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LEMBAR TINDAKAN

NAMA : UMUR : NO. RM :

NO. INSTRUKSI TINDAKAN PARAF DOKTER JAM TINDAKAN PERAWAT PARAF PARAMEDIS
LEMBAR OBSERVASI
NAMA PENDERITA : UMUR : NO. RM :

TGL JAM GCS TENSI NADI SUHU RR PROD. URIN PROD.M.S. CAIRAN INSFUS KET

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