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Diagnosa Keperawatan
NO Tanggal Diagnosa Keperawatan Tandatangan
DMK 11
A N A L I S A D A T A
NO D A T A ETIOLOGI MASALAH PARAF
DMK 12
R E N C A N A K E P E R A W A T A N
Nama Klien :....................................No Rekam Medis : .....................................Hari Rawat Ke : ............................
NO DIAGNOSA KEPERAWATAN
TUJUAN RENCANA KEPERAWATAN
DMK 13
IMPLEMENTASI KEPERAWATAN
Nama Klien :.....................................No Rekam Medis : ......................................Hari Rawat Ke : ............................
NODIAGNOSA
Tgl Jam IMPLEMENTASI KEPERAWATAN EVALUASI (SOAP)
DMK 14
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