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LEMBAR OBSERVASI VK

No. RM :
Nama Pasien :
Alamat :
Diagnosa :
Dokter :
Tgl/Jam Tensi Nadi RR Suhu SPo2 GCS Input Outpu Skala Terapi Implementasi Paraf
Cairan Cairan Nyeri

Tgl/Jam TTD Dokter TTD Bidan

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