Bc.docx

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Hari/tanggal : Jam

Intake makanan/minuman

Obat

Output

peroral

parenteral

(urine,

IWL

muntah) 08.00-09.00 09.00-10.00 10.00-11.00 11.00-12.00 12.00-13.00 13.00-14.00 15.00-16.00 16.00-17.00 17.00-18.00 18.00-19.00 19.00-20.00 20.00-21.00 21.00-22.00 22.00-23.00 23.00-24.00 24.00-01.00 01.00-02.00 02.00-03.00 04.00-05.00 05.00-06.00 06.00.07.00 07.00-08.00 Balance cairan :

IWL :

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