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PEMERINTAH KABUPATEN INDRAMAYU

DINAS KESEHATAN
UPTD PUSKESMAS SIDAMULYA
Jl. Raya Sidamulya Desa Sidamulya Kec. Bongas Indramayu KP 45255
Email : sidamulyapuskesmas@gmail.com

FOTO KEGIATAN KELAS IBU HAMIL

PEMERINTAH KABUPATEN INDRAMAYU


DINAS KESEHATAN
UPTD PUSKESMAS SIDAMULYA
Jl. Raya Sidamulya Desa Sidamulya Kec. Bongas Indramayu KP 45255
Email : sidamulyapuskesmas@gmail.com

DAFTAR HADIR KELAS IBU HAMIL

No NAMA ALAMAT TANDA TANGAN


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Ditetapkan di : Sidamulya,________2019
Pada Tanggal : ......................................

Petugas Tanda Tangan

1. ___________ (............................)

2. ___________ (............................)

PEMERINTAH KABUPATEN INDRAMAYU


DINAS KESEHATAN
UPTD PUSKESMAS SIDAMULYA
Jl. Raya Sidamulya Desa Sidamulya Kec. Bongas Indramayu KP 45255
Email : sidamulyapuskesmas@gmail.com

NOTULEN

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Ditetapkan di : Sidamulya,________2019
Pada Tanggal : ......................................

Petugas Tanda Tangan

1. ______________ (............................)

2. ______________ (............................)
PEMERINTAH KABUPATEN INDRAMAYU
DINAS KESEHATAN
UPTD PUSKESMAS SIDAMULYA
Jl. Raya Sidamulya Desa Sidamulya Kec. Bongas Indramayu KP 45255
Email : sidamulyapuskesmas@gmail.com

DAFTAR HADIR KEGIATAN PENIMBANGAN BAYI & BALITA DESA BONGAS

POSYANDU : ............................................................................................................

NO NAMA ALAMAT TANDA TANGAN


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Sidamulya,........................
Bidan Desa Bongas

Hj. Kastirah
NRPTT. 10.4.492.0588

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