Register Pengiriman Rujukan Pasien.docx
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Register Pengiriman Rujukan Pasien.docx as PDF for free.
More details
- Words: 72
- Pages: 2
REGISTER PENGIRIMAN RUJUKAN PASIEN
No
1
NAMA
2
KELUARGA PENDAM PING
ALAMAT
3
4
TGL LAHIR
DIAGNOSIS SAAT RUJUKAN ( KODE ICD )
INFORM CON SENT (+/_)
5
6
7
KONDISI PASIEN EMG
NON EMG
INFORMASI PRA RUJUKAN (+/_)
RESUME KONDISI PASIEN (+/_)
8
9
10
11
PENDAMPING ( + /- ) TENAGA KOMPET EN
ALAT EMERGE NSI
12
13
WAKTU RUJUKAN ( TANGGAL )
FASKES TUJUAN RUJUKAN
KET
14
15
16
No
1
NAMA
2
KELUARGA PENDAM PING
ALAMAT
3
4
TGL LAHIR
DIAGNOSIS SAAT RUJUKAN ( KODE ICD )
INFORM CON SENT (+/_)
5
6
7
KONDISI PASIEN EMG
NON EMG
INFORMASI PRA RUJUKAN (+/_)
RESUME KONDISI PASIEN (+/_)
8
9
10
11
PENDAMPING ( + /- ) TENAGA KOMPET EN
ALAT EMERGE NSI
12
13
WAKTU RUJUKAN ( TANGGAL )
FASKES TUJUAN RUJUKAN
KET
14
15
16
Related Documents
Register Pengiriman Rujukan Pasien.docx
November 2019 11
Rujukan
June 2020 21
Rujukan
April 2020 33
Rujukan
May 2020 23
Rujukan
October 2019 40
Rujukan
May 2020 30More Documents from "Shi Rui"
Komunikasi Dengan Rs Rujukan Lewat Telpon.docx
November 2019 5
Register Pengiriman Rujukan Pasien.docx
November 2019 11
Pp_nomor_17_tahun_2019.pdf
December 2019 37
Titik Sunnah Bekam.docx
November 2019 41
Dokumentasi Keg. Bok.docx
April 2020 38