Get Panduan Pengisian Form Malaria.pdf - Simkes Fk Ugm

This guide provides detailed instructions on how to effectively fill out the PANDUAN PENGISIAN FORM MALARIA.pdf for the documentation of malaria cases. By carefully following each step, users can ensure accurate and comprehensive data entry.

Follow the steps to successfully complete the malaria form.

1. Press the 'Get Form' button to access the form and open it for editing.
2. Begin by entering details under 'IDENTITAS PASIEN'. Specify the type of health service facility and its name, for example, 'Puskesmas Paya Seunara'.
3. In the 'Nama' field, input the patient's name along with their gender, indicated as 'L' for male or 'P' for female.
4. Fill in the 'Tgl Kunjungan' with the visit date of the patient and enter the medical record number in the 'No. RM' field.
5. For the 'NIK/No.KTP', enter the national identification number or, if applicable, the patient's identity card number.
6. Provide the patient's date of birth in the 'Tgl Lahir' field. If unknown, substitute with the age in the designated field.
7. Complete the fields for 'Nama KK', 'No. KK', and 'No. Telp' with the necessary family and contact information.
8. Fill in the 'Desa' and 'Lingkungan' fields with the patient's residential address for accurate epidemiological tracking.
9. Select the appropriate entries for 'Pekerjaan' and 'Pendidikan' corresponding to the patient’s profession and educational background.
10. Input the 'Kode Grid' based on the specific grid code as detailed in the guideline.
11. Under 'RIWAYAT & PEMERIKSAAN', enter the patient's complaints and symptoms along with the start date in the 'Tgl Mulai Gejala' field.
12. Indicate whether the patient has previously had malaria and provide relevant details as necessary.
13. Document any travel history outside the area and past contacts with other malaria patients, including dates and types of contact.
14. Fill in the 'PEMERIKSAAN FISIK' section with the patient's body temperature, blood pressure, and any signs of anemia or splenomegaly.
15. In the 'HASIL LABORATORIUM' section, record lab details such as the registration number, dates, and results, including the type of Plasmodium.
16. Complete the 'TERAPI' section with details of the treatment administered and document the doctor's classification, name, and signature.
17. Finally, review all entered information and make any necessary corrections. You can then save the changes, download, print, or share the form.

Complete your documentation now by filling out the form online.