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  • Form Respon Time Resep Rawat Jalan: Tanggal

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    roby yulianda
    13 views4 pages
    This document is a form tracking prescription response times for outpatient treatment at a hospital. It lists fields to record the date, patient name and identification number, doctor, prescription type, time the prescription was submitted and completed, and time taken to fulfill each prescription. Blank lines are included to log information for up to 40 patients. The form includes signatures from the pharmacy staff member monitoring response times.

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    form respon time

    Original Title

    Form Respon Time

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    This document is a form tracking prescription response times for outpatient treatment at a hospital. It lists fields to record the date, patient name and identification number, doctor, prescription type, time the prescription was submitted and completed, and time taken to fulfill each prescription. Blank lines are included to log information for up to 40 patients. The form includes signatures from the pharmacy staff member monitoring response times.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views4 pages

    Form Respon Time Resep Rawat Jalan: Tanggal

    Uploaded by

    roby yulianda
    This document is a form tracking prescription response times for outpatient treatment at a hospital. It lists fields to record the date, patient name and identification number, doctor, prescription type, time the prescription was submitted and completed, and time taken to fulfill each prescription. Blank lines are included to log information for up to 40 patients. The form includes signatures from the pharmacy staff member monitoring response times.

    Copyright:

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

    FORM RESPON TIME RESEP RAWAT JALAN

    TANGGAL :

    DOKTER /RESEP RACIK JAM RESEP JAM RESEP JAM RESEP


    NO NAMA PASIEN NO. RM POLI NON RACIK MASUK SELESAI SERAH

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    Mengetahui Petugas Farmasi


    ( ……………………………. ) ( ……………….……….. )
    Tgl : Tgl :
    Jam : Jam :
    LAMA
    PENGERJAAN
    RESEP
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00
    0:00:00

    ugas Farmasi
    ………….……….. )

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