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DINAS KESEHATAN KABUPATEN BINTAN

UPTD. PUSKESMAS TOAPAYA

Jalan Raya Tanjung Uban Km. 26 Telp.(0771) 7000783 INDONESIA


SEHAT
2010
TOAPAYA

RESUME KONSELING

a. Nama Klien :
b. Tempat/tgl.lahir :
c. Jenis Kelamin :
d. Pekerjaan :
e. Alamat Rumah :
f. Konselor :

Masalah Utama
(Permasalahan Motivasi/spiritual/keagamaan/vokasional)
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Hal-hal yang menghambat penyelesaian masalah


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Hal-hal yang mendukung penyelesaian masalah


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Rencana Tindak lanjut


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Tanjungpinang,.......................

Klien, Konselor

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