Scribd Logo
Upload

Welcome to Scribd!

  • Form Resume Medik

    Uploaded by

    azzairo3
    5 views1 page
    This medical resume document contains information about a patient's medical history at a public health center in Tarokan, Kediri, Indonesia. It includes the patient's name, date of birth, gender, doctor who referred them, treating doctor, diagnosis upon arrival and departure, medical examinations performed, treatments, prognosis, follow-up care plan, and condition upon leaving - whether they were cured, referred, or died within or after 48 hours. The document is signed by the doctor in charge and a nurse.

    Original Description:

    Form resume medik

    Original Title

    FORM RESUME MEDIK

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This medical resume document contains information about a patient's medical history at a public health center in Tarokan, Kediri, Indonesia. It includes the patient's name, date of birth, gender, doctor who referred them, treating doctor, diagnosis upon arrival and departure, medical examinations performed, treatments, prognosis, follow-up care plan, and condition upon leaving - whether they were cured, referred, or died within or after 48 hours. The document is signed by the doctor in charge and a nurse.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views1 page

    Form Resume Medik

    Uploaded by

    azzairo3
    This medical resume document contains information about a patient's medical history at a public health center in Tarokan, Kediri, Indonesia. It includes the patient's name, date of birth, gender, doctor who referred them, treating doctor, diagnosis upon arrival and departure, medical examinations performed, treatments, prognosis, follow-up care plan, and condition upon leaving - whether they were cured, referred, or died within or after 48 hours. The document is signed by the doctor in charge and a nurse.

    Copyright:

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

    PEMERINTAH KABUPATEN KEDIRI

    DINAS KESEHATAN
    UPTD PUSKESMAS TAROKAN
    Jalan Sekolahan No. 1 Ds. Kaliboto Kec. Tarokan Kab. Kediri
    Email :puskesmastarokankabkediri@gmail.com
    KEDIRI
    Kode Pos : 64152

    RESUME MEDIK

    NO RM :………………………. STATUS : UMUM/ BPJS


    NAMA :………………………. NO. BPJS :.………………………………
    TGL. LAHIR :………………………. JENIS KELAMIN : L / P

    Dokter Pengirim :.……………………… Tanggal Masuk :.………………………


    Dokter Yang Merawat :.……………………… Tanggal Keluar :.………………………
    Diagnosa Masuk :.……………………… Diagnosa Keluar :.………………………

    Anamnesis :.……………………………………………………………………

    Pemeriksaan (fisik, lab, dkk) :.……………………………………………………………………

    Tindakan :.……………………………………………………………………

    Prognosis :.……………………………………………………………………

    Pengobatan Lanjutan :.……………………………………………………………………

    Anjuran/ Rencana Lanjut :.……………………………………………………………………

    Komplikasi :.……………………………………………………………………

    Keadaan Waktu keluar Sembuh Meninggal <48 jam


    Rujuk Meninggal >48 jam

    Kediri , - - 20
    Dokter/ Penanggung Jawab Perawat/ Bidan

    ………………………………….......................... …………………………………...............................

    You might also like