Form Monitoring Anastesi Sedasi Dan Lap Pembedahan.docx
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MONITORING ANASTESI/SEDASI DAN LAPORAN PEMBEDAHAN
Nama Tgl.Lahir Alamat Diagnosa Tindakan Tgl
Jam
Nama Tgl.Lahir Alamat Diagnosa Tindakan
: : : : : Tek.darah
MONITORING ANASTESI/SEDASI DAN LAPORAN PEMBEDAHAN
: : : : :
MONITORING ANASTESI/SEDASI DAN LAPORAN PEMBEDAHAN
Tgl.Lahir Alamat Diagnosa Tindakan Tgl
Tgl Nadi
RR
Jam
Tek.darah
Nadi
RR
Jam
: : : : Tek.darah
Nadi
RR
Ket
Ket
Ket
Laporan Pembedahan : …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………..
Laporan Pembedahan : …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… ………………………………………………………………………………………….. Pelaksana
Pelaksana
Nama
:
Laporan Pembedahan : …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… ………………………………………………………………………………………….. Pelaksana
Nama Tgl.Lahir Alamat Diagnosa Tindakan Tgl
Jam
Nama Tgl.Lahir Alamat Diagnosa Tindakan
: : : : : Tek.darah
MONITORING ANASTESI/SEDASI DAN LAPORAN PEMBEDAHAN
: : : : :
MONITORING ANASTESI/SEDASI DAN LAPORAN PEMBEDAHAN
Tgl.Lahir Alamat Diagnosa Tindakan Tgl
Tgl Nadi
RR
Jam
Tek.darah
Nadi
RR
Jam
: : : : Tek.darah
Nadi
RR
Ket
Ket
Ket
Laporan Pembedahan : …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………..
Laporan Pembedahan : …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… ………………………………………………………………………………………….. Pelaksana
Pelaksana
Nama
:
Laporan Pembedahan : …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… …………………………………………………………………………………………… ………………………………………………………………………………………….. Pelaksana
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