Lembar Follow Up Pasien o3f5p
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LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
LEMBAR FOLLOW UP PASIEN Nama : Umur : MRS :
BB TB
: :
kg cm
S/
O/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
RESUME SUHU Waktu Suhu RESUME LABORATORIUM Tanggal Leukosit Eritrosit Hb Ht Trombosit
PEMERIKSAAN FISIK PENTING
P/
TD: HR: RR: SpO2:
mmHg x/mnt x/mnt %
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