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  • Rekam Medis Rawat Jalan Sesudah Akre

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    Eka Mulyana
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    This document contains information about a patient's visit to the outpatient department of Puskesmas Rawat Inap Saguling, including the patient's name, age, address, examination room, medical history, dates of visits, subjective and objective assessment, ICD-X code, treatment plan, informed consent, and signatures.

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    REKAM MEDIS RAWAT JALAN SESUDAH AKRE

    Original Title

    REKAM MEDIS RAWAT JALAN SESUDAH AKRE

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    This document contains information about a patient's visit to the outpatient department of Puskesmas Rawat Inap Saguling, including the patient's name, age, address, examination room, medical history, dates of visits, subjective and objective assessment, ICD-X code, treatment plan, informed consent, and signatures.

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    © All Rights Reserved
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    3 views3 pages

    Rekam Medis Rawat Jalan Sesudah Akre

    Uploaded by

    Eka Mulyana
    This document contains information about a patient's visit to the outpatient department of Puskesmas Rawat Inap Saguling, including the patient's name, age, address, examination room, medical history, dates of visits, subjective and objective assessment, ICD-X code, treatment plan, informed consent, and signatures.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    PEMERINTAH KABUPATEN BANDUNG BARAT

    DINAS KESEHATAN
    PUSKESMAS RAWAT INAP SAGULING
    Kp. Cigempol RT 01 RW 01 Desa Cipangeran Kec. Saguling
    Kab. Bandung Barat Email : pkmrawatinapsaguling@gmail.com

    NO RM : ......................................................
    Nama : ......................................................
    REKAM MEDIS
    Umur : ……………………………..........
    KUNJUNGAN RAWAT JALAN
    Alamat : ……………………………...........
    Ruang Pemeriksaan : ……………………………..........
    Riwayat Alergi :

    TGL PEMERIKS ICD X PERENCANAAN KIE NAMA


    ANAMNESA
    AAN (Assesment) LAYANAN &
    (Subjektif)
    (Objektif) (Planning) PARAF
    Pasien sudah dilakukan / dijelaskan / memahami rangkaian pemeriksaan, kondisi klinis, rencana terapi yang diberikan serta dilibatkan dalam
    pemilihan tindak lanjut (informed choice) dan sudah menyetujui tindakan yang akan dilakukan (informed consent)

    TGL ANAMNES(Subjektif) PEMERIKSA ICD X PERENCANAAN KIE NAMA &


    AN (Assesment) LAYANAN PARAF
    (Objektif) (Planning)
    Pasien sudah dilakukan / dijelaskan / memahami rangkaian pemeriksaan, kondisi klinis, rencana terapi yang diberikan serta dilibatkan dalam
    pemilihan tindak lanjut (informed choice) dan sudah menyetujui tindakan yang akan dilakukan (informed consent)

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