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File: rujukan tranfer eksternal page 2.html
<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> <style type="text/css"> .txt { white-space:nowrap; } #f0 { font-family:sans-serif; font-weight:normal; font-style:normal; } #f1 { font-family:sans-serif; font-weight:bold; font-style:normal; } #f2 { font-family:sans-serif; font-weight:normal; font-style:normal; } @font-face { font-family: ff0; src: url("0.ttf"); } #f3 { font-family:ff0,monospace; font-weight:normal; font-style:normal; } #f4 { font-family:monospace; font-weight:normal; font-style:normal; } #f5 { font-family:sans-serif; font-weight:normal; font-style:italic; } </style> </head> <body> <img id="background" style="position:absolute; left:0px; top:0px;" width="595" height="841" src="page2.png"> <div class="txt" style="position:absolute; left:279px; top:2px;"><span id="f1" style="font-size:9px;vertical-align:baseline;color:rgba(0,175,80,1);">RUMAH SAKIT</span></div> <div class="txt" style="position:absolute; left:299px; top:14px;"><span id="f1" style="font-size:9px;vertical-align:baseline;color:rgba(255,0,0,1);">AULIA</span></div> <div class="txt" style="position:absolute; left:275px; top:25px;"><span id="f2" style="font-size:9px;vertical-align:baseline;color:rgba(0,0,255,1);">www.rsaulia.com</span></div> <div class="txt" style="position:absolute; left:179px; top:36px;"><span id="f2" style="font-size:9px;vertical-align:baseline;color:rgba(0,0,0,1);">Alamat : Jalan Jeruk Raya No. 15, Jagakarsa, Jakarta Selatan 12620</span></div> <div class="txt" style="position:absolute; left:263px; top:48px;"><span id="f2" style="font-size:9px;vertical-align:baseline;color:rgba(0,0,0,1);">Email : info@rsaulia.com</span></div> <div class="txt" style="position:absolute; left:253px; top:60px;"><span id="f2" style="font-size:9px;vertical-align:baseline;color:rgba(0,0,0,1);">Telp : (021) 7270208; 7866057</span></div> <div class="txt" style="position:absolute; left:32px; top:104px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">6. Alat Yang Terpasang Saat Pasien Dirujuk</span></div> <div class="txt" style="position:absolute; left:67px; top:125px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Infus, ________ Jalur</span></div> <div class="txt" style="position:absolute; left:67px; top:140px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Lokasi :</span></div> <div class="txt" style="position:absolute; left:67px; top:154px;"><span id="f5" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">Urine Catether</span></div> <div class="txt" style="position:absolute; left:67px; top:169px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Drain</span></div> <div class="txt" style="position:absolute; left:67px; top:184px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Lokasi :</span></div> <div class="txt" style="position:absolute; left:231px; top:125px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">NGT</span></div> <div class="txt" style="position:absolute; left:231px; top:140px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Kanul Oksigen Nasal</span></div> <div class="txt" style="position:absolute; left:231px; top:154px;"><span id="f5" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">Oropharyngeal Airway </span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(OPA)</span></div> <div class="txt" style="position:absolute; left:231px; top:169px;"><span id="f5" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">Nasopharyngeal Airway </span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(NPA)</span></div> <div class="txt" style="position:absolute; left:394px; top:125px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Sungkup RM</span></div> <div class="txt" style="position:absolute; left:394px; top:140px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Sungkup NRM</span></div> <div class="txt" style="position:absolute; left:394px; top:154px;"><span id="f5" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">Endotracheal Tube </span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(ETT)</span></div> <div class="txt" style="position:absolute; left:394px; top:169px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Lainnya :</span></div> <div class="txt" style="position:absolute; left:235px; top:205px;"><span id="f1" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">PROSES RUJUKAN</span></div> <div class="txt" style="position:absolute; left:63px; top:226px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Derajat Pasien</span></div> <div class="txt" style="position:absolute; left:67px; top:241px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Derajat 1</span></div> <div class="txt" style="position:absolute; left:67px; top:256px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Derajat 2</span></div> <div class="txt" style="position:absolute; left:67px; top:271px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Derajat 3</span></div> <div class="txt" style="position:absolute; left:67px; top:287px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Derajat 4</span></div> <div class="txt" style="position:absolute; left:158px; top:226px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Kompetensi Pendamping</span></div> <div class="txt" style="position:absolute; left:152px; top:241px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Perawat PK I</span></div> <div class="txt" style="position:absolute; left:152px; top:256px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Perawat PK II</span></div> <div class="txt" style="position:absolute; left:152px; top:271px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Perawat PK III</span></div> <div class="txt" style="position:absolute; left:152px; top:287px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Perawat PK III + Dokter</span></div> <div class="txt" style="position:absolute; left:359px; top:226px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nama Staf Pendamping</span></div> <div class="txt" style="position:absolute; left:50px; top:317px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Dokumentasi Kondisi Pasien Pada Proses Rujukan</span></div> <div class="txt" style="position:absolute; left:68px; top:345px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Parameter</span></div> <div class="txt" style="position:absolute; left:55px; top:367px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Keadaan Umum</span></div> <div class="txt" style="position:absolute; left:55px; top:382px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Suhu</span></div> <div class="txt" style="position:absolute; left:55px; top:397px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Tekanan Darah</span></div> <div class="txt" style="position:absolute; left:55px; top:412px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nadi</span></div> <div class="txt" style="position:absolute; left:55px; top:427px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Laju Respirasi</span></div> <div class="txt" style="position:absolute; left:144px; top:338px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Pada Saat Meninggalkan Rumah</span></div> <div class="txt" style="position:absolute; left:209px; top:352px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Sakit</span></div> <div class="txt" style="position:absolute; left:50px; top:449px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Kejadian Selama Perjalanan (bila ada) :</span></div> <div class="txt" style="position:absolute; left:319px; top:345px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Selama Perjalanan</span></div> <div class="txt" style="position:absolute; left:426px; top:345px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Saat Tiba di Rujukan</span></div> <div class="txt" style="position:absolute; left:223px; top:483px;"><span id="f1" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">PROSES PENERIMAAN</span></div> <div class="txt" style="position:absolute; left:50px; top:502px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Rumah Sakit yang Dituju yaitu Rumah Sakit :</span></div> <div class="txt" style="position:absolute; left:50px; top:517px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Dihubungi Tanggal :</span></div> <div class="txt" style="position:absolute; left:224px; top:517px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">, 20</span></div> <div class="txt" style="position:absolute; left:273px; top:517px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Jam :</span></div> <div class="txt" style="position:absolute; left:329px; top:517px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">WIB</span></div> <div class="txt" style="position:absolute; left:50px; top:531px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Penerima Telepon :</span></div> <div class="txt" style="position:absolute; left:273px; top:531px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Unit:</span></div> <div class="txt" style="position:absolute; left:70px; top:653px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Staf Penerima Pasien</span></div> <div class="txt" style="position:absolute; left:46px; top:668px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Unit :</span></div> <div class="txt" style="position:absolute; left:303px; top:592px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Atas bantuannya kami ucapkan terima kasih,</span></div> <div class="txt" style="position:absolute; left:292px; top:624px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Jakarta,</span></div> <div class="txt" style="position:absolute; left:400px; top:624px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">, 20</span></div> <div class="txt" style="position:absolute; left:460px; top:624px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Jam:</span></div> <div class="txt" style="position:absolute; left:514px; top:624px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">WIB</span></div> <div class="txt" style="position:absolute; left:359px; top:653px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Dokter yang Mengirim</span></div> <div class="txt" style="position:absolute; left:32px; top:741px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(</span></div> <div class="txt" style="position:absolute; left:200px; top:741px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">)</span></div> <div class="txt" style="position:absolute; left:37px; top:755px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nama Lengkap dan Tanda Tangan</span></div> <div class="txt" style="position:absolute; left:325px; top:741px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(</span></div> <div class="txt" style="position:absolute; left:494px; top:741px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">)</span></div> <div class="txt" style="position:absolute; left:338px; top:755px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nama Lengkap dan Tanda Tangan</span></div> <div class="txt" style="position:absolute; left:499px; top:822px;"><span id="f2" style="font-size:8px;vertical-align:baseline;color:rgba(0,0,0,1);">MED.038.0718.00</span></div> </body> </html>