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    Yudhi Aulia
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    © All Rights Reserved
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    17 views2 pages

    Lampiran 2 Kegiatan Imunisasi

    Uploaded by

    Yudhi Aulia
    papma

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    LAMPIRAN II

    KEGIATAN IMUNISASI

    KEGIATAN IMUNISASI

    No
    1
    2
    3
    4
    5

    Hari/Tanggal
    Selasa/ 12 Mar
    2016
    Selasa/ 12 Mar
    2016
    Selasa/ 12 Mar
    2016
    Selasa/ 12 Mar
    2016
    Selasa/ 12 Mar
    2016

    Umur

    BB
    (Kg)

    Imunisasi
    yang
    diberikan

    Ket

    6 bln

    8 kg

    DPT + Hb3

    3 bln

    5 kg

    DPT + Polio

    13 bln

    9 kg

    19 bln

    10 kg

    5 bln

    5,6 kg

    Nama

    Jenis
    Kelamin

    Joshua
    Salsabila
    Zahra
    Humaira
    Syabila
    Baterisya
    Kemala
    Adresia

    DPT + Hb3 +
    Hib
    DPT + HB +
    Hib
    Polio + DPT
    + Hb + Hib

    Banda Aceh, 20 April 2016


    Disetujui,
    Kepala UPTD Puskesmas Lampaseh/
    Pembimbing I

    Pembimbing II

    dr. Nurcahayati
    NIP. 19780714 200804 2 001

    dr. Nila Frisanti


    NIP. 19821006 201412 2 001

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