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  • Surat Ket Kelahiran

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    Siti Jahroh
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    SURAT KET KELAHIRAN

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    11 views1 page

    Surat Ket Kelahiran

    Uploaded by

    Siti Jahroh

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PRAKTEK MANDIRI BIDAN

    SITI JAHROH, S.ST


    No. KS.01.03.05/0041/DPMPTSP/2022
    Sukawera RT.01/03 Desa Tanjungtiga Kec.Blanakan Kab.Subang-Jawa Barat
    No Hp 0821 7742 9814 / 0831 1264 8707

    KETERANGAN KELAHIRAN

    Menerangkan dengan sebenarnya bahwa :

    Nama orangtua : Ny …………………………………… / Tn. ………………………..

    Alamat : …………………………………………………………………………

    …………………………………………………………………………

    Pada hari : …………………………………………………………………………

    Tanggal : ………. / ………. / ………… Jam …………… WIB

    Telah melahirkan seorang anak : …………………………………… yang ke ………………...

    Berat badan : …………Gram, Panjang badan : ………… Cm

    Diberi nama : ………………………………………………………………………….

    Subang, …………………………..

    Siti Jahroh, S.ST


    Bidan

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