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PenilaianSkriningFungsional.html
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<html>
<head><link href="file2.css" rel="stylesheet" type="text/css" /><table width='2000px' 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 : [email protected]<br><br><font size='2' face='Tahoma'>DATA PENILAIAN LANJUTAN SKRINING FUNGSIONAL<br><br></font></td></tr></table>
</head>
<body>
<table width="2000px" 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>Skala Barthel 1</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 1</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 2</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 2</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 3</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 3</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 4</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 4</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 5</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 5</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 6</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 6</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 7</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 7</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 8</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 8</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 9</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 9</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Skala Barthel 10</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>N.B. 10</b>
</td>
<td valign="middle" bgcolor="#FFFAF8" align="center">
<b>Total</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">
2023/06/10/000002
</td>
<td valign="top">
000005
</td>
<td valign="top">
ROBY ALAMSYAH
</td>
<td valign="top">
1986-07-20
</td>
<td valign="top">
L
</td>
<td valign="top">
2023-08-18 20:01:34.0
</td>
<td valign="top">
Tak Terkendali/Tak Teratur (Perlu Pencahar)
</td>
<td valign="top">
0
</td>
<td valign="top">
Kadang-kadang Tak Terkendali (Hanya 1x/24 Jam )
</td>
<td valign="top">
1
</td>
<td valign="top">
Butuh Pertolongan Orang Lain
</td>
<td valign="top">
0
</td>
<td valign="top">
Perlu Pertolongan Pada Beberapa Kegiatan Tetapi Dapat Mengerjakan
Sendiri Beberapa Kegiatan Yang Lain
</td>
<td valign="top">
1
</td>
<td valign="top">
Perlu Ditolong Memotong Makanan
</td>
<td valign="top">
1
</td>
<td valign="top">
Perlu Banyak Bantuan Untuk Bisa Duduk (2 Orang)
</td>
<td valign="top">
1
</td>
<td valign="top">
Mandiri
</td>
<td valign="top">
3
</td>
<td valign="top">
Mandiri
</td>
<td valign="top">
2
</td>
<td valign="top">
Mandiri
</td>
<td valign="top">
2
</td>
<td valign="top">
Mandiri
</td>
<td valign="top">
1
</td>
<td valign="top">
12
</td>
<td valign="top">
12/09/1988/001
</td>
<td valign="top">
ANJASMARA
</td>
</tr>
</table>
</body>
</html>