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  • Form Laporan Bedah

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    Bonny Christian
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    FORM LAPORAN BEDAH.docx

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    17 views2 pages

    Form Laporan Bedah

    Uploaded by

    Bonny Christian

    Copyright:

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

    RSUD KABUPATEN Nama:

    BENGKAYANG
    Tanggal lahir:
    LAPORAN OPERASI
    No.RM:
    Jenis kelamin:
    Ruangan: IBS

    Nama Operator: dr. Nama Asisten/perawat:


    Nama Ahli anestesi: 1.
    Dr. 2.
    3.
    4.

    Jenis Anestesi
    Golongan Operasi
    Diagnosis Pra Bedah
    Diagnosis Pasca Bedah
    Indikasi Operasi
    Nama Operasi
    Jaringan yang dieksisi
    Tanggal Operasi: Jam operasi mulai: Jam Operasi selesai: Durasi operasi:

    Komplikasi operasi
    Jumlah perdarahan
    Perawatan Pasca
    Operasi
    Laporan Operasi

    Bengkayang,
    Tgl:
    Tanda tangan operator:

    dr.

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