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CHECKLIST BAB AP

RUANGAN :

ASESMEN ASESMEN ASESMEN RUJUKAN/TRANSFER ASESMEN ASESMEN


DISCHARGE ASESMEN
RAWAT ULANG PASIEN PASIEN PRA-IN-POST
NO KEPERAWATAN MEDIS TAMBAHAN* NYERI PLANNING ULANG/CPPT AWAL BEDAH DPJP
JALAN NYERI TERMINAL (DALAM/KELUAR RS) ANESTESI
L TL L TL L TL L TL L TL L TL L TL L TL L TL L TL L TL L TL

KET : L = LENGKAP * = ASESMEN KEBIDANAN DAN BAYI


TL = TIDAK LENGKAP
PARAF

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