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  • Form Kunj KB Harian

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    ninta ribu
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    This document is a list of visits from family planning acceptors to the "Srininta" family planning post in Medan, Indonesia. It includes fields for the visit date, acceptor registration number, acceptor name, type of contraceptive, whether it was a follow up visit, the signature of the staff member, and notes. The list distinguishes between new and existing acceptors.

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    This document is a list of visits from family planning acceptors to the "Srininta" family planning post in Medan, Indonesia. It includes fields for the visit date, acceptor registration number, acceptor name, type of contraceptive, whether it was a follow up visit, the signature of the staff member, and notes. The list distinguishes between new and existing acceptors.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    7 views3 pages

    Form Kunj KB Harian

    Uploaded by

    ninta ribu
    This document is a list of visits from family planning acceptors to the "Srininta" family planning post in Medan, Indonesia. It includes fields for the visit date, acceptor registration number, acceptor name, type of contraceptive, whether it was a follow up visit, the signature of the staff member, and notes. The list distinguishes between new and existing acceptors.

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    DAFTAR KUNJUNGAN AKSEPTOR KB BPM ‘ SRININTA ‘

    BULAN …………………………………….
    NO TANGGAL NOMOR NAMA JENIS ALKON KONTROL PARAF KET
    KUNJUNGAN REGISTER AKSEPTOR ULANG PETUGAS
    KB
    DAFTAR KUNJUNGAN AKSEPTOR KB

    BARU DAN LAMA

    BPM ‘SRININTA”

    JL. PANTAI TIMUR NO 46 CINTA DAMAI

    MEDAN

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