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DATA POSBINDU PTM

Desa : ...........................
Bulan : ...........................

Riwayat PTM pd Kluarga/Diri sendri LAB

Golda
NO Tanggal No KTP Nama Pasn TL L/P Alamat Pddkn Pkrjaan TD TB BB LP
DM HT Jant Stroke Asma Kanker Kolest Gula AU Chol

10

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