BUKU KEGIATAN KELOMPOK PIK-R ...........................................................................
DESA/ KELURAHAN : ...........................................................
........................................................................... KECAMATAN ........................................................................... : ........................................................... KABUPATEN ........................................................................... : ........................................................... BULAN TAHUN : ........................................................................... : ...........................................................
NO HARI / TGL KEGIATAN PELAKSANA HASIL YANG DIPEROLEH KET