Form PRMRJ

August 4, 2022 | Author: Anonymous | Category: N/A
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RUMAH SAKIT UMUM MITRA SEHAT

 Nama

:

Tanggal Lahir

:

 No. RM 

:

Jl. Wates Km.9 Yogyakarta Telp. (0274) 6498555, 6498556, 085100383031 Fax. (0274) 6498555  

  Tgl /  jam

dr. Spesialis

PROFIL RINGKAS MEDIS RAWAT JALAN (PRMRJ)

Diagnosis penting

Uraian klinis penting

Rencana penting

Tindak Lanjut

Paraf

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