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REGISTER RAWAT JALAN BPU

PUSKESMAS KELURAHAN BUNGUR

Hari :
Tanggal :
Umur Kasus Wilayah Pembayaran
No No. reg Nama Alamat
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TER RAWAT JALAN BPU
AS KELURAHAN BUNGUR

Anamesa Diagnosa Therapy Ket

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