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  • Kartu Ibu Kantong Perslinan

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    muhaimin gobel
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    33 views2 pages

    Kartu Ibu Kantong Perslinan

    Uploaded by

    muhaimin gobel

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    PUSKESMAS DULUKAPA

    PUSKESMAS DULUKAPA
    Nama Ibu :……………………………………
    Nama Ibu :……………………………………
    Umur :……………………………………
    Umur :……………………………………
    Alamat :……………………………………
    Alamat :……………………………………
    Diagnosa :…………………………………..
    Diagnosa :…………………………………..
    HPHT :…………………………………..
    HPHT :…………………………………..
    TP :……………………………………
    TP :……………………………………
    Faktor Resti :……………………………………
    Faktor Resti :……………………………………
    Rencana Persalinan :………………………..
    Rencana Persalinan :………………………..
    No Telpon :…………………………………..
    No Telpon :…………………………………..

    PUSKESMAS DULUKAPA
    PUSKESMAS DULUKAPA
    Nama Ibu :……………………………………
    Nama Ibu :……………………………………
    Umur :……………………………………
    Umur :……………………………………
    Alamat :……………………………………
    Alamat :……………………………………
    Diagnosa :…………………………………..
    Diagnosa :…………………………………..
    HPHT :…………………………………..
    HPHT :…………………………………..
    TP :……………………………………
    TP :……………………………………
    Faktor Resti :……………………………………
    Faktor Resti :……………………………………
    Rencana Persalinan :………………………..
    Rencana Persalinan :………………………..
    No Telpon :…………………………………..
    No Telpon :…………………………………..

    PUSKESMAS DULUKAPA
    Nama Ibu :……………………………………
    Umur :……………………………………
    Alamat :……………………………………
    Diagnosa :…………………………………..
    HPHT :…………………………………..
    TP :……………………………………
    Faktor Resti :……………………………………
    Rencana Persalinan :………………………..
    No Telpon :…………………………………..

    PUSKESMAS DULUKAPA
    Nama Ibu :……………………………………
    Umur :……………………………………
    Alamat :……………………………………
    Diagnosa :…………………………………..
    HPHT :…………………………………..
    TP :……………………………………
    Faktor Resti :……………………………………
    Rencana Persalinan :………………………..
    No Telpon :…………………………………..

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