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  • Form Sensus Kelengkapan RM

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    Farida Rakhmawati
    7 views1 page
    This document is a daily record form for a community health center (Puskesmas Mandiraja 1) to track patient visits and record keeping by department for the month. It includes columns to record the number of visits (L) and records completed (TL) for each date for departments like emergency room, dental, pediatrics, adult care, maternal and child health, family planning, outreach programs, immunizations, and total across all departments. It also includes space for the person conducting the census each month to sign at the bottom.

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    Form Sensus Kelengkapan RM

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    This document is a daily record form for a community health center (Puskesmas Mandiraja 1) to track patient visits and record keeping by department for the month. It includes columns to record the number of visits (L) and records completed (TL) for each date for departments like emergency room, dental, pediatrics, adult care, maternal and child health, family planning, outreach programs, immunizations, and total across all departments. It also includes space for the person conducting the census each month to sign at the bottom.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    7 views1 page

    Form Sensus Kelengkapan RM

    Uploaded by

    Farida Rakhmawati
    This document is a daily record form for a community health center (Puskesmas Mandiraja 1) to track patient visits and record keeping by department for the month. It includes columns to record the number of visits (L) and records completed (TL) for each date for departments like emergency room, dental, pediatrics, adult care, maternal and child health, family planning, outreach programs, immunizations, and total across all departments. It also includes space for the person conducting the census each month to sign at the bottom.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Sensus Harian Pengisian Rekam Medis

    UPT Puskesmas Mandiraja 1

    Bulan :
    UGD Gigi Anak Dewasa KIA KB PONED RI Total
    Tgl
    L TL L TL L TL L TL L TL L TL L TL L TL L TL
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    Jumlah

    Pelaksana Sensus

    Soewarno

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