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DAFTAR PERMINTAAN VAKSIN

PUSKESMAS : PLUMPANG
BULAN : NOVEMBER
TAHUN : 2017

NO NAMA BARANG SATUAN PERSEDIAAN PERMINTAAN DIBERIKAN JUMLAH

1 BCG 0 10

2 DPT/HB/Hib 12 50

3 POLIO 10 40

4 HB UNIJECT 14 70

5 Td 7 90

6 IPV 0 10

7 MR 3 11

8 DT 90

9 SPUIT 0.5 ml

10

JUMLAH
BIAS :
Jml murid kelas l = 813 Anak : ip. 9 = 90,3 Vial Mengetahui
Jml murid kelas ll = 778 Anak : ip. 9 = 86,4 Vial Kepala Puskesmas Plumpang

Dr. H. BOEDI WINOTO


NIP. 19640723 199602 1 001

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