Kartu Rawat Jalan.docx

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PEMERINTAH KABUPATEN OGAN KOMERING ULU TIMUR DINAS KESEHATAN UPTD PUSKESMAS JAYAPURA Jln Raya Desa Bunga Mayang Kec. Jayapura Kab. OKU Timur K. Pos 32181

KARTU RAWAT JALAN Nama

:

No

:

Nama KK

:

Umur

:

Pekerjaan

:

Jenis Kelamin :

Alamat

:

Agama

No

Tanggal

Pemeriksaan

Therapy

:

Keterangan

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