Lembar Monitoring Pasien Transfer External.docx
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PEMERINTAH KABUPATEN BLORA
RSUD Dr. R. SOETIJONO BLORA JL. Dr. Sutomo No. 42 Blora 58211 Telp. (0296) 531118, 531839, Fax. (0296) 531504 Email : [email protected] Lembar Monitoring Pasien Transfer External
Tgl / Jam
Keadaan Umum
TD (mm/ Hg)
HR (x/mnt)
RR (x/mnt)
Nama Pasien
:
Tanggal lahir No. RM
: :
Suhu (0 C)
SpO2
Ket
NamaTanda tangan Petugas
(................................)
RSUD Dr. R. SOETIJONO BLORA JL. Dr. Sutomo No. 42 Blora 58211 Telp. (0296) 531118, 531839, Fax. (0296) 531504 Email : [email protected] Lembar Monitoring Pasien Transfer External
Tgl / Jam
Keadaan Umum
TD (mm/ Hg)
HR (x/mnt)
RR (x/mnt)
Nama Pasien
:
Tanggal lahir No. RM
: :
Suhu (0 C)
SpO2
Ket
NamaTanda tangan Petugas
(................................)
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