No
Tgl
No. Reg
Nama Klien
Alamat
Umur
Jenis
Tindakan
JUMLAH
..............................., ...............................
Mengetahui BIKOR
Pemberi Layanan
Bidan
(......................................................)
(.....................................................)
CATATAN PELAYANAN HARIAN IBU BERSALIN
No
Tgl
No. Reg
Nama Klien
Alamat
Umur
Jenis
Tindakan
JUMLAH
..............................., ...............................
Mengetahui BIKOR
Bidan
Pemberi Layanan
(......................................................)
(.....................................................)
CATATAN PELAYANAN HARIAN IBU NIFAS
No
Tgl
No. Reg
Nama Klien
Alamat
Umur
Jenis
Tindakan
JUMLAH
..............................., ...............................
Mengetahui BIKOR
Bidan
Pemberi Layanan
(......................................................)
(.....................................................)
CATATAN PELAYANAN HARIAN BAYI BARU LAHIR
No
Tgl
No. Reg
Nama Klien
Alamat
Umur
Jenis
Tindakan
JUMLAH
..............................., ...............................
Mengetahui BIKOR
Pemberi Layanan
(......................................................)
(.....................................................)
Bidan