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PEMERINTAH PROVINSI JAWA TIMUR
RUMAH SAKIT UMUM DAERAH Dr. SAIFUL ANWAR
TERAKREDITASI KARS VERSI 2012 TINGKAT PARIPURNA
Jl. Jaksa Agung Suprapto No. 2 MALANG 65111
Telp. (0341) 362101, Fax. (0341) 362110
Email: rsu-drsaifulanwar@jatimprov.go.id
Website: www.rsudsaifulanwar.jatimprov.go.id
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Protokol Terapi

Layanan Kedokteran Fisik dan Rehabilitasi

Terapi Ke

{{ .Repalcable }}
No RM {{ .Repalcable }}
Nama Pasien {{ .Repalcable }}
Tanggal Lahir {{ .Repalcable }}
Diagnosa {{ .Repalcable }}
Permintaan Terapi {{ .Repalcable }}
Frekuensi Terapi 2 x Per Minggu       Evaluasi: 1 Bulan
Target Terapi {{ .Repalcable }}
Waktu Mencapai Target {{ .Repalcable }}
NO Tanggal Dokter Fisioterapi Terapi Wicara Okupansi Terapi Ortotik Prostetik PSM TTD Pasien
1 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
2 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
3 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
4 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
5 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
6 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
7 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
8 {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }} {{ .Repalcable }}
Evaluasi {{ .Repalcable }}
Rencana Selanjutnya {{ .Repalcable }}
Malang,
Cap dan TTD Dr. SpKFR
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