You are on page 1of 2
“Tengge! Kunjun NIK ive 0 tha Ya, ROT {Oserah Endemia Mature: Ya_Tisah_ Vj em anak26buan) Lingkar Kepsla ‘Sem tobe AFC | Kunjungan pertama_s“_Kurjungan vera dL ayne.2mes Rt 2am onaer™ —_— FORMULIR PENCATATAN BALITA SAKIT UMUR 2 BULAN SAMPAI§ TAKUM 1, Oehembac nt. __ ween fla ab Pere Sec Umur:Z tahun.g bulen BB:AP kg PATB;LOH em LILA:Ae pnaksonhopat Qeehow 5 ery atari (611) PERICATAN vaasirnas: |, ROMA Rea TRE NNR KTR | 1s poniah dak isa * Pentel, eahan: PL dor? | ium one ‘oak St fence | ati ce care cane ance, «tomarm, sot Spiel | Soaivent = se ” . « Agotoh porno “s Pordangankosong atau mata AG %, — ag? Set Sa 2h), menage mscsing ‘SAGA Yo dew coke AT TARTAR ORRIEST Ss a Tl gaamtenttpane— [feomon Ra + Aart dg dela ‘Aurea Eromercen dats Salyers RENAN ROK DORE? rapaan?_hat 1 aso corona? Yo__Tiaak V Rim mn onan tap + Gaba ean: © Sng iroat (2th) 2 Lat mah somata pan lt Norm PARA RIOR BWA (eran ATAU pes ATAU | SMeonrcons elongate Sed BCA {ani aan oram > roncn eran nama surement rt [econ coon can Sten? EDO, Lax TES MALARIA a a fas pnb + Boa eran ndash nes res? 1 hon anton en? 1 igen aroma? XStn eon ys pan te mene Shenae [Asian poceranbengerensrmsth a otra tS beets Mo? Green met nant Yom ita Daerah Non Encemi, nyton oer © eka ac rah at on ye boda? Opes 1 Aeaah OAK ort 28) a aps naps cope «Beton atany pmbesaranbpar> 2am 1 aka yon cone ac wane toumguet Nash amiga pst 7 mpl Ya has = ncaa pean ena taku PDA 1 unatadens pone an don aman dy lend cana ta rerpr alsin br Bat, pk mata sana Ror woos + Uatadane ran iat + enna tnd fk oakan ermorksaan COTM 9 altangantamoek ca Wala pegion apr» 2deue 5 estan ba Seg Sitar ee ra fo Nascxat ‘Perko ye prt an nyo ean pat tana ts 1 reas aarp ins stuns ean 2 urate: tote prdarahan ung finite) "RPA RA EPONA WSALI TELAT 1 Assan as nents? 1 sia apa tenga? {Asta carenmana co tngy? aka" een 1 Una adng co aynanah at rire 1 Rana many peberghnan arg nen llores ungated ATA TS TAN TAT Pen Seen nace ta Fr Srabeeyetldpratgren yl 1 MERES eam smote geo) tnt) . Seoreosr sas 1 SERB Sbarro Hse) See “Tenea i) > ico cew20 teats patcoeryy Down ear re a Saray 2 3c0 Seer hrc) " . < Tensan ington UA) ore barn my eal rote SEAS atte ~ Spasaro 00)2:360 ATLA <7 Sen petanenga nee pewconaTa Dehra bert (mri ten mene, ae) 5 Leg a peoraan toca 5 Doran eage 4 © Pheri rat Ut bmats ae beta cept Snax snag mace, pa nak am < tn pe "murs tan - 1 Uwe anon — . 1 Teuton par ests 0) tau tegy ban (10) manu er SPA sau TORU 280 sonp 30 S Ra su TOU 2 6D emp 6D SPR anu TRU> 320, Peta Linghr Kept ren 5 UeU-280 44-250 = Ceres ignereisnien ge tonnamn (Jaw mcar Ears Qa ——— eee amt Mao ncoune 1 hel ec rap POSTE nears, Tasoote tosne—eone Renan "foun wa esoymoncpt peter vw geben anes 78st _—_ pVenss {fettninsatsicosneaita tate a {+ Ja mendapat ASI, spakah fou dan anh sast i mendepat ARV profiasis? Ya_Teést__ Ao ‘Lotuken too IV torvtama ka jump bende! berthut: oe Specena seuss scarp bn so ors dg see Seman ye meta pov fF ay ap heb ot mea ret rome Soma ee crema nth thew ant pvonrsansn ane mnanaran "VY ohn wi, Y = oma Mem erates oe we | onge|: Gace meant fon) DATTA rn) Ganga Rabel Taya) \emy nied Decataerncenen carn a Vik en oT EN 50 QenFoom & lever Tw-Sopy | ‘AR PERRIN PEMBERAN MARA “Banat 2YAKUN sty GI MURANG ety 2 BURL TANPA ROMP ANEMIA DAN aah aban Enna eeu nerpns ge ameter YT

You might also like