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KARTU TAKSIRAN PARTUS KARTU TAKSIRAN PARTUS KARTU TAKSIRAN PARTUS

NAMA IBU :........................................... NAMA IBU :........................................... NAMA IBU :...........................................

NAMA SUAMI :........................................... NAMA SUAMI :........................................... NAMA SUAMI :...........................................

ALAMAT :........................................... ALAMAT :........................................... ALAMAT :...........................................

:........................................... :........................................... :...........................................

GPA :........................................... GPA :........................................... GPA :...........................................

HPHT :........................................... HPHT :........................................... HPHT :...........................................

TP :........................................... TP :........................................... TP :...........................................

JENIS RESIKO :........................................... JENIS RESIKO :........................................... JENIS RESIKO :...........................................

KARTU TAKSIRAN PARTUS KARTU TAKSIRAN PARTUS KARTU TAKSIRAN PARTUS


NAMA IBU :........................................... NAMA IBU :........................................... NAMA IBU :...........................................
NAMA SUAMI :........................................... NAMA SUAMI :........................................... NAMA SUAMI :...........................................
ALAMAT :........................................... ALAMAT :........................................... ALAMAT :...........................................
:........................................... :........................................... :...........................................
GPA :........................................... GPA :........................................... GPA :...........................................
HPHT :........................................... HPHT :........................................... HPHT :...........................................
TP :........................................... TP :........................................... TP :...........................................
JENIS RESIKO :........................................... JENIS RESIKO :........................................... JENIS RESIKO :...........................................

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