Scribd Logo
Upload

Welcome to Scribd!

  • Resume Medis BPJS

    Uploaded by

    CASEMIX RSA
    6 views1 page
    This document is a medical resume summary letter containing sections for a patient's personal information, medical history, physical examination findings, diagnosis, treatment plan, prognosis, and discharge reason. The doctor would fill in the evaluation of the patient's anamnesis, history of illness, clinical findings, diagnosis, procedures, follow-up recommendations, prognosis, and cause of death if applicable. The patient or family member signs to acknowledge the discharge reason.

    Original Description:

    Original Title

    RESUME MEDIS BPJS

    Copyright

    © © All Rights Reserved

    Available Formats

    RTF, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a medical resume summary letter containing sections for a patient's personal information, medical history, physical examination findings, diagnosis, treatment plan, prognosis, and discharge reason. The doctor would fill in the evaluation of the patient's anamnesis, history of illness, clinical findings, diagnosis, procedures, follow-up recommendations, prognosis, and cause of death if applicable. The patient or family member signs to acknowledge the discharge reason.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Resume Medis BPJS

    Uploaded by

    CASEMIX RSA
    This document is a medical resume summary letter containing sections for a patient's personal information, medical history, physical examination findings, diagnosis, treatment plan, prognosis, and discharge reason. The doctor would fill in the evaluation of the patient's anamnesis, history of illness, clinical findings, diagnosis, procedures, follow-up recommendations, prognosis, and cause of death if applicable. The patient or family member signs to acknowledge the discharge reason.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    RESUME MEDIS

    SUMMARY LETTER

    Nama : .....…………………………………………………………………………………… No. RM :


    Jenis Kelamin : Laki-laki Perempuan No. SEP : ………………………………………………
    Tempat,Tgl.Lhr : …………………………………………………………………………………………
    ,………………………………………………………….. Kmr/Klas : ………………………………./……………
    Umur : .…… Thn ………. Bln ……… Hr MRS : ………………………………………………
    Alamat : …………………………………………………………………………………………. KRS : ………………………………………………
    : ……………………………………………………...………………………………… Telepon : ………………………………………………

    DI ISI OLEH DOKTER


    Anamnesis (Reason for Admission ) :
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Riwayat perjalanan penyakit (History of Illness(es) :


    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Pemeriksaan Fisik (Physical Examination ) :


    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Penemuan klinik : Lab, Rontgen, dll (Clinical findings) :


    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Diagnosa (Diagnosis) :
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Tindakan (Procedure) :
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    Keadaan waktu KRS
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Anjuran / Rencana / Kontrol Selanjutnya (Follow Up) :


    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………

    Prognosa (Prognosis ) :
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    Sebab Meninggal (Cause of Death):
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………………………………………………………………………………………
    Alasan Pulang : Dipulangkan Pulang paksa Pindah RS lain
    Dischange reason Dapat berobat jalan Meninggal

    Dokter yang merawat / Attending Physician Tanda tangan Keluarga/Pasien

    ………………………………………………………………………… Tanggal / Date : ………………………………………………


    Tanda tangan & Nama Lengkap / Signature & Full Name Jam / Time :

    You might also like