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  • 7.4.4.5 EVALUASI Informed Consent

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    Mytha Putri Bungsu
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    dimas

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    7 views2 pages

    7.4.4.5 EVALUASI Informed Consent

    Uploaded by

    Mytha Putri Bungsu
    dimas

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    EVALUASI PENYAMPAIAN INFORMASI DI UNIT Gigi/Tindakan/KB/Imunisasi*

    KELENGKAPAN KEMAMPUAN URAIAN


    NAMA PENGETAHUAN INFORMASI NAMA TIDAK TTD TTD
    NO TGL PETUGAS YANG BERKOMUNIKASI PENYAMPAIAN PAHAM PAHAM RTL TL
    PETUGAS PASIEN PASIEN PETUGAS
    DIBERIKAN PETUGAS INFORMASI

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