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LAPORAN BULANAN GONDOK

PUSKESMAS ..........................
TRIBULAN : I/II/III/IV TAHUN : ...............

NO DESA GONDOK KRETIN


BAYI BALITA WANITA PRIA BAYI BALITA WANITA PRIA
L P L P HAMIL NIFAS 6-35 TH > 35 TH 6-35 TH > 35 TH L P L P HAMIL NIFAS 6-35 TH > 35 TH 6-35 TH > 35 TH

JUMLAH

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Mengetahui :
Kepala Puskesmas ........................... Pelaksana Gizi

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NIP. NIP.

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