Rekam Medis.docx
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REKAM MEDIS KLINIK WISNU HUSADA
Tgl
Jl. RA. Kartini – Candi Baru, Plumbungan, Karangmalang, No. 11 Sragen, 57222 Telp. (0271) 892631
No. RM : Nama
:
Tgl. Lahir : Pekerjaan
:
Alamat
:
Telp/ HP
:
Jenis Kulit :
Tgl
Diagnosa
Terapi
TTD Dokter
Diagnosa
Terapi
TTD Dokter
Tgl
Diagnosa
Terapi
TTD Dokter
Tgl
Diagnosa
Terapi
TTD Dokter
Tgl
Jl. RA. Kartini – Candi Baru, Plumbungan, Karangmalang, No. 11 Sragen, 57222 Telp. (0271) 892631
No. RM : Nama
:
Tgl. Lahir : Pekerjaan
:
Alamat
:
Telp/ HP
:
Jenis Kulit :
Tgl
Diagnosa
Terapi
TTD Dokter
Diagnosa
Terapi
TTD Dokter
Tgl
Diagnosa
Terapi
TTD Dokter
Tgl
Diagnosa
Terapi
TTD Dokter
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