Daftar Tilik Pemeriksaan Fisik.doc

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PUSKESMAS NANGGULAN

PEMERIKSAAN FISIK DAFTAR TILIK

No. 1.

Tanggal Halaman

: : 1-1

Kegiatan Apakah sudah dilakukan ukur tekanan darah bila perlu?

2.

Apakah sudah dilakukan pengukur nadi bila perlu?

3.

Apakah sudah dilakukan pengukur respirasi bila perlu?

4.

Apakah sudah dilakukan pengukur suhu tubuh bila perlu?

5

Apakah pemeriksaan fisik lain sesuai keluhan pasien?

6

Apakah sudah dilakukan pencatat hasil yang perlu dalam rekam medis?

Ya

Tidak

Ket

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