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DataPenilaianPasienTerminal.html
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DataPenilaianPasienTerminal.html
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<html>
<head><link href="file2.css" rel="stylesheet" type="text/css" /><table width='2400px' border='0' align='center' cellpadding='3px' cellspacing='0' class='tbl_form'><tr class='isi2'><td valign='top' align='center'><font size='4' face='Tahoma'>RS SIMRS KHANZA</font><br>GUWOSARI, Pajangan, Bantul<br>Hp: 08562675039, 085296559963, E-mail : khanzasoftmedia@gmail.com<br><br><font size='2' face='Tahoma'>DATA PENILAIAN PASIEN TERMINAL<br><br></font></td></tr></table>
</head>
<body>
<table width="2400px" border="0" align="center" cellpadding="1px" cellspacing="0" class="tbl_form">
<tr class="isi">
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>No.Rawat</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>No.R.M.</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Nama Pasien</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Tgl.Lahir</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>JK</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Tanggal</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Diagnosa</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Uraian Penyakit/Kondisi Pasien Saat Ini</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Riwayat Penyakit/Kondisi Sebelumnya</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Keadaan Umum</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Kesadaran</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>TD(mmHg)</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Nadi(x/menit)</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Suhu(°C)</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>RR(x/menit)</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>SpO2(%)</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Nyeri</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Tahap Menjelang Ajal</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Tanda-tanda Klinis Menjelang Kematian</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Kebutuhan Spiritual Pasien/Keluarga</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>NIP</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Petugas</b>
</td>
</tr>
<tr class="isi">
<td valign="top">
2023/01/27/000002
</td>
<td valign="top">
000003
</td>
<td valign="top">
HAFIZ HARIYADI
</td>
<td valign="top">
1997-05-22
</td>
<td valign="top">
L
</td>
<td valign="top">
2023-03-07 07:48:54.0
</td>
<td valign="top">
8
</td>
<td valign="top">
1
</td>
<td valign="top">
2
</td>
<td valign="top">
Sangat Jelek
</td>
<td valign="top">
Compos Mentis
</td>
<td valign="top">
3
</td>
<td valign="top">
4
</td>
<td valign="top">
5
</td>
<td valign="top">
7
</td>
<td valign="top">
6
</td>
<td valign="top">
0
</td>
<td valign="top">
Menerima
</td>
<td valign="top">
Pernapasan Tidak Teratur & Dangkal/Ngorok
</td>
<td valign="top">
9
</td>
<td valign="top">
123124
</td>
<td valign="top">
FREDIAN AHMAD
</td>
</tr>
</table>
</body>
</html>