Lampiran Permintaan Vaksin.docx

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Lampiran 1/2 Surat No: 001/DIR-RSUH/III/2019

A. Laporan Pemakaian Vaksin Bulan Juli 2018 No 1

NamaVaksin Hepatitis B Uninject 0,5 mL

Stok Awal 10

10

B. Permintaan Vaksin Bulan Maret 2019 No 1

NamaVaksin Hepatitis B Uninject 0,5 mL

Stok Akhir

Pemakaian

Permintaan 10

0

Permintaan 10

Lampiran 2/2

Laporan Penggunaan Vaksin N Tanggal Nama Pasien o 1 21/01/2019 Ny. Lia

2 3 4 5 6 7 8 9 1 0

7/02/2019 10/02/2019 14/02/2019 26/02/2019 16/03/2019 13/11/2018 14/11/2018 28/11/2018 18/9/2018

Ikah Nuri Eka Visi Neneng Leni Nuriyanti Neng Sri Shito

Alamat Kp. Genggereng rt.006 rw.003 Pondok salam

Jumlah 1

1 1 1 1 1 1 1

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