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CEK LIST PEMAKAIAN APD 2017

PETUGAS LABORATORIUM
UPT PUSKESMAS JUMAPOLO
BULAN : OKTOBER 2017

SARUNG
TGL JAS LAB MASKER ALAS KAKI KETERANGAN
TANGAN
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CATATAN :
V PAKAI
X TIDAK PAKAI
NO BULAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 KETERANGAN
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