Rekam Medis Kosongan.docx
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NO RM :
PUSKESMAS
SANGKRAH
KABUPATEN
KOTA SURAKARTA
NO KARTU :
DATA REKAM MEDIS NAMA PASIEN
:
NAMA KK
:
ALAMAT
:
Tgl Kunj.
Keluhan
TANGGAL LAHIR : PEKERJAAN
Diagnosa
Tindakan
Terapi
:
Petugas
Tndk Ljt.
PUSKESMAS
SANGKRAH
KABUPATEN
KOTA SURAKARTA
NO KARTU :
DATA REKAM MEDIS NAMA PASIEN
:
NAMA KK
:
ALAMAT
:
Tgl Kunj.
Keluhan
TANGGAL LAHIR : PEKERJAAN
Diagnosa
Tindakan
Terapi
:
Petugas
Tndk Ljt.
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