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Pelan Tindakan Bencana (Luaran) - Hospital Sultanah Aminah ...

Pelan Tindakan Bencana (Luaran) - Hospital Sultanah Aminah ...

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DIAGNOSA :<br />

LOKASI KECEDERAAN<br />

PELAN TINDAKAN BENCANA (LUARAN)<br />

HOSPITAL SULTANAH AMINAH JOHOR BAHRU<br />

Kecederaan Berkaitan : ___________________________________________________<br />

KEMATIAN TIDAK DAPAT DISELAMATKAN<br />

DESTINASI : ________________________________________________________<br />

Data Peribadi Penyelamat<br />

Nama / Name : ______________________________ Jantina / Sex : _______________<br />

Agensi : ____________________________________ Umur / Age : ________________<br />

Pangkat / Position : __________________________________<br />

Tandatangan : ________________________________

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