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KARTU SUNTIK ULANG VAKSIN ANTI RABIES (VAR) KARTU SUNTIK ULANG VAKSIN ANTI RABIES (VAR)

PUSKESMAS UKUI PUSKESMAS UKUI

NAMA : .......................................................... NAMA : ..........................................................


UMUR : .......................................................... UMUR : ..........................................................
ALAMAT : .......................................................... ALAMAT : ..........................................................
SUNTIKAN TGL KETERANGAN SUNTIKAN TGL KETERANGAN
I dan II __________ ________________ I dan II __________ ________________
Ke III __________ ________________ Ke III __________ ________________
Ke IV __________ ________________ Ke IV __________ ________________

KARTU SUNTIK ULANG VAKSIN ANTI RABIES (VAR) KARTU SUNTIK ULANG VAKSIN ANTI RABIES (VAR)
PUSKESMAS UKUI PUSKESMAS UKUI

NAMA : .......................................................... NAMA : ..........................................................


UMUR : .......................................................... UMUR : ..........................................................
ALAMAT : .......................................................... ALAMAT : ..........................................................
SUNTIKAN TGL KETERANGAN SUNTIKAN TGL KETERANGAN
I dan II __________ ________________ I dan II __________ ________________
Ke III __________ ________________ Ke III __________ ________________
Ke IV __________ ________________ Ke IV __________ ________________

KARTU SUNTIK ULANG VAKSIN ANTI RABIES (VAR) KARTU SUNTIK ULANG VAKSIN ANTI RABIES (VAR)
PUSKESMAS UKUI PUSKESMAS UKUI

NAMA : .......................................................... NAMA : ..........................................................


UMUR : .......................................................... UMUR : ..........................................................
ALAMAT : .......................................................... ALAMAT : ..........................................................
SUNTIKAN TGL KETERANGAN SUNTIKAN TGL KETERANGAN
I dan II __________ ________________ I dan II __________ ________________
Ke III __________ ________________ Ke III __________ ________________
Ke IV __________ ________________ Ke IV __________ ________________

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