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1
BUKU DIET KASUARI (VIP)
2
Diisi Paling lambat Jam : 04.00 AM
3
KASUARI (VIP)
4
HARI/TANGGAL : SELASA, 2 JUNI 2026
NAMA PERAWAT :
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NOKAMARKELAS PERAWATANNO RM
(WAJIB ISI)
NAMA PASIEN
(WAJIB ISI)
TANGGAL LAHIRPINDAHAN DARI RUANGAN APA ? (igd, isif, poli/ruang lain?)DIAGNOSADIET AWAL
(ALERGI & PANTANGAN)
KETERANGAN
6
14301BPJS 1 UP VIP
1/6/26
00.23.31I WAYAN JAGRA15-11-1957
(68TH)
RIGHT KNEE OA GRADE IVBUBURKETERANGAN DIISI MISALNYA : MAKAN MENDAHULUI, HD, CONTACT PRECAUTION, DAN LAINNYA)
7
24302VIP UMUM 21.44.93NI NYOMAN KARTI 25-06-1952
(73TH)
"Susp pankreatitis dd peritonitis
Hematuria ec susp isk dd bowel metastase
Ca pancreas post bypass
-cancer pain
Anemia berat
Hiponatremia berat
Hipokalemia
Geriatri syndrome
Low intake
Susp Pneumonic Type Metastasis dd Non Severe CAP + Malnutrisi Berat
MARING ORAL 3X150 KKAL
(+)JUS SARING 1X150 KKAL (+)19
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3430315.30.76NI KETUT NIA KRISMAYLANINASI DM
9
44304
10
54305BPJS 1 UP VIP
1/6/26
21.45.45LUH PUTU MISI28-11-1990
(35TH)
Peritonitis ec Appendisitis PerforasiBB TETP
11
64306BPJS 1 TITIP YUDHA HD
2/6/26
01.20.00NI MADE ARIANI21-03-1957
(69TH)
Obs General Weakness + riwayat CKD + AnemiaBB DJ RP 50 R/KAL
12
74307TASPEN KELAS 1 (TITIPAN DR SULIS,KK KANDUNG)
30/5/26
15.70.47NI PUTU EKA SULISTYAWATI39 TH
20/10/1986
Cf distal radius Open wound lower leg "post orif distal radius kiri + post debridment ankle + Vulnus appertum regio frontal S
OK TGL 31/5/26"
BB TETP (-)SAPI
13
84308
14
94309
15
104310
16
114311
17
124312BPJS 1 UP VIP ( PAKAI ASURANSI)
12/5
19/5/26
21.31.02ARTEM VITALEVICH KHARCHENKO1999-02-17
27TH
HCU BCKB + EDH SUPRA INFRA TENTORIAL + FR DEPRESSED FTP + SUSP OF REGIO CRURIS SINISTRA + MULTIPLE VULNUS APPERTUM DAN EXORIATUM TETP LP CCG (+) VCO 3X1 (+) JUS
KH : MASHED
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134314
19
144315
20
154316BPJS 1 TITIPAN BU DESAK MAINDRA
1/6/26
05.12.82FIRMAN LEONARD, SE18-12-1965
(60TH)
Stenosis L4-5 Schizas DNASI
21
54317UMUM VIP
27/5
21.42.41KETUT JASMINE JULIANI MAHESWARI 2026-04-03
1 BLN
ICUPneumonia Berat + Diare akut tanpa dehidrasiNASI PENUNGGU
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174318
23
184319
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194320
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