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CHECK LIST KEPATUHAN CP SECTIO CAESARIA TANPA KOMPLIKASI
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No. RM Pasien
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Your answer
Nama Pasien
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Your answer
Tanggal Lahir
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MM
/
DD
/
YYYY
Umur
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Your answer
DPJP
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dr. Vika Puspa Adiyanti, Sp.OG
dr. Dewi Sri Handayani, Sp.OG
dr. Suwignyo Siswosuharjo, Sp.OG.M.Kes
dr. R.Soerjo Hadijono, Sp.OG
dr. Purnomo Hartanto, Sp.OG
dr. Sahat Siagian, Sp.OG
dr. Jati Suwantoto, Sp. OG
dr. Sugono,Msi.Med., Sp. OG
BANGSAL
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ALPHA
BETHA
DELTA
ETHA
GAMMA
FAMILIA
GRASIA
HELSA
Other:
PENANGGUNG BIAYA
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BPJS
Pribadi
Asuransi Swasta
Other:
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