You are on page 1of 4

KAMAR : DPJP:

Bed/RM Bed/RM Bed/RM

Nama/usia Nama/usia Nama/usia

Tgl masuk/HR Tgl masuk/HR Tgl masuk/HR

S: S: S:

TD HR RR TD HR RR TD HR RR

Suhu TB BB Suhu TB BB Suhu TB BB

PF: PF: PF:

PP: PP: PP:

A: A: A:

P: P: P:
KAMAR : DPJP:
Bed/RM Bed/RM Bed/RM

Nama/usia Nama/usia Nama/usia

Tgl masuk/HR Tgl masuk/HR Tgl masuk/HR

S: S: S:

TD HR RR TD HR RR TD HR RR

Suhu TB BB Suhu TB BB Suhu TB BB

PF: PF: PF:

PP: PP: PP:

A: A: A:

P: P: P:
KAMAR : DPJP:
Bed/RM Bed/RM Bed/RM

Nama/usia Nama/usia Nama/usia

Tgl masuk/HR Tgl masuk/HR Tgl masuk/HR

S: S: S:

TD HR RR TD HR RR TD HR RR

Suhu TB BB Suhu TB BB Suhu TB BB

PF: PF: PF:

PP: PP: PP:

A: A: A:

P: P: P:
KAMAR : DPJP:
Bed/RM Bed/RM Bed/RM

Nama/usia Nama/usia Nama/usia

Tgl masuk/HR Tgl masuk/HR Tgl masuk/HR

S: S: S:

TD HR RR TD HR RR TD HR RR

Suhu TB BB Suhu TB BB Suhu TB BB

PF: PF: PF:

PP: PP: PP:

A: A: A:

P: P: P:

You might also like