Format Permintaan Obat Tb Niken.docx
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- Words: 53
- Pages: 2
no
Jenis Obat
Satuan
Jumlah
Mengetahui Kabid P2P/ KASI P2P/ WASOR NIP N o
Nama
Umur
Alamat
Kat OAT
Klas P/LP
L P
Tipe Penderita B
K
P
D
Lab L
Mengetahui Kepala UPT Puskesmas Kampung Sawah
NIP
Neg
TB Anak Hasil
Tanggal berobat
Score
Yang menerima Petugas TB Puskesmas Kampung Sawah
NIP
Jenis Obat
Satuan
Jumlah
Mengetahui Kabid P2P/ KASI P2P/ WASOR NIP N o
Nama
Umur
Alamat
Kat OAT
Klas P/LP
L P
Tipe Penderita B
K
P
D
Lab L
Mengetahui Kepala UPT Puskesmas Kampung Sawah
NIP
Neg
TB Anak Hasil
Tanggal berobat
Score
Yang menerima Petugas TB Puskesmas Kampung Sawah
NIP
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