Page 136 - BUKU JILID 2 ENGLISH FOR PROFESSIONAL NURSE FIX
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b
                          Write a medical check-up report using the given template.
                 c

                                                    Medical Check-Up Report



                According to the health screening report of this patient;
                Personal data

                No.medical record

                Name
                Date of birth

                Sex

                Telephone
                Address

                Occupation

                Medical Check-Up Data
                Date of exam

                Certification

                Finding/Remark
                The patient was referred

                Doctor’s name

                Date of exam
                Place of exam

                Remark

                Ratification

                Suggestions                                This patient is suggested to:
                                                            a.

                                                            b.
                                                            c.
                                                            d.












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