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pprra

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SURVEILENS PEMBERIAN ANTIMIKROBA

Nama : no. MR :
umur/BB/TB : MRS :
Alergi : KRS :
Nama Antimikroba tipe terapi waktu Tgl Tgl Tgl
profilaksis pemberianJam via Jam via Jam
empiris
definitif
dosis regimen lama terapi : catatan :

Nama Antimikroba tipe terapi waktu Tgl Tgl Tgl

profilaksis pemberianJam via Jam via Jam
empiris
definitif
dosis regimen lama terapi : catatan :

Nama Antimikroba tipe terapi waktu Tgl Tgl Tgl

profilaksis pemberianJam via Jam via Jam
empiris
definitif
dosis regimen lama terapi : catatan :

Nama Antimikroba tipe terapi waktu Tgl Tgl Tgl

profilaksis pemberianJam via Jam via Jam
empiris
definitif
dosis regimen lama terapi : catatan :
MBERIAN ANTIMIKROBA

Diagnosa :
DPJP :
Ruangan :
Tgl Tgl Tgl Tgl Tgl
via Jam via Jam via Jam via Jam via

Tgl Tgl Tgl Tgl Tgl

via Jam via Jam via Jam via Jam via

Tgl Tgl Tgl Tgl Tgl

via Jam via Jam via Jam via Jam via

Tgl Tgl Tgl Tgl Tgl

via Jam via Jam via Jam via Jam via

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