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  • FF PKM

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    yteter

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    FF PKM - Copy

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    yteter

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    0 views6 pages

    FF PKM

    Uploaded by

    Teresa Gaming's
    yteter

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 6

    Tanggal Keluhan Pengobatan Keterangan Tanggal

    Keluhan Pengobatan Keterangan


    No. Index :

    "KARTU FAMILY FOLDER"

    Kelamin Umur
    Nama : Pekerjaan :
    KK : Alamat :
    Nomor KTP PHB :
    Pendidikan :
    No Nama Anggota Keluarga Hub Umur L/P Pek. Pend. Agama
    Keadaan
    No Nama Urut Anak Lh Lm
    Mat Hidup

    Tgl. Kunjungan
    Imunisasi
    Persalinan
    ditotolong oleh DPT Polio
    BCG Campak
    I II III I II III
    CATATAN KEBIASAAN DAN LINGKUNGAN KELUARGA

    1. RUMAH
    1.1. TEMBOK

    1.2. LANTAI

    1.3. PENERANGAN

    1.4. PEMANFAATAN PEKARANGAN


    UNTUK TAMAN GIZI

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