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YAYASAN SAMODRA ILMU CENDEKIASTIKES WIRA MEDIKA BALIPROGRAM STUDI ILMU KEPERAWATANJln. Kecak no. 9A Gatot S!"oto T#$" Den%a&a"'Bal# ()*+9PENGKAJIAN KEPERAWATAN KELUARGAI. IDENTITAS UMUM KELUARGA,. I-ent#ta& Ke%ala Kela".aNama: ................................ Pendidikan: ............................Umur : ................................. Pekerjaan : ............................Agama : ................................. Alamat : ............................Suku : ................................. No Telpon : ............................*. Ko$%o Kela".aNo Nama L/P UmurHub.Dgn KKPendidikan Pekerjaan+. Geno."a$II. 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