7.7.1.4 Bukti Pelaksanaan Monitoring Status Fisiologi x2241
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PEMERINTAH KOTA SUKABUMI DINAS KESEHATAN
UPT PUSKESMAS SUKAKARYA Jalan Sukakarya No. 66 Sukabumi 43135 Telp.(0266) 217931, Email : [email protected]
DATA MONITORING STATUS FISIOLOGI PASIEN SELAMA PEMBERIAN ANASTESI LOKAL DAN SEDASI NO.
JAM/ TANGGAL
NAMA PASIEN
HASIL OBSERVASI
K/U
TD NADI RESPIRASI (mmHg) (x/mnt) (x/mnt)
KET
UPT PUSKESMAS SUKAKARYA Jalan Sukakarya No. 66 Sukabumi 43135 Telp.(0266) 217931, Email : [email protected]
DATA MONITORING STATUS FISIOLOGI PASIEN SELAMA PEMBERIAN ANASTESI LOKAL DAN SEDASI NO.
JAM/ TANGGAL
NAMA PASIEN
HASIL OBSERVASI
K/U
TD NADI RESPIRASI (mmHg) (x/mnt) (x/mnt)
KET
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