Blangko Monitoring Rm Layanan Klinis 2018.docx

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PEMERINTAH KABUPATEN NGANJUK DINAS KESEHATAN

UPTD PUSKESMAS TANJUNGANOM Jl. A. Yani No.25 Telp./Fax. (0358) 772800 Email : [email protected] MONITORING REKAM MEDIS POLI UMUM Bulan: NO.

Tahun: No.RM Poli

KESESUAIAN ISI REKAM MEDIS Tangga Anamn Pemer Diagn Planni l esa iksaan osa ng Fisik

Paraf Petug as

Keter angan

PEMERINTAH KABUPATEN NGANJUK DINAS KESEHATAN

UPTD PUSKESMAS TANJUNGANOM Jl. A. Yani No.25 Telp./Fax. (0358) 772800 Email : [email protected] MONITORING REKAM MEDIS POLI UMUM Bulan:

Tahun:

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