Formulir Pemantauan Jentik 2.docx
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FORMULIR PENGAMATAN JENTIK Hari/ Tanggal : Lokasi
:
Hasil Pengamatan Dalam Ruang No
Nama KK
∑ Container
Jenis Kontainer
Luar Ruang (+)
(-)
∑ Container
Jenis Kontainer
(+)
(-)
:
Hasil Pengamatan Dalam Ruang No
Nama KK
∑ Container
Jenis Kontainer
Luar Ruang (+)
(-)
∑ Container
Jenis Kontainer
(+)
(-)
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