALAN C E ) RSU MANADO MEDICAL CENTER

 JENIS CAIRAN (SISA & INTAKE OUTPUT TOTAL 24 JAM
TGL JAM
KECEPATAN TETESAN) IV ORAL JENIS VOLUME INTAKE OUTPUT

K E S E I M BAN GAN CAI RAN ( F LU I D BALAN C E ) RSU MANADO MEDICAL CENTER