C RUJUKAN
D PENYULUHAN
JUMLAH
SASARAN : BP : ....................Orang
UKS : ....................Orang
USILA : ....................Orang
POSYANDU : ....................Orang
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F USUL-USUL PERBAIKAN
Jakarta, 10 Maret 2016
Kepala Puskesmas
dr Henni Bariah
NIP.196102021987122002