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Baris Template ini hanya perlu diisi ketika memilih tipe item berjenis "Template"

<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" width="931" style="width: 465.3pt; margin-left: 0.9pt; border: none;">
 <tbody><tr>
 <td width="309" style="width:154.5pt;border:solid windowtext 1.0pt;mso-border-alt:
 solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Total Skor<o:p></o:p>
 </td>
 <td width="269" style="width:134.4pt;border:solid windowtext 1.0pt;border-left:
 none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 Keterangan tingkat nyeri<o:p></o:p>
 </td>
 <td width="353" style="width:176.4pt;border:solid windowtext 1.0pt;border-left:
 none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 Penatalaksanaan<o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width="309" style="width:154.5pt;border:solid windowtext 1.0pt;border-top:
 none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 Skor 0<o:p></o:p>
 </td>
 <td width="269" style="width:134.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Tidak ada nyeri<o:p></o:p>
 </td>
 <td width="353" style="width:176.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
  
 </td>
 </tr>
 <tr>
 <td width="309" style="width:154.5pt;border:solid windowtext 1.0pt;border-top:
 none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 Skor 1-3<o:p></o:p>
 </td>
 <td width="269" style="width:134.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Nyeri ringan<o:p></o:p>
 </td>
 <td width="353" style="width:176.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Kolaborasi dokter
 umum<o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width="309" style="width:154.5pt;border:solid windowtext 1.0pt;border-top:
 none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 Skor 4-6<o:p></o:p>
 </td>
 <td width="269" style="width:134.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Nyeri sedang<o:p></o:p>
 </td>
 <td width="353" style="width:176.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Kolaborasi dokter
 spesialis<o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width="309" style="width:154.5pt;border:solid windowtext 1.0pt;border-top:
 none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt">
 Skor 7-10<o:p></o:p>
 </td>
 <td width="269" style="width:134.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Nyeri Berat<o:p></o:p>
 </td>
 <td width="353" style="width:176.4pt;border-top:none;border-left:none;
 border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
 Kolaborasi dokter
 spesialis anastesi<o:p></o:p>
 </td>
 </tr>
</tbody></table>

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