Tabel Pemantauan Dss.docx
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TABEL PEMANTAUAN DHF Nama Umur BB TB Diagnosa DPJP Tanggal PH/PP
: ……………………. : ……………………. : …… kg : …… cm : …………………….. : …………………….. JAM
TD
HR
RR
Suhu
Diuresis
LP (per hari)
Hematokrit Trombosit Leukosit Hemoglobin
: ……………………. : ……………………. : …… kg : …… cm : …………………….. : …………………….. JAM
TD
HR
RR
Suhu
Diuresis
LP (per hari)
Hematokrit Trombosit Leukosit Hemoglobin
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