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BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM,
BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb

Kelurahan Saung Naga Baturaja Kelurahan Saung Naga Baturaja Kelurahan Saung Naga Baturaja Kelurahan Saung Naga Baturaja
No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................

Nama......................Umur.................... Nama......................Umur.................... Nama......................Umur.................... Nama......................Umur....................
.......X......Sdk Teh/Sdk Mkn/Tablet .......X......Sdk Teh/Sdk Mkn/Tablet .......X......Sdk Teh/Sdk Mkn/Tablet .......X......Sdk Teh/Sdk Mkn/Tablet
KOCOK DAHULU SEBELUM DIMINUM KOCOK DAHULU SEBELUM DIMINUM KOCOK DAHULU SEBELUM DIMINUM KOCOK DAHULU SEBELUM DIMINUM
SEMOGA LEKAS SEMBUH SEMOGA LEKAS SEMBUH SEMOGA LEKAS SEMBUH SEMOGA LEKAS SEMBUH
BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb




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BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM,

BIDAN ROSLINA, AM, Keb BIDAN ROSLINA, AM, Keb

No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................

No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................

No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................

No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................ No...........................Tgl........................

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