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Lembar SOAP

Nama pasien : Jenis kelamin :

Usia : Ras :
Kondisi Medis : Berat Badan/Tinggi Badan (IMT) :
Merokok/alkohol/ : Riwayat alergi :
senyawa sejenis

Tgl Subjekif/Objektif Problem medik Terapi saat ini Assesment Plan Monitoring
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