Blangko Sample Audit Medis BPH

 

FLYJMQ _GKDNMDMK MWADQ JGADR Qlpd` 5 Igkdch _rlstmt Hdpgrtrlfd Rmjpng Kl. 5 ………………..  5 ………………..   Kl YJ Admcklsds A_E_ 5 …………………………………………………………………  D

@YDQGYDM ADMCKLRDR

MAM

QDAM@

@GQGYMKCMK

  Mamkym rgtgksdl urdk jgkmhmk 

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cgemnm prlstmtdsjg (sundt   Mamkym IM@, kygrd ad sgnm`mkcmk,  pmkccun mtmu mnmt `gnmjdk    Qmkam 9 tgst urdkg    Qmkam WQD    Blnl` auiur tgrmsm pgjigsmrmk  prlstmt    WRC

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@GRDJ_WNMK _GKDNMDMK 5 @YDQGYDM ADMCKLRDR A_E_ 5 m.  RGRWMD __@  i.  JGKTDJ_MKC AGKCMK MNMRMK QGYQGKQW b.  JGKTDJ_MKC DD.

QGYM_D

TM

QDAM@

@GQGYMKCMK

QGYM_D NMDK

=.  Mktdidltd`m (Bgftrdmxlk dke, bgfdxdj) 9.  Mkmncgtd` (mktmncdk dke, mktmncdk/km ad`nlfgkm` tmi) 2.  Qgrmpd nmdkkym (ms. Qrmkg`smjmt, rmkdtdadk dke, tmi) 1.  Qrmkfusd @GRDJ_WNMK _GKDNMDMK 5QGYM_D A_E_ 5 m.  RGRWMD __@  i.  JGKTDJ_MKC AGKCMK MNMRMK QGYQGKQW b.  JGKTDJ_MKC

=.

ADMCKLRDR IDMTM L_GYMRDLKMN

9. 2.

@NMDJ RGNDRDHI_ER @GRDJ_WNMK IDMTM L_GYMRDLKMN ADIMKADKC@MK @NMDJ m.  JGNGIDHD @NMDJ  i.  @WYMKC AMYD @NMDJ

@GQGYMKCMK

5

HMYD YMSMQ TM QDAM@ @GQGYMKCMK =. 2 HMYD 9. ; 2 HMYD @GRDJ_WNMK _GKDNMDMK 5 5 m.  RGRWMD __@  i.  JGKTDJ_MKC AGKCMK MNMRMK QGYQGKQW b.  JGKTDJ_MKC

QGYM_D NMDK