Adm Pasien Pulang Form 1.docx

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RUMAH SAKIT SOEDARSONO

RUMAH SAKIT SOEDARSONO

DARMOSOEWITO

DARMOSOEWITO Jl . Hang Kesturi KM 4,5 Kawasan Indusri Kabi l Batam T el p.(0778 )7119 60 , E mai l : rssd.ba tam@gm ai l .com

SLIP PASIEN PULANG RAWAT INAP Nama Pasien No. RM Ruang Kelas Dirawat Tgl

Jl . Hang Kesturi KM 4,5 Kawasan Indusri Kabi l Batam T el p.(0778 )7119 60 , E mai l : rssd.ba tam@gm ai l .com

SLIP PASIEN PULANG RAWAT INAP Nama Pasien No. RM Ruang Kelas Dirawat Tgl

: : : : :

: : : : :

Batam, Tgl .

Batam, Tgl .

( …………………………..) Petugas

( …………………………..) Petugas

RUMAH SAKIT SOEDARSONO DARMOSOEWITO

RUMAH SAKIT Jl

SOEDARSONO DARMOSOEWITO

Jl

. Hang Kesturi KM 4,5 Kawasan Indusri Kabi l Batam T

. Hang Kesturi KM 4,5 Kawasan Indusri Kabi l Batam T

el p.(0778 )7119 60 , E mai l : rssd.ba tam@gm ai l .com

el p.(0778 )7119 60 , E mai l : rssd.ba tam@gm ai l .com

SLIP PASIEN PULANG RAWAT INAP

SLIP PASIEN PULANG RAWAT INAP

Nama Pasien No. RM Ruang Kelas Dirawat Tgl

: : : : :

Nama Pasien No. RM Ruang Kelas Dirawat Tgl

Batam, Tgl .

( …………………………..) Petugas

: : : : :

Batam, Tgl .

( …………………………..) Petugas

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