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RUMAH SAKIT IBU DAN ANAKJl.

PRMATA BUNDA TelKet

MONITOR CAIRAN INFUS / TRANSFUSINAMA PASIEN :

UMUR :

ALAMAT :

 TANGGAL JAM TD SUHU NADI PERNAPASAN X JENIS CAIRAN

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  07

  ("7 ((%)

  at

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SI 16

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 TANGGAL JAM TD SUHU NADI PERNAPASAN CAIRAN KE : JENIS CAIRAN

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NAMA PASIEN

MONITOR CAIRAN INFUS / TRANSFUSI UMUR ALAMAT

 TANGGAL JAM TD SUHU NADI PERNAPASAN CAIRAN KE : JENIS CAIRAN

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