Book 1

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LAPORAN RAPID TES

RS/PUSKESMAS
BULAN/TAHUN

TANDA
TGL NO HASIL TES
NAMA ALAMAT NO. HP TANGAN
RAPID
PETUGAS

9 1
10 2
3
11 4
5
6
14 7
8
15 9
10
11
19 12
13
14
15
16
17
18
20 19
21 20
21
22
23
24 24
25
27 26

Penanggung Jawab
Kepala Puskesmas
…………………………..
LAPORAN RAPID TES

TGL
2

6
7

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