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PROVINCE : SULAWESI BARAT

REGENCY : POLEWALI MANDAR B1 :


HEALTH CENTER : 2 0 WHO REPORT : B2 : Month :
B3 : Year :

MONTHLY REPORT OF DISEASE


( )

AMOUNT OF PEOPLE
Total
NUM Code ICD TYPE OF DISEASE 0 - < 1 Yr 1 - 4 Yr 5 - 15 Yr 15 - 44 Yr 45 - 64 Yr > 65 Yr
10
L P L P L P L P L P L P L P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Kuajang, 2014
Mengetahui,
PJS Kepala Puskesmas Polewali

drg. Chairiah DS, M.Kes Ester Datu


Nip. 19620227 199203 2 003 Nip. 19601231 198603 2 197

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