Kelengkapan Form

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KELENGKAPAN FORM

No Jenis Kasus Persetujuan Penolakan Triase Persetujuan Ranap Pernyataan Bayar Kelengkapan BPJS Tarif Kamar Anastesi Gambar Luka Monitoring & Resume
1 VL & Visum √ √ √ − − − − √ √ −
2 RJ − − √ − − − − − v −
3 RI √ √ v √ √ √ √ √ √ −
4 PONED √ √ √ − − − − − − −
5 Rujuk − − − − − − − − − √

kelengkapan BPJS, meliputi:

fotocopy KK
fotocopy KTP
fotocopy BPJS

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