9.1.1.Ep.5. Bukti Identifikasi,Pelaporan Kasus Ktd,Ktc,Kpc

PEMERINTAH KABUPATEN PASER 

DINAS KESEHATAN UPTD PUSKESMAS MUARA KOMAM Jl.Negara Km. 171 Kel.Muara Komam Kec.Muara Komam Kab.Paser ( Kode Pos 76!" #  Tel$. ( %!&" # !"7%1%  Email : [email protected] Laporan Kasus KTD, KPC dan KNC

No.

Tanggal

Nama Korban

Insiden Kejadian

Lokasi

Keterangan

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Muara Komam ........................... ...............................2018 ....2018 KEPALA UPTD PUSKESMAS MUARA KOMAM

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