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Template English
, th ,2014
Consultant On Duty:
Chief :
dr.
Patient Distribution
Minor Surgery
Vascular Surgery
:-
Digestive Surgery
Neurosurgery
Orthopaedic
Thoracic Surgery
Plastic Surgery
:-
Oncology Surgery
:-
Urology
Pediatric Surgery
All patients
Patients to be reported
:
:
Patient Distribution
No
Name
Age
MR
Consultant on
Duty
Division
Diagnose
Therapy
Patient Distribution
No
Name
Age
MR
Consultant on
Duty
Division
Diagnose
Therapy
Patient Distribution
No
Name
Age
MR
Consultant on
Duty
Division
Diagnose
Therapy
Patient Distribution
No
Name
Age
MR
Consultant on
Duty
Division
Diagnose
Therapy
/ / / / years / MR: /
MRS
: -05-2014 Pukul:.
INA-CBG :
DPJP
:
KU
AK :
Physical Examination
General Status:
Alert
BP : 110/70 mmHg
RR: 24 x/mnt
hyperemic,
direction;
cm
from
anocutaneous
line
FOTO KLINIS
Laboratory Findings
PT :
APTT
INR:
Hb :
Ht :
WBC
Plt :
Ur :
Cr :
Sodium
Potassium :
WD/
Th/
INA-CBG : M-1-60-II
Rp. 17.433.460
ISS: 75
RTS : 7.841
TRIS : 40,8 %
HOM
E
THANK YOU