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Serah Terima Obat

The document is a form from RSUD Lahat Hospital in Lahat Regency, South Sumatra Province. It contains two sections. The first section is for recording medicines brought by patients before treatment, including the medicine name, quantity, and unit. The second section is similar but is for recording any remaining medicines when the patient is discharged. Both sections require signatures from the pharmacist, nurse, and patient or family to acknowledge the handover of medicines.

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0% found this document useful (0 votes)
78 views1 page

Serah Terima Obat

The document is a form from RSUD Lahat Hospital in Lahat Regency, South Sumatra Province. It contains two sections. The first section is for recording medicines brought by patients before treatment, including the medicine name, quantity, and unit. The second section is similar but is for recording any remaining medicines when the patient is discharged. Both sections require signatures from the pharmacist, nurse, and patient or family to acknowledge the handover of medicines.

Uploaded by

Anda Anggara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PEMERINTAH KABUPATEN LAHAT

RUMAH SAKIT UMUM DAERAH LAHAT


Jl. Letjend. HarunSohar I No 28, Kode Pos 31414, Provinsi Sumatera Selatan
Telp. (0731) 321785 Fax (0731)323080, Email : [email protected]

SERAH TERIMA OBAT YANG DIBAWA PASIEN SEBELUM PERAWATAN

No Nama Obat Jumlah Satuan

Lahat,
Apoteker Ka. Ruangan Pasien/ Keluarga Pasien

( ) ( ) ( )
NIP. NIP.

PEMERINTAH KABUPATEN LAHAT


RUMAH SAKIT UMUM DAERAH LAHAT
Jl. Letjend. HarunSohar I No 28, Kode Pos 31414, Provinsi Sumatera Selatan
Telp. (0731) 321785 Fax (0731)323080, Email : [email protected]

SERAH TERIMA OBAT YANG DIBAWA PASIEN SAAT PASIEN PULANG

No Nama Obat Jumlah Sisa Obat Satuan

Lahat,
Apoteker Ka. Ruangan Pasien/ Keluarga Pasien

( ) ( ) ( )
NIP. NIP.

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