Cppt

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RUMAH SAKIT AL - ARIF JL. R.E. Martadinata No. 158 Baregbeg - Ciamis Call Centre (0265) 777391 - 772994 Email : [email protected]

CATATAN TERINTEGRASI PASIEN RAWAT JALAN Poli Puku Tgl l

Nomor RM : ……………………………….. Nama : ……………………………….. Tanggal Lahir : ……………………………….. Jenis Kelamin : ……………………………….. (Label Pasien / Affix Patient Identification Label)

Catatan Perkembangan Terintegrasi

Nama, Tanda Tangan dan Cap

CATATAN TERINETREGASI PASIEN RAWAT JALAN

Setiap Selesai Mencatat Masing masing Petugas memberi Garis Lurus Pada Akhir Penulisan Sebagai Tanda Batas Penggunaan Tinta warna Hitam : Dokter , Biru : Perawat , Hijau : Tenaga Kesehatan Lain

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