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BULAN KE = PROTOKOL PENGOBATAN

Nama = MAINTENANCE (ANLL)Umur =

Kelamin =

BB/TB = Kg cm

LP3 = m

!IKLU! BERIKUTN"A

#ari

$ 3 % & ' * $+ $$ $ $3 $% $& $' $ $ $* + $ 3 % & ' * 3+

Ara,C - & mg/m /.ari =

010ru2icine - &mg/m / ali = Menge4a.ui

(!am5ai & 6i lu6) !u5er7i60r#ema40l0gi On 0l0gi

',MP - %+ 8 '+ mg/m /.ari =

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