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REGISTER HARIAN RUANG PERSALINAN PUSKESMAS MOJUOTENGAH

NO TGL MASUK BPJS/U CM NAMA PASIEN KK UMUR L/P

1 2 3 4 5 6 7 8
ALAMAT GPA UK JENIS PELAYANAN RDT NR/R TGL/JAM KELUAR/RUJUK KET

9 10 11 12 13 14 15

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