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IDENTITAS BAYI

NAMA BAYI : BY.NY.................................................

TANGGAL LAHIR :...........................................................

NOMOR REKAMEDIS :...........................................................

PB:...........CM LD:..........CM

IDENTITAS BAYI

NAMA BAYI : BY.NY.................................................

TANGGAL LAHIR : ..........................................................

NOMOR REKAMEDIS :...........................................................

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