Resep Luar Gedung.docx

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PEMERINTAH KOTA DENPASAR DINAS KESEHATAN KOTA DENPASAR PUSKESMAS II DENPASAR SELATAN JL. DANAU BUYAN III SANUR NO TELP. (0361) 281166 Email : [email protected]

NAMA : UMUR : ALAMAT : TGL KELUHAN/ANAMNESA DIAGNOSA

L/P

TERAPI

PETUGAS

PEMERINTAH KOTA DENPASAR DINAS KESEHATAN KOTA DENPASAR PUSKESMAS II DENPASAR SELATAN JL. DANAU BUYAN III SANUR NO TELP. (0361) 281166 Email : [email protected]

NAMA : UMUR : ALAMAT : TGL KELUHAN/ANAMNESA DIAGNOSA

L/P

TERAPI

PETUGAS

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