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LAPORAN HASIL KEGIATAN

PELACAKAN KASUS MANGKIR

1 DASAR POA DAK Tahun 2020


2 TUJUAN KEGIATAN Mengetahui penyebab pasien tidak minum obat.
Menjamin ketekunan dan keteraturan pengobatan sesuai jadwal yang
ditentukan.
3 URAIAN KEGIATAN
Tanggal Kegiatan : ________________

Pasien yang dikunjungi


 Nama : ________________
 Umur : ________________
 Alamat : _____________________________________________________
Riwayatpenyakit :
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4 KESIMPULAN
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5 SARAN
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6 PENUTUP

Samarinda, ........................... 2020


Pelapor

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