Formulir Monitoring Keberadaan Vektor Dan Binatang Pengganggu.docx
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FORMULIR MONITORING KEBERADAAN VEKTOR DAN BINATANG PENGGANGGU RSIA HARAPAN MULIA Tanggal Audit : Auditor :
No
Nama Ruangan/Unit
Lalat
Semut
Jumlah Keberadaan Vektor dan Binatang Pengganggu Jentik Nyamuk Kecoa Tikus Tokek Cicak Nyamuk
Jumlah Hasil Monitoring:
Jl. Raya Pemda Tigaraksa Ds. Matagara Kec. Tigaraksa Kab. Tangerang, Banten 15720 Telp. 021.5991785 Fax. 021.5991786 e-mail : [email protected]
Kucing
Lain-Lain
No
Nama Ruangan/Unit
Lalat
Semut
Jumlah Keberadaan Vektor dan Binatang Pengganggu Jentik Nyamuk Kecoa Tikus Tokek Cicak Nyamuk
Jumlah Hasil Monitoring:
Jl. Raya Pemda Tigaraksa Ds. Matagara Kec. Tigaraksa Kab. Tangerang, Banten 15720 Telp. 021.5991785 Fax. 021.5991786 e-mail : [email protected]
Kucing
Lain-Lain
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