Perina Tyas.docx
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MONITORING DOUBLE CEK PEMBERIAN ELEKTROLIT PEKAT
Bulan :
N O
TANGGAL
NAMA PASIEN
NO RM
NAMA OBAT
DIAGNOS A
DOUBLE CEK YA TIDA K
PETUGA S
PEMAKAIAN PENENG RUANG PERINA
Jumlah peneng biru =
buah
dan
Jumlah peneng pink =
buah
Bulan : N O
NAMA BAYI
NO RM
TANGGAL
WARNA BIRU PINK
JUMLA H
KET
Bulan :
N O
TANGGAL
NAMA PASIEN
NO RM
NAMA OBAT
DIAGNOS A
DOUBLE CEK YA TIDA K
PETUGA S
PEMAKAIAN PENENG RUANG PERINA
Jumlah peneng biru =
buah
dan
Jumlah peneng pink =
buah
Bulan : N O
NAMA BAYI
NO RM
TANGGAL
WARNA BIRU PINK
JUMLA H
KET
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