Lap Kasus Dbd.docx

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KESEHATAN DAERAH MILITER IX/UDAYANA RUMAH SAKIT Tk. II UDAYANA LAPORAN KASUS DBD RUMAH SAKIT TK . II UDAYANA TANGGAL : ................................... JAM : 07.00 WITA – 07.00 WITA NO

NAMA

UMUR L P

KK

ALAMAT TEMPAT TINGGAL

NO HP

TANGGAL MRS

KET (Suspect/DBD)