Formulir Lembar Serah Terima Bayi
Formulir Lembar Serah Terima Bayi
Menyerahkan Bayi,
Kepada,
Nama : ..................................................................
Alamat : ..................................................................
No.Identitas : .................................................................. ( No. KTP / SIM )
No. Telp : ..................................................................
Boyolali, .....................................
RM RSAS/2016