Form Monitoring Kepatuhan Pemakaian Apd Unit Radiologi 704p1r
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Rumah Sakit Misi Lebak Jl. Multatuli No. 41 Rangkasbitung 42311 – Lebak – Banten Indonesia Telp.0252 - 201014 Fax. 0252 - 203390 e-mail : [email protected]
FORM MONITORING KEPATUHAN PEMAKAIAN APD UNIT RADIOLOGI Unit
: Radiologi
Bulan
:
NO
TANGGAL APD
1 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
APRON TLD : YA X : TIDAK
31
FORM MONITORING KEPATUHAN PEMAKAIAN APD UNIT RADIOLOGI Unit
: Radiologi
Bulan
:
NO
TANGGAL APD
1 2
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
APRON TLD : YA X : TIDAK
31
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