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  • Soap Saraf

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    Anonymous jGZsfl
    12 views2 pages
    The document appears to be a medical record template containing sections for patient information like name, age, address, medical diagnosis, and payment details. It also includes sections for documenting the patient's complaint, medical history, examination findings including vital signs, assessments, treatment plan, and orders for laboratory tests and imaging. The template is structured to concisely document the essential information for a patient encounter in an organized manner.

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    The document appears to be a medical record template containing sections for patient information like name, age, address, medical diagnosis, and payment details. It also includes sections for documenting the patient's complaint, medical history, examination findings including vital signs, assessments, treatment plan, and orders for laboratory tests and imaging. The template is structured to concisely document the essential information for a patient encounter in an organized manner.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    12 views2 pages

    Soap Saraf

    Uploaded by

    Anonymous jGZsfl
    The document appears to be a medical record template containing sections for patient information like name, age, address, medical diagnosis, and payment details. It also includes sections for documenting the patient's complaint, medical history, examination findings including vital signs, assessments, treatment plan, and orders for laboratory tests and imaging. The template is structured to concisely document the essential information for a patient encounter in an organized manner.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    SOAP SARAF

    Nama/ Usia : Pembayaran: PBI/ Non PBI/ KJS/Umum No. RM :


    Alamat : Dx Medis :

    Keluhan
    RPS

    RPD
    RPK
    Date
    HR/HS
    Subjective

    Objective
    GCS
    T TD
    T N
    V RR
    S
    Pupil
    MS Motorik Sensorik R. Patologis R. Fisiologis
    N.Cranialis Hof TPR
    Assesment Klinis Tro BPR
    Topis Siriraj Score* Cad KPR
    Etiologis Bab APR
    Planning
    Therapy

    Laboratorium Radiologi
    Thorax
    CT-Scan

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