Beruflich Dokumente
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LIVE FOR A BETTER LIVE NO. LIVE FOR A BETTER LIVE NO.
Jln. Rajawali No. 8 - Paal 2 - Manado Jln. Rajawali No. 8 - Paal 2 - Manado
Phone. +62 431 862435 Phone. +62 431 862435
R E G I S T RAS I RAWAT I NAP R E G I S T RAS I RAWAT I NAP
NAMA PASIEN NAMA PASIEN
PATIENT NAME PATIENT NAME
TEMPAT / TGL LAHIR TEMPAT / TGL LAHIR
PLACE / DATE OF BIRTH PLACE / DATE OF BIRTH
UMUR / SEX UMUR / SEX
RM.
AGE / GENDER AGE / GENDER
ALAMAT ALAMAT
ADDRESS ADDRESS
DIAGNOSIS AWAL KELUHAN UTAMA
INITIAL DIAGNOSIS CHIEF COMPLAINT
DPJP DPJP
ATTENDING PHYSICIAN ATTENDING PHYSICIAN
MASUK TANGGAL / DATE JAM / TIME MASUK TANGGAL / DATE JAM / TIME
CHECK-IN CHECK-IN
DEPOSIT T O TAL
PASIEN / PATIENT DOKTER / PHYSICIAN PASIEN / PATIENT DOKTER / PHYSICIAN
VERIFIKASI VERIFIKASI
VERIFICATION PERAWAT / NURSE ADMIN VERIFICATION PERAWAT / NURSE ADMIN
REGISTRASI RAWAT JALAN RSU MANADO MEDICAL CENTER REGISTRASI RAWAT JALAN RSU MANADO MEDICAL CENTER
DIAGNOSIS DIAGNOSIS
BIAYA KONSULTASI BIAYA KONSULTASI
CONSULTATION FEE CONSULTATION FEE
JENIS TINDAKAN JENIS TINDAKAN
BIAYA / COST BIAYA / COST
TINDAKAN TYPE OF INTERVENTION TINDAKAN TYPE OF INTERVENTION
INTERVENTION INTERVENTION
T O TAL T O TAL
PASIEN / PATIENT DOKTER / PHYSICIAN PASIEN / PATIENT DOKTER / PHYSICIAN
VERIFIKASI VERIFIKASI
VERIFIKASI VERIFIKASI
VERIFICATION PERAWAT / NURSE ADMIN VERIFICATION PERAWAT / NURSE ADMIN
REGISTRASI RAWAT JALAN RSU MANADO MEDICAL CENTER REGISTRASI RAWAT JALAN RSU MANADO MEDICAL CENTER