Acc Protokol

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RUMAH SAKIT UMUM “PURI ASIH” Jl. Jenderal Sudirman No. 169 Salatiga Telp. (0298) 323209 Salatiga, .......................... ......... Kepada Yth. TS Dokter ............................. ................................. Rumah Sakit Umum “Puri Asih” Salatiga Dengan Hormat, Kami hadapkan penderita, Nama : ........................ ..................................... Umur : ......................... .................................... Jenis Kelamin : ......................... .................................... Alamat : ......................... .................................... Diagnosa : ......................... .................................... Telah diberikan : ......................... .................................... .......................... .................................. Hasil : ......................... .................................... .......................... .................................. .. ..................................... ..................... Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya. RUMAH SAKIT UMUM “PURI ASIH” Jl. Jenderal Sudirman No. 169 Salatiga Telp. (0298) 323209 Salatiga, .......................... ......... Kepada Yth. TS Dokter ............................. ................................. Rumah Sakit Umum “Puri Asih” Salatiga Dengan Hormat, Kami hadapkan penderita, Nama : ........................ ..................................... Umur : ......................... .................................... Jenis Kelamin : ......................... .................................... Alamat : ......................... .................................... Diagnosa : ......................... .................................... Telah diberikan : ......................... .................................... .......................... .................................. Hasil : ......................... .................................... Salam Sejawat, (dr. Hartini Sri Rejeki,

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Page 1: Acc Protokol

RUMAH SAKIT UMUM “PURI ASIH”Jl. Jenderal Sudirman No. 169 SalatigaTelp. (0298) 323209

Salatiga, ...................................

Kepada Yth. TS Dokter ..............................................................Rumah Sakit Umum “Puri Asih” Salatiga

Dengan Hormat,Kami hadapkan penderita,Nama : .............................................................Umur : .............................................................Jenis Kelamin : .............................................................Alamat : .............................................................Diagnosa : .............................................................Telah diberikan : .............................................................

............................................................Hasil : .............................................................

............................................................

............................................................

Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya.

RUMAH SAKIT UMUM “PURI ASIH”

Jl. Jenderal Sudirman No. 169 SalatigaTelp. (0298) 323209

Salatiga, ...................................

Kepada Yth. TS Dokter ..............................................................Rumah Sakit Umum “Puri Asih” Salatiga

Dengan Hormat,Kami hadapkan penderita,Nama : .............................................................Umur : .............................................................Jenis Kelamin : .............................................................Alamat : .............................................................Diagnosa : .............................................................Telah diberikan : .............................................................

............................................................Hasil : .............................................................

............................................................

............................................................

Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya.

RUMAH SAKIT UMUM “PURI ASIH”Jl. Jenderal Sudirman No. 169 Salatiga

Telp. (0298) 323209

Salatiga, ...................................

Kepada Yth. TS Dokter ..............................................................Rumah Sakit Umum “Puri Asih” Salatiga

Dengan Hormat,Kami hadapkan penderita,Nama : .............................................................Umur : .............................................................Jenis Kelamin : .............................................................Alamat : .............................................................Diagnosa : .............................................................Telah diberikan : .............................................................

............................................................Hasil : .............................................................

............................................................

............................................................

Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya.

RUMAH SAKIT UMUM “PURI ASIH”Jl. Jenderal Sudirman No. 169 Salatiga

Salam Sejawat,

(dr. Hartini Sri Rejeki, Sp.KFR)

Salam Sejawat,

(dr. Hartini Sri Rejeki, Sp.KFR)

Salam Sejawat,

(dr. Hartini Sri Rejeki, Sp.KFR)

Page 2: Acc Protokol

Telp. (0298) 323209

Salatiga, ...................................

Kepada Yth. TS Dokter ..............................................................Rumah Sakit Umum “Puri Asih” Salatiga

Dengan Hormat,Kami hadapkan penderita,Nama : .............................................................Umur : .............................................................Jenis Kelamin : .............................................................Alamat : .............................................................Diagnosa : .............................................................Telah diberikan : .............................................................

............................................................Hasil : .............................................................

............................................................

............................................................

Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya.

RUMAH SAKIT UMUM “PURI ASIH”Jl. Jenderal Sudirman No. 169 SalatigaTelp. (0298) 323209

Salatiga, ...................................

Kepada Yth. TS Dokter ..............................................................Rumah Sakit Umum “Puri Asih” Salatiga

Dengan Hormat,Kami hadapkan penderita,Nama : .............................................................Umur : .............................................................Jenis Kelamin : .............................................................Alamat : .............................................................Diagnosa : .............................................................Telah diberikan : .............................................................

............................................................Hasil : .............................................................

............................................................

............................................................

Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya.

RUMAH SAKIT UMUM “PURI ASIH”

Jl. Jenderal Sudirman No. 169 SalatigaTelp. (0298) 323209

Salatiga, ...................................

Kepada Yth. TS Dokter ..............................................................Rumah Sakit Umum “Puri Asih” Salatiga

Dengan Hormat,Kami hadapkan penderita,Nama : .............................................................Umur : .............................................................Jenis Kelamin : .............................................................Alamat : .............................................................Diagnosa : .............................................................Telah diberikan : .............................................................

............................................................Hasil : .............................................................

............................................................

............................................................

Mohon evaluasi Teman Sejawat bila berkenan memberikan protokol untuk dapat melanjutkan program Rehabilitasi Medik berikutnya, dan terimakasih atas kerjasamanya.

Salam Sejawat,

(dr. Hartini Sri Rejeki, Sp.KFR)

Salam Sejawat,

(dr. Hartini Sri Rejeki, Sp.KFR)

Salam Sejawat,

(dr. Hartini Sri Rejeki, Sp.KFR)