Scribd Logo
Upload

Welcome to Scribd!

  • Contoh Formulir PIO

    Uploaded by

    FARMASIRSUMAMPANG
    2K views1 page

    Original Title

    Contoh Formulir PIO.docx

    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

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2K views1 page

    Contoh Formulir PIO

    Uploaded by

    FARMASIRSUMAMPANG

    Copyright:

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

    FORMULIR PELAYANAN INFORMASI OBAT

    INSTALASI FARMASI RUMAH SAKIT

    A. IDENTITAS PENANYA
    NAMA UMUR L/ P STATUS TANGGAL/ JAM

    ALAMAT NO. TELP

    METODE: LISAN/ TERTULIS/ VIA TELEPON

    B. IDENTITAS PASIEN
    NAMA NO. RM TANGGAL

    ALAMAT NO. TELP

    UMUR L/P BB/ TB NAMA DOKTER

    METODE: LISAN/ TERTULIS/ VIA TELEPON

    PERTANYAAN/ PERMASALAHAN:

    SOLUSI (LISAN/ TERTULIS/ VIA TELEPON)

    REFERENSI (Dokter/ Buku/ Online)

    NAMA & PARAF APOTEKER TGL/ JAM

    You might also like