Asseemen Ulang Terminal.docx

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PEMERINTAH KABUPATEN BANYUWANGI JL HASANNUDIN NOMOR 98 GENTENG – BANYUWANGI PHONE ( 0333) 845839 Email : [email protected]

NAMA

:

NO REG

:

TGL LAHIR :

ASSESMEN ULANG TERMINAL DIAGNOSA: TANGGAL

JAM

TENSI

NADI

RR

SUHU

SPO2

KESADARAN

GCS

PENATALAKSANAAN

PERAWAT/BIDAN NAMA

PARAF

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