21. Format Pemberian Obat.docx
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FORMAT PEMBERIAN OBAT Nama
:
Ruangan
:
Umur
:
Dx Medis
:
No Reg
:
Penjamin
:
Nama Dokter
:
Tanggal :
1 2 3 4 5 6 7 8 9 10 11 12 Tanggal : 1 2 3 4 5 6 7 8 9 10 11 12 Tanggal : 1 2 3 4 5 6 7 8 9 10 11 12
SISA
06.00
05.00
04.00
03.00
02.00
01.00
24.00
23..00
22.00
SISA
21.00
20.00
Jam 19.00
18.00
17.00
16.00
15.00
SISA
14.00
13.00
Jam 12.00
11.00
10.00
Dosis
09.00
∑
08.00
Nama Obat
07.00
Jam N o
:
Ruangan
:
Umur
:
Dx Medis
:
No Reg
:
Penjamin
:
Nama Dokter
:
Tanggal :
1 2 3 4 5 6 7 8 9 10 11 12 Tanggal : 1 2 3 4 5 6 7 8 9 10 11 12 Tanggal : 1 2 3 4 5 6 7 8 9 10 11 12
SISA
06.00
05.00
04.00
03.00
02.00
01.00
24.00
23..00
22.00
SISA
21.00
20.00
Jam 19.00
18.00
17.00
16.00
15.00
SISA
14.00
13.00
Jam 12.00
11.00
10.00
Dosis
09.00
∑
08.00
Nama Obat
07.00
Jam N o
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