Patient Information

: : : :
: : : :
: : : :
: :

Diagnosis Information

Diagnosis : Category : Location:                              Delete
Diagnosis : Category : Location:                              Delete

Contact Information

: : : :

Document Information

Photo: Delete
Photo Labo Imagine Anapath Other

Patient IPD

Date In:                      Date Out:                      Remark:   Delete

Surgery Information

       2013-06-30   Delete
Surgery Procedure:       Paraclinic Confirmed: Date:        
Medicine:        
Protocol:         
       2018-11-18   Delete
Surgery Procedure:       Paraclinic Confirmed: Date:        
Medicine:        
Protocol:         
       2021-01-16   Delete
Surgery Procedure:       Paraclinic Confirmed: Date:        
Medicine:        
Protocol:         

Follow Up

       2018-11-20   Delete
Date :       BP : /       Puls :         T° :       RR :      
       2018-11-21   Delete
Date :       BP : /       Puls :         T° :       RR :      
       2018-11-24   Delete
Date :       BP : /       Puls :         T° :       RR :      
       2018-11-29   Delete
Date :       BP : /       Puls :         T° :       RR :      
       2021-01-16   Delete
Date :       BP : /       Puls :         T° :       RR :      
       2021-01-18   Delete
Date :       BP : /       Puls :         T° :       RR :      
       2021-01-22   Delete
Date :       BP : /       Puls :         T° :       RR :