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SAMPLE OPQRST

Nama : Umur : JK : L / P BP : / Kolesterol : GD.... : AU :


S: O:
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P:
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A: _____________________________________
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Q:
M: _____________________________________
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R:
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PF :
S:
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T:
PS :
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_____________________________________ Non Fatal CVD : Fatal CVD :

PM : Rekomendasi Farmasis :
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L:
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E: _____________________________________
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