Permintaan Vaksin Meningitis.docx

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PEMERINTAHAN KABUPATEN BEKASI DINAS KESEHATAN

UPT PUSKESMAS BAHAGIA Jl. K.H. A Tajuddin No. 2 Kelurahan Bahagia Kecamatan Babelan Telp. 021-89236770 E-mail :[email protected] Bekasi – Jawa Barat 17610

PERMINTAAN VAKSIN MENINGITIS JAMAAH HAJI TAHUN 2019 PUSKESMAS BAHAGIA

NO 1 2 3 4 5 6 7

NAMA JAMAAH BADAR HERU PURWAHJONO BIN FAJAKOEN BAMBANG HARYANTO BIN BEDJO PUJI HARTATI BINTI SUWARNI SETIYARTINI BINTI JOYO SEMITO SARWOTO BIN PONIJO ANDI BIN H. AHMAD NURYAMAN ENNIE MAWARTIE BINTI KASMONO NOTO SUWARNO

NO PORSI 1000529523 1000557030 1000557023 1000535267 1000535271 1000521424 1000521427

Mengetahui Kepala Puskesmas Bahagia

Hj. Sumiah, SST, MSi NIP. 19690111 198901 2 003

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