Form Pemberian Obat

April 6, 2019 | Author: Erlyn Lyliwati | Category: N/A

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FORM RAWAT INAP PEMBERIAN OBAT...

Description

PEMERINTAH KABUPATEN BELU DINAS

KESEHATAN

UPT PUSKESMAS HALIWEN Jl. MGR. Sugyopranoto - Haliwen. email : [email protected] CATATAN PEMBERIAN OBAT NAMA PENDERITA : TANGGAL

JENIS DAN DOSIS

NO RM : KET

JAM PEMBERIAN DAN PARAF 1

TT

2

TT

3

TT

4

TT

PEMERINTAH KABUPATEN BELU DINAS

KESEHATAN

UPT PUSKESMAS HALIWEN Jl. MGR. Sugyopranoto - Haliwen. email : [email protected] CATATAN PEMBERIAN CAIRAN NAMA PENDERITA : TANGGAL

JAM

NO RM : CAIRAN KE

JENIS CAIRAN

TETESAN PERMENIT

PARAF

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