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  • Lembar Follow Up

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    LEMBAR FOLLOW UP (1) (1).docx

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    10 views1 page

    Lembar Follow Up

    Uploaded by

    eky

    Copyright:

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

    FAKULTAS KEDOKTERAN

    UNIVERSITAS PALANGKARAYA
    PERJALANAN PENYAKIT Nama : Umur :
    INSTRUKSI DOKTER
    Ruangan : Keluhan Utama :
    (Diisi Oleh Assisten Ahli)
    Perjalanan Penyakit
    Tanggal / Jam (Ditulis lap. Pend. Tindakan yang Tanda Tangan
    diambil a.l Bila operasi) INSTRUKSI DOKTER (Nama Jelas)
    Tgl :
    TD : mmHg
    N : x/m

    RR : x/m
    T : °C

    BBL :

    TBL :

    LK/LD :

    Hasil Lab
    Tgl:

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