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LAPORAN BULANAN KUNJUNGAN PENYAKIT PUSBAN / POLINDES

TAHUN 2016
PUSBAN / POLINDES :
BULAN :

JENIS PENYAKIT GOLONGAN UMUR


TOTAL
NO 0-7 HR 8-30HR 1BL-1TH 1-4TH 5-<6TH 6-9TH 10-11TH 12-14TH 15-17TH 17-19TH 20-24TH 25-34TH 35-44TH 45-54TH 55-59TH 60-64TH 65-69TH >70TH
KODE NAMA
B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

........................................ , / / 2016
.....................................
LAPORAN BULANAN KUNJUNGAN PENYAKIT PUSKESMAS SUATANG BARU
TAHUN 2016
PUSKESMAS/PUSBAN/POLINDES :
BULAN :

JENIS PENYAKIT GOLONGAN UMUR


TOTAL
NO 0-7 HR 8-30HR 1BL-1TH 1-4TH 5-<6TH 6-9TH 10-11TH 12-14TH 15-17TH 17-19TH 20-24TH 25-34TH 35-44TH 45-54TH 55-59TH 60-64TH 65-69TH >70TH
KODE NAMA PENYAKIT
B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

........................................ , / / 2016
.....................................

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