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PEMERINTAH KABUPATEN BANJARNEGARA

DINAS KESEHATAN
UPT PUSKESMAS MANDIRAJA 1
Jl. Martadipura No. 1 Telp (0286) 411478 Mandiraja
BANJARNEGARA

HASIL PEMERIKSAAN KESEHATAN GIGI


UKGMD

Nama Posyandu : Posyandu Margi Rahayu 1 Mandiraja Kulon


Hari/Tgl : Jumat, 17 Februari 2017
No Nama Umur TB BB Hasil Pemeriksaan Gigi
6 V IV III II I I II III IV V 6
1. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
2. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
3. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
4. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
5. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
6. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
7. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
8. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
9. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
10. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
11. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
12. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
13. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
14. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
15. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
16. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
17. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
18. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
19. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
20. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
21. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
22. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
23. 6 V IV III II I I II III IV V 6
PEMERINTAH KABUPATEN BANJARNEGARA
DINAS KESEHATAN
UPT PUSKESMAS MANDIRAJA 1
Jl. Martadipura No. 1 Telp (0286) 411478 Mandiraja
BANJARNEGARA

6 V IV III II I I II III IV V 6
24. 6 V IV III II I I II III IV V 6
6 IV IV III II I I II III IV V 6
25. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
26. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
27. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
28. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
29. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
30. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
31. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
32. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
33. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
34. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
35. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
36. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
37. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
38. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
39. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
40. 6 V IV III II I I II III IV V 6
6 V IV III II I I II III IV V 6
41. 6 V IV III II I I II III IV V 6

Mengetahui, Banjarnegara, 17 Februari 2017


Kepala UPT Puskesmas Mandiraja I Pelaksana Kegiatan
1. drg. Farida Rakhmawati 1.

Nuruddin AG, SKM,M.Kes 2. Septi Kartika N, AMd. KG 2.


NIP. 19700419 199403 1 002
PEMERINTAH KABUPATEN BANJARNEGARA
DINAS KESEHATAN
UPT PUSKESMAS MANDIRAJA 1
Jl. Martadipura No. 1 Telp (0286) 411478 Mandiraja
BANJARNEGARA

PEMERINTAH KABUPATEN BANJARNEGARA


DINAS KESEHATAN
UPT PUSKESMAS MANDIRAJA 1
Jl. Martadipura No. 1 Telp (0286) 411478 Mandiraja
BANJARNEGARA

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