4.form Askep Individu Rajal Dan Gadar.doc

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ASUHAN KEPERAWATAN INDIVIDU PELAYANAN RAWAT JALAN DAN GAWAT DARURAT DI PUSKESMAS Fasilitas Yankes Nama Perawat Nama Individu Penyakit/ Masalah Kesehatan

Tgl/ No.

Diagnosa Keperawatan dan Data Penunjang

No. Register Nama Penanggungjawab/ KK Alamat Klien

Rencana Intervensi dan Implementasi

Evaluasi

Ttd Perawat

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