KONFIRMASI PASIEN PULANG
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No Registrasi Rawat Inap *
Nama Pasien *
Kelas *
Ruang *
Tanggal Pulang *
MM
/
DD
/
YYYY
Jam *
Time
:
Terakhir Waktu Makan *
Alasan Pulang *
Tertanda Perawat / Bidan *
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