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KONSEP KEPERAWATAN PENILAIAN Kamar: Interna Peninjauan Perawat: Kamar: Anamnese diperoleh dari: Tanggal masuk : Tanggal / Jam Anamnese: Waktu Masuk Rumah Sakit: 15.00 Identitiy Identitas Pasien Nama: Umur: Jenis Kelamin: Agama: Status pernikahan : Pendidikan : Pekerjaan: Alamat: Identitas Penanggung jawab Nama: Hubungan dengan Pasien: Umur: Pendidikan: Sekolah Menengah