DINAS KESEHATAN
PUSKESMAS PERAWATAN TES
Jl. PLTA Tes, Desa Turan Tiging,
Kec. Lebong Selatan Kab. Lebong- Bengkulu
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BPJS / UMUM
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Nama : ............................................................
Jenis Kelamin : Lk / Pr
Alamat : ............................................................
BPJS / UMUM
Ŕ/:
Nama : ............................................................
Jenis Kelamin : Lk / Pr
Alamat : ............................................................
BPJS / UMUM
Ŕ/:
Nama : ............................................................
Jenis Kelamin : Lk / Pr
Alamat : ............................................................
BPJS / UMUM
Ŕ/:
Nama : ............................................................
Jenis Kelamin : Lk / Pr
Alamat : ............................................................