Blangko Laporan Gizi.xls
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- Words: 168
- Pages: 4
No Nama Bayi
Tgl Lahir
Nama Ibu Bapak
Status KLP Punya HASIL PENIMBANGAN KK Dasa Kms / J F M A M J wisma KIA A E A P E U N B R R I N
J U L
A G S
S E P
O K T
N O V
D E S
Pemberi Pemberian Imunisasi an Oralit BCG/ BLN HB DPT HB Polio UNI I II III I II III IV I
Asi Ekslusif
II
III
IV
V VI
No Nama Bayi
Tgl Lahir
Nama Ibu Bapak
Status KLP Punya KK Dasa Kms / J wisma KIA A N
F E B
M A R
HASIL PENIMBANGAN A M J P E U R I N
HASIL PENIMBANGAN J A S U G E L S P
O K T
N O V
D E S
Pemberi Pemberian Imunisasi an Oralit BCG/ BLN HB DPT HB Polio UNI I II III I II III IV I
Asi Ekslusif
II
III
Asi Ekslusif
IV
V VI
Tgl Lahir
Nama Ibu Bapak
Status KLP Punya HASIL PENIMBANGAN KK Dasa Kms / J F M A M J wisma KIA A E A P E U N B R R I N
J U L
A G S
S E P
O K T
N O V
D E S
Pemberi Pemberian Imunisasi an Oralit BCG/ BLN HB DPT HB Polio UNI I II III I II III IV I
Asi Ekslusif
II
III
IV
V VI
No Nama Bayi
Tgl Lahir
Nama Ibu Bapak
Status KLP Punya KK Dasa Kms / J wisma KIA A N
F E B
M A R
HASIL PENIMBANGAN A M J P E U R I N
HASIL PENIMBANGAN J A S U G E L S P
O K T
N O V
D E S
Pemberi Pemberian Imunisasi an Oralit BCG/ BLN HB DPT HB Polio UNI I II III I II III IV I
Asi Ekslusif
II
III
Asi Ekslusif
IV
V VI
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