Laporan Anc.docx
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LAPORAN ANC
NAMA BIDAN
:
BULAN
:
ALAMAT
:
FAKTOR RESIKO NO
NAMA IBU/ SUAMI
UMUR
ALAMAT
TD
BB
TB
HB
LILA
USIA ANAK TERAKHIR
G
P
A
M
HPHT
KET
LAPORAN PERSALINAN
NAMA BIDAN
:
BULAN
:
ALAMAT
K/U NO
NAMA IBU/ SUAMI
UMUR
ALAMAT
TANGGAL/ JAM PERSALINAN
IBU
:
BAYI BAYI
BB
TB
VIT.K / HB0
KET
NAMA BIDAN
:
BULAN
:
ALAMAT
:
FAKTOR RESIKO NO
NAMA IBU/ SUAMI
UMUR
ALAMAT
TD
BB
TB
HB
LILA
USIA ANAK TERAKHIR
G
P
A
M
HPHT
KET
LAPORAN PERSALINAN
NAMA BIDAN
:
BULAN
:
ALAMAT
K/U NO
NAMA IBU/ SUAMI
UMUR
ALAMAT
TANGGAL/ JAM PERSALINAN
IBU
:
BAYI BAYI
BB
TB
VIT.K / HB0
KET
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