Bon Diet Rsu Melati.docx

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RUMAH SAKIT UMUM MELATI JL. DELI NO. 115 Kec. PERBAUNGAN Telp. 7990056 – 7990057 BON DIET PASIEN RAWAT INAP Tanggal : ………………….……….…. No.

Nama Pasien

Ruang Pasien

Diagnosa Medis

Diet Makanan

Perawat Ruangan

(….……….……….….)

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