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  • Pemerintah Kabupaten Mamberamo Raya Dinas Kesehatan Puskesmas Kasonaweja

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    Pemerintah Kabupaten Mamberamo Raya Dinas Kesehatan Puskesmas Kasonaweja

    Uploaded by

    Puskesmas Kasonaweja

    Copyright:

    © All Rights Reserved
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    of 1

    PEMERINTAH KABUPATEN MAMBERAMO RAYA

    DINAS KESEHATAN
    PUSKESMAS KASONAWEJA
    Alamat :Jl. Kesehatan – Kasonaweja Distrik Mamberamo Tengah
    Halo Puskesmas : Email : puskesmaskasonawejamr@gmail.com

    STATUS PASIEN RAWAT INAB


    Nama Kepala Keluarga : ……………………………………………………… (Lk/Pr) Umur : ………………………..
    No. Rekam Medik : ……………………………………………….… Agama : ………………………..
    Nama Pasien : ……………………………………………………………………………………………………………………..
    Pekerjaan : ……………………………………………………………………………………………………………………..
    Alamat : ……………………………………………………………………………………………………………………..

    Tanggal Anamnesa Diagnosa Terapi Catatan Perawat

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