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LE M B AR O B S E R VAS I

RUANGAN : ............................

NAMA : .........................................

UMUR : ......................

ALAMAT : .............................................

TANGGAL
NADI
180

TEMP

42
0

160

42

41
41

140

40
40

120

39
39

100
38

80

38

37
37

60

36
36

40

Tensi
Infus
BAB/BAK
Keterangan

35

35

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