kartu kb

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Dr. Yussi Winarto Jl. Surabayan 4/4 Surabaya No. RM : ............................ ............................ Nama Pasien : ............................ ............................ Nama Suami : ............................ ............................ Usia : ....................... ................................. Alamat : ....................... ................................. . ....................... ................................. Tgl . Jenis KB Tgl. Kembali Dr. Yussi Winarto Jl. Surabayan 4/4 Surabaya No. RM : ............................ ........................... Nama Pasien : ............................ ........................... Nama Suami : ............................ ........................... Usia : ....................... ................................ Alamat : ....................... ................................ . ....................... ................................ Tgl . Jenis KB Tgl. Kembali Tgl . Jenis KB Tgl. Kembali

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contoh kartu KB yg sering digunakan di klinik dan bidan praktik

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Page 1: Kartu KB

Dr. Yussi Winarto

Jl. Surabayan 4/4 Surabaya

No. RM : ........................................................

Nama Pasien : ........................................................

Nama Suami : ........................................................

Usia : ........................................................

Alamat : ........................................................

. ........................................................

Tgl. Jenis KB Tgl. Kembali

Dr. Yussi Winarto

Jl. Surabayan 4/4 Surabaya

No. RM : .......................................................

Nama Pasien : .......................................................

Nama Suami : .......................................................

Usia : .......................................................

Alamat : .......................................................

. .......................................................

Tgl. Jenis KB Tgl. Kembali

Tgl. Jenis KB Tgl. Kembali

Tgl. Jenis KB Tgl. Kembali

Page 2: Kartu KB