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PENG ‘URUS CABANG IKATAN BIDAN INDONESIA KABUPATEN MALAKA JLKletekNo.... Desa Kletek, Kec. Malaka Tengah Kode Pos : 85762 Format Rekapitulasi Kegiatan Praktik Profesi / Pelayanan Kebidanan ‘Nama Bidan Serlyana Daria Bere,AMd.Keb Pelayanan 1; WeWAcGa qenencania CHS) NoSTR 2 1902521 16-1245555 Periode Kegiatan_ : 14 september 2020 S/D 13 September 2021 No KTA 2 $321.2208.0007 Unit/Lokasi Pely : Ruang KB/Puskesmas Nurobo No] _ Hari Nama Pasien | Umur Diagnosa Tindakan/Asuhan ‘Tanggal (Tahun) T | Sam, M4 tena & Noe Dee 446 = WH Ne Vande 2A | Meugtor ee cae 4 buen [Retnerian "W-Oepe 2 | Saasa, caifos/acas En 2 | Mesegtor eR Fuubte S Lauten HRouteicun Ww5 Deke 30-44 3 | Yours, 25 Joa facos [NS Mere Moe | 26 | bccegtor ee WE totem [Rentrcrew wy: DeRe 3% - 4 | tam, os /orsacas [WS Nermetvon ke | 39 [teagioe eb Sable Soran Freusiesrenn toy. Vege 3EE> 1H 3 | Seam. = a foas reas [S Roestne Mee] 24 | Nesecor tes PASE Noman Newilnercun ewe YAH! 6 ramet, as pensacas fy: Meanie whoo | 2% | heager ke Set # Nexen Redmon Vy: ae 26 T | toe, : os fos/ don [ts Won Comom| 2 | Buagtor eb aicle 3 Toten [Reatevew Wh Ore BL =m 8 | We. pyfob/acar My-Nidepeds Serr | 3 Aesegor ks ove 3 Men Roworion fa: Deyo St = O | Sckae, XY fer) 034 MY Martie hte | AG | Avcegor eS Brame 2 ten, Newtearen WS, -Qego $e WA 10 | Sow, ts 28/08 /2e1 [NS Yustine et 3 | Rewer tee Seite Bom [eullensenn “Ha “Dege BE- IM iT fabs, eryog reas [MY Veeuous Car | 25 | Mentor YR save > DOr [Rentoentenn Wy RRS HENS TZ] tas. | we ~~ nfoarans, [SY a Reamer RSE 3 ton [Reeder wd Oepe Set~ Betun, 13 September 2021 Kepala Puskesmas Bidag Pelaksana yA Gerardus ik Serlyana Daria Bere, AMd.Keb NIP:19761028 199603 1 003 ‘NO. KTA : 5321.2208.0007 Mengetahui Ketua Pe IBI Malaka te, NO.KTA : 5321.1 Tr.Keb 910.0157

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