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REGISTER IMS

PUSKESMAS III DENPASAR UTARA

Umur HASIL LAB


Nama Ibu
NO NO RM NO REG Nama NIK/NO HP Alamat Keluhan Hamil
Kandung Snif Clue RPR/ TPHA/ RPR/
L P PMN Diplo Trico Kandida PH test Cells VDRL TPPA VDRL
Titer
Diagnosis Obat Kondom

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