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  • Lembar Triage

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    IGD Rsud Ciracas
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    LEMBAR TRIAGE (4)

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    Copyright:

    © All Rights Reserved
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    6 views1 page

    Lembar Triage

    Uploaded by

    IGD Rsud Ciracas
    a

    Copyright:

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

    NAMA PASIEN TRIAGE IGD

    TGL LAHIR RSUD CIRACAS


    KELUHAN

    TD: MmHg N: ˣ/mnt RR: ˣ/mnt S: ˚C SpO2: % BB :


    KATEGORI MERAH / KUNING / HIJAU / HITAM
    DIAGNOSA AWAL
    KETERANGAN □ TRUE EMERGENCY □ FALSE EMERGENCY
    JAM / TGL PARAF PETUGAS

    NAMA PASIEN TRIAGE IGD


    RSUD CIRACAS
    TGL LAHIR
    KELUHAN

    TD: MmHg N: ˣ/mnt RR: ˣ/mnt S: ˚C SpO2: % BB :


    KATEGORI MERAH / KUNING / HIJAU / HITAM
    DIAGNOSA AWAL
    KETERANGAN □ TRUE EMERGENCY □ FALSE EMERGENCY
    JAM / TGL PARAF PETUGAS

    NAMA PASIEN TRIAGE IGD


    TGL LAHIR RSUD CIRACAS
    KELUHAN

    TD: MmHg N: ˣ/mnt RR: ˣ/mnt S: ˚C SpO2: % BB :


    KATEGORI MERAH / KUNING / HIJAU / HITAM
    DIAGNOSA AWAL

    KETERANGAN □ TRUE EMERGENCY □ FALSE EMERGENCY


    JAM / TGL PARAF PETUGAS

    NAMA PASIEN TRIAGE IGD


    TGL LAHIR RSUD CIRACAS
    KELUHAN

    TD: MmHg N: ˣ/mnt RR: ˣ/mnt S: ˚C SpO2: % BB :


    KATEGORI MERAH / KUNING / HIJAU / HITAM
    DIAGNOSA AWAL

    KETERANGAN □ TRUE EMERGENCY □ FALSE EMERGENCY


    JAM / TGL PARAF PETUGAS

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