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LAPORAN LB 3 IBU

BULAN :

TAHUN :

CAKUPAN ABS %
A. HAMIL
1. K1
2. K4
3. MEMPUNYAI BUKU KIA
4. BUMIL RESTI
B. PERSALINAN
C. NIFAS
1. KF 1 (6 JAM-3 HARI)
2. KF 2 (4-7 HARI)
3. KF 3 (8-28 HARI)
D. IMUNISASI
1. TT 1
2. TT 2
3. TT 3
4. TT 4
5. TT 5
E. KB
1. SUNTIK
2. PIL
3. KONDOM
4. IMPLAN
5. IUD
6. TUBEKTOMI
7. VASEKTOMI

Bandar Jaya, ..............................

Bidan

TITIN MARLENI, A.Md.Keb

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