Form Oppe Perawat

 

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^MJ@GKGY XGJF IHJHEGH

^MJ@GKGY ^MJHEGH

Jgdg

0 Imgc Ogrhjg, G.Di.Omp

Jgdg

[htg cgjigygjh, G.Di.Omp

Jhp

0 78 xxxxxx

Jhp

0 783=xxxxxx

 `gkgtgj

0 ^mrgwgt ^megosgjg

`gkgtgj

0 Ompgeg [ugjfgj

]jht Omr`g

0 HL]

]jht Omr`g

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^M[\MJYG\M JA

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YG[FMY

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g. Omtmpgtgj Gsmsdmjt Ompmrgwgtgj

7>>%

8>%

 

8>

k. Dmegouogj Miuogsh pgig ^gshmj

7>>%

8>%

 

8>

l. Dmdgcgdh igj dmjfcgrfgh cgo igj omwg`hkgj pgshmj igj omeugrfg

7>>%

8>%

 

8>

g. Omdgdpugj Dmegosgjgogj Ihgjfjasg Ompmrgwgtgj

7>>%

8>%

 

8>

k. Omdgdpugj Dmrmjlgjgogj Gsucgj Ompmrgwgtgj

7>>%

8>%

 

8>

g. Oadujhogsh Imjfgj ^gshmj igj omeugrfg

7>>%

8>%

 

8>

k. Oadujhogsh imjfgj tmdgj sm`gwgt, [mogj Omr`g igj smeuruc   pmfgwgh [\]I \hth Bgthdgc

7>>%

8>%

 

8>

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8>

k. Dmjfhouth smdhjgr omsmcgtgj dhjhdge ; (iug) ogeh igegd 2 (mjgd) kuegj

;

7

 

=>

l. Dmjfhouth/dmjfcgihrh rgpgt kuegjgj rugjfgj

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G\]CGJ ^G\HMJ (^gthmjt Lgrm) 7

^MJFMYGC]GJ OEHJHO( lehjhlge ojawemifm) ;

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^[ABM\HAJGEH\DM g. Omtmpgtgj wgotu thdkgjf tmrhdg schb `gfg (cgji avmr) 9

^[GOYMO KM[KG\H\ \H\YMD (\X\YMD KG\M ^[GYHLM) =

g. Ompgtucgj igegd dmjffujgogj dmtaim \AG^ k. Ompgtucgj igegd dmjffujgogj dmtaim \KG[

7>>% 8>% YAYGE JHEGH JHEGH [GYG - [GYG

 

8>

 

8>

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4 Ourgjf

=> - 6> 4 Luoup 67 - 3= 4 Kgho 32 - 7>> 4 \gjfgt Kgho

\uk Oadhtm Dutu Ompmrgwgtgj

Js. Hjirg Brgjg @gyg, OO, D.Khadmi

^gemdkgjf, @gjugrh ;>;7 Ompgeg [ugjfgj

[htg Cgjigygjh, G.Di.Omp

 

JH^. 783=xxxxxxxxx

Omtug Oadhtm Ompmrgwgtgj

Js. Xmymj Hslgsgrh, \.Omp JH^. 783=>2>; ;>78>< ; >>8

 

MRGE]G\H ^[GOYHO ^[ABM\HAJGE KM[OMEGJ@]YGJ AJ FAHJF ^[ABM\HAJGE ^[GYHLM MRGE]GYHAJ MRGE ]GYHAJ (A^^M) ^M[GVGY []DGC \GOHY ]D]D IGM[GC \HYH BGYHDGC ^M[HAIM ^MJHEGHGJ @]EH - IM\MDKM[ ;>;>

^MJ@GKGY XGJF IHJHEGH

^MJ@GKGY ^MJHEGH

Jgdg

0

Jgdg

0

Jhp

0

Jhp

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 `gkgtgj

0

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0

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^M[\MJYG\M JA

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G\]CGJ ^G\HMJ (^gthmjt Lgrm) g. Omtmpgtgj Gsmsdmjt Ompmrgwgtgj

7>>%

 

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k. Dmegouogj Miuogsh pgig ^gshmj

7>>%

 

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l. Dmdgcgdh igj dmjfcgrfgh cgo igj omwg`hkgj pgshmj igj omeugrfg

7>>%

 

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g. Omdgdpugj Dmegosgjgogj Ihgjfjasg Ompmrgwgtgj

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k. Omdgdpugj Dmrmjlgjgogj Gsucgj Ompmrgwgtgj

7>>%

 

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g. Oadujhogsh Imjfgj ^gshmj igj omeugrfg

7>>%

 

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k. Oadujhogsh imjfgj tmdgj sm`gwgt, [mogj Omr`g igj smeuruc   pmfgwgh [\]I \hth Bgthdgc

7>>%

 

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7>>%

 

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^MJFMYGC]GJ OEHJHO( lehjhlge ojawemifm) ;

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k. Dmjfhouth smdhjgr omsmcgtgj dhjhdge ; (iug) ogeh igegd 2 (mjgd) kuegj l. Dmjfhouth/dmjfcgihrh rgpgt kuegjgj rugjfgj

;

 

>

2

 

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^[GOYMO KM[KG\H\ \H\YMD (\X\YMD KG\M ^[GYHLM) =

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7>>%

 

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k. Ompgtucgj igegd dmjffujgogj dmtaim \KG[

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YAYGE JHEGH

>

JHEGH [GYG - [GYG

>.>>

Hjbardgthaj \larm 0 5 =>

4 Ourgjf

=> - 6> 4 Luoup 67 - 3= 4 Kgho 32 - 7>> 4 \gjfgt Kgho

^gemdkgjf, \uk Oadhtm Dutu Ompmrgwgtgj

Js. Hjirg Brgjg @gyg, OO, D.Khadmi

@gjugrh ;>;7

Ompgeg [ugjfgj

 

Omtug Oadhtm Ompmrgwgtgj

Js. Xmymj Hslgsgrh, \.Omp JH^. 783=>2>; ;>78>< ; >>8