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  • Fakultas Kedokteran Universitas Sriwijaya

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    Alek Febrianka R
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    This family folder document contains information about a family assigned to the Community Medicine and Community Health Department at the Sriwijaya University Medical Faculty, including the name of the head of household, address, assigned health center, and name of wife as the only listed family member. It also lists the student's name and ID conducting the family assessment and includes signature lines for family members and doctors.

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    1. Family Folder

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    This family folder document contains information about a family assigned to the Community Medicine and Community Health Department at the Sriwijaya University Medical Faculty, including the name of the head of household, address, assigned health center, and name of wife as the only listed family member. It also lists the student's name and ID conducting the family assessment and includes signature lines for family members and doctors.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views2 pages

    Fakultas Kedokteran Universitas Sriwijaya

    Uploaded by

    Alek Febrianka R
    This family folder document contains information about a family assigned to the Community Medicine and Community Health Department at the Sriwijaya University Medical Faculty, including the name of the head of household, address, assigned health center, and name of wife as the only listed family member. It also lists the student's name and ID conducting the family assessment and includes signature lines for family members and doctors.

    Copyright:

    © All Rights Reserved
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    of 2

    FAKULTAS KEDOKTERAN

    UNIVERSITAS SRIWIJAYA

    FAMILY FOLDER

    Kepala Keluarga : Tn. Sunarno


    Alamat : Jl. Sumpah Pemuda Kampus Blok B, No.1 Kelurahan Lorok
    Pakjo Palembang
    Puskesmas : Puskesmas Kampus
    Anggota Keluarga : Istri : Ny. Sri Budiwati

    DEPARTEMEN ILMU KESEHATAN MASYARAKAT DAN


    ILMU KEDOKTERAN KOMUNITAS
    FAKULTAS KEDOKTERAN UNIVERSITAS SRIWIJAYA
    PEMBINA

    NAMA : Alek Febrianka Rachman, S.Ked

    NIM : 04054821618039

    Tanda Tangan Tanda Tangan

    Anggota Keluarga Dokter Pembimbing Puskesmas

    Kuat Santoso dr. Jamhari Farzal

    Mengetahui,

    Kepala Puskesmas Kampus

    dr. Hj. Yuliarni, M.Kes

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