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PUSKESMAS TANASITOLO PUSKESMAS TANASITOLO PUSKESMAS TANASITOLO PUSKESMAS TANASITOLO

RAWAT INAP RAWAT INAP RAWAT INAP RAWAT INAP

Kab. Wajo Kab. Wajo Kab. Wajo Kab. Wajo
Dr : Br.Tancung Dr : Br.Tancung Dr : Br.Tancung Dr : Br.Tancung
SIK : SIK : SIK : SIK :

Pro : Pro : Pro : Pro :

Umur : Umur : Umur : Umur :
No. Reg : No. Reg : No. Reg : No. Reg :
Alamat : Alamat : Alamat : Alamat :
PUSKESMAS TANASITOLO PUSKESMAS TANASITOLO PUSKESMAS TANASITOLO PUSKESMAS TANASITOLO
RAWAT INAP RAWAT INAP RAWAT INAP RAWAT INAP
Kab. Wajo Kab. Wajo Kab. Wajo Kab. Wajo
Dr : Br.Tancung Dr : Br.Tancung Dr : Br.Tancung Dr : Br.Tancung
SIK : SIK : SIK : SIK :

Pro : Pro : Pro : Pro :

Umur : Umur : Umur : Umur :
No. Reg : No. Reg : No. Reg : No. Reg :
Alamat : Alamat : Alamat : Alamat :

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