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RUvirTaL Dr. RAMELAN 5 ARTEVEN FARMAS! Nama: 140. aimira No. RM Umur mur: © Teihun Taree RPO LEMBAR PEMANTAUAN TERAPI OBAT caer RPD: - = feden Nemors MRSIKRS — : 2/037 e030 REKONSILIASI: ~ SUBYEKTIF: Farge 2/03 > Mata Kanan beraur, pusi0g + 90ST berdardn, nyert Repata 951 Kane . Gust Aye 3foa = lenes, i NYS 4103 = By ip degon reluhon gusi dan gigi Sorat ,serto leras $103 + pr anos, oust nest Cpercwat = Py mergataKN marsteuac han ke don yer pode 99), p+ ge! Lstubang | Gs cKO =Cacot ; Rx OB) Keech KORE, $2 Sie myers 45 T ferus menerus Gfo3 = mensuas banurery 2/es x maryptoKan mash Ret Rie don berlin leas 2/63 = pe tangatoxan apn pela Unfih Karan amt mah FSC) evengotenan ots1 ah beara dean wapih (Kenn Spent Mah sq) rrengataxcin macen Stell tense mematokon mash ntimsan don bonycte 93: pe wos. Ox wos = pr B/es sex mone cu (ox + px sual tale emimison tetapr Mul bunagns eke gaasarAEN tempAN oByEKnr Dipindai dengan CamScanner TERAPI NAMA OBAT | ATURAN Tanagal 73 | 3 | 44 [83 | os |W | 93 | vs [os] Ws | 5 Asean weriy VY jy ly i? [ont wy wm [viv io [went grainsoen| axis | ¥ [vile |v | # Lacs an [vi[v la Fe | Socreagor Sean ns eee ad [ee Phat emddinr TY 1 1 I I be ve Transquss te vwwg| viv Neuroder ax vi~te ll lel [ey le _esfaat ve vie el eee ee Teansqusy PRC | a tag vil one 2K telo vi~iy Iv [ye [vy [vy i[v i ‘nteaun aenp Vie eseneg < amepaa] 1/321 viviv ly iV IY T Px BKas viviv |? Tropa te | $y Vv vd Beng, TT ee Sanne ges viv _Prnoiut ee ee ee eee ewe =e 1x tele vivil= Transemin [ v AS Te Seer ee - oe wee int i Assesment = penberan coat MP AdaKe adecuat Sela dan menmbukcan Ese YATE REtEarahnan SanNgIE Atsarenkenn Unive al hentia = Tetapt esteccedl peer dihenticen Keiea Mehl pradniscton Aenean = Temp (an ay lanutcon PLAN REKOMENDAS! 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