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KARTU KONTROL TINDAKAN PUSKESMAS SIRAMPOG

PUSKESMAS SIRAMPOG Nama : ..........................................................................


Nama : .......................................................................... Umur : ............ ( L / P )
Umur : ............ ( L / P ) Alamat : .............
Alamat : ............. Diagnosa :...........................................................................
Diagnosa :........................................................................... Jenis Tindakan: ...........................................................................
Jenis Tindakan: ........................................................................... no tgl hasil Pemeriksaan Tindakan keterangan petugas
no tgl hasil Pemeriksaan Tindakan keterangan petugas

KARTU KONTROL TINDAKAN

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