LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO) KODE PUSKES MAS : ________________________ PUSKESMAS : ________________________ KECAMATAN : ________________________ KABUPATEN : ________________________ PROPIN SI : ________________________
No. No. URUT KODE 1
2
1 2 ) + , / 3 10 11 12 1) 1+ 1, 1 1/ 1 13 20 21 22 2) 2+ 2, 2 2/ 2 23 )0 )1 )2 )) )+
101 102 10) 10+ 10, 10 10/ 10 103 110 11) 11+ 11, 11 11/ 11 113 120 121 122 12) 12+ 12, 12 12/ 12 123 1)0 1)1 1)2 1)) 1)+ 1), 1)
BULAN TAHUN MASUK TGL.
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
Acon Stik for P!no T"#t Ac$co%ir kri& Ac$co%ir t!("t - 200 &* Ac$co%ir t!("t - +00 &* Air r!k#! "nt! '#" A!t S'ntik 10 & A!t #'ntik #"k!i !k!i 1 & A!t #'ntik #"k!i !k!i 2, & A!t #'ntik #"k!i !k!i , & A("n!4o t!("t +00 &* Ako5o 3, 6 Ako5o S7!( Ao'rino t!("t A!r! A&(ro8o #ir' 0 & A&(ro8o t!("t )0 &* A&inofiin! in9"k#i 2+ 2+&*:&-10& A&inofiin! t!("t 200 &* A&itritiin! ;
Antr!in in9"k#i 2& :,
kot!k t'(" t!("t t!("t (oto #"t #"t #"t #"t t!("t (oto o# t!("t t!("t (oto t!("t !&' t!("t t!("t t!("t (oto k! k!"t "t k!#' #' (oto %i! !&' t!("t (oto t!("t #' t'(" ot t!("t !&'
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
: ________________ : ________________ : ________________
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
), ) )/ ) )3 +0 +1 +2 +) ++ +, + +/ + +3 ,0 ,1 ,2 ,) ,+ ,, , ,/ , ,3 0 1 2 ) + , / 3 /0 /1 /2 /) /+ /, / // / /3
2
NAMA OBAT
SATUAN
STOK A>AL A>AL
3
4
5
1)/ A'! ro in9"k#i #t"ri - 20 & !&' 1) A'!"#t #t"ri - 1000 & (oto 1)3 A'!"#t #t"ri - ,00 & (oto Air 'tk Iri*r! L!r Inf'# 1000 & (oto 1+0 A'!*" St"ri" J"$ 2 *r t'(" 1+1 A#!& A#kor(!t ?%it < t!("t ,0 &* t!("t 1+) A#!& M"f"n!&!t k!"t ,00 &* k!"t 1++ A#!& tr!n"8!&!t in9"k#i 100&*:& !&' 1+, 1+, A#!& A#!&T Tr!n"k !n"k#! #!&! &!tt ;
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
0 1 2 ) + , / 3 30 31 32 3) 3+ 3, 3 3/ 3 33 100 101 102 102 10) 10+ 10, 10 10/ 10 103 110 111 112 11) 11+ 11, 11 11/ 11 113 120 121 122 12) 12+
2
NAMA OBAT
SATUAN
STOK A>AL A>AL
3
4
5
)1) <"no L$t""r )1+ <"tiri4in" K!#' 10&* )1, )1 )1/ )1 )20 )21 )22 )2) )2+ )2, )2
+02 +0) +0+ +0, +0
(oto k!#' (oto (oto (oto t!("t (oto #$rin*" #$rin*" #$rin*" k!#' c# (oto k!#' t!("t t!("t "&(!r t!("t !&' t!("t t!("t
D"c'in t!("t )0&* D"k#!&"t!#on In9"k#i ,&*:& D"k#!&"t!#on t!("t 0, &* D"&!coin t!("t D"ntin
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
2
12, 12 12/ 12 123 1)0 1)1 1)2 1)2 1)) 1)+ 1), 1) 1) 1)/ 1) 1) 1)3 1+0 1+1 1+2 1+) 1++ 1+, 1+ 1+/ 1+ 1+3 1,0 1,1 1,2 1,) 1,+ 1,, 1, 1,/ 1, 1,3 10 11 12 12 1) 1+ 1, 1 1/ 1 13
02 0) 0+ 0, 0 0/ 0 10 10 12 1) 1+ 1, 1, 1 1 1/ 1 13 20 22 2) /01 /0+ /0, /0 /0/ /0 /10 /11 /12 /1) /1+ /1, /20 /21 /22 /2) /2+ /2+ 02 0) 0+ 0,
NAMA OBAT
SATUAN
STOK A>AL A>AL
3
4
5
=""in* t'(" No. 10 #"t =""in* t'(" No. 1 #"t =""in* t'(" No. , #"t =""in* t'(" No. #"t ="nitoin! N! N!tri'& k! k!#' 10 100 &* &* k!#' ="no(!r(it! In9"k#i ,0&*:&-2& !&' ="no(!r(it! t!("t )0 &* t!("t ="no ="nok# k#i& i&"t "ti i P"ni P"ni#i #ii in! n! t!( t!("t "t ,00 ,00 &* t!( t!("t "t =ito&"n!ion in9"k#i 10&*:& !&' =ito&"n!ion in9"k#i 2 &*:& !&' =ito&"n!ion t!("t 10 &* t!("t =!* =!*i i : M"tro M"troni ni! !4o 4o O%'o O%'o ,00&* ,00&* T!("t !("t t!("t ='ok#"tin 10 &* ='co 'con! n!4 4o" o" 1,0 1,0 &* t!( t!("t "t ='ori" S"i!!n Toic!:<inro >5it (oto =o"$
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE
NAMA OBAT
SATUAN
STOK A>AL 5
1
2
3
4
1/0 1/1 1/2 1/) 1/+ 1/, 1/ 1// 1/ 1/3 10 11 12 1) 1+ 1, 1 1/ 1 13 130 131 132 13) 13+ 13, 13 13/ 13 133 200 201 202 20) 20+ 20, 20 20/ 20 203 210 211 212 21) 21+
0 03 10 301 302 30) 30+ 30 30/
;iro*"n P"rok#i! : ;2O2 ;irokorti!4i! t!( 2, &* ;irokorti#on Kri& 2,6 I('rof"n #'#"n#i 100 &*: ,& I('rof"n t!("t 200 &* I('rof"n t!("t +00 &* I&ir!&in" 2, &* Inf'#ion #"t !n!k Inf'#ion #"t "7!#! I
(oto t!("t t'(" (oto t!("t t!("t t!("t #"t #"t (i9i (i9i (i9i (i9i T"#t Kit k!"t k!"t t!("t (oto t'(" t!("t ro t!("t (o8 ('n*k'# ('n*k'# ro ro ro t!("t T'(" k!#' k!#' k!#' t'(" (oto (oto (oto t!("t !&' t!("t t!("t t!("t (oto t!("t t!("t
303 310 1101 110) 110+ 110, 110 110 1103 1110 1111 1112 111) 111, 111 111/ 1113 1120 1121 1122 112) 112+ 112, 112 112/ 112 1123 11)0
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
21, 21 21/ 21 213 220 221 222 22) 22+ 22, 22 22/ 22 223 2)0 2)1 2)2 2)) 2)+ 2), 2) 2)/ 2) 2)3 2+0 2+1 2+2 2+) 2++ 2+, 2+ 2+/ 2+ 2+3 2,0 2,1 2,2 2,) 2,+ 2,, 2, 2,/ 2, 2,3
2
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
11)2 K'inin! S'f!t t!("t t!("t Ko&(i!k K!t"*ori 1 P!k"t 1201 L!n4or!4o k!#' )0 &* k!#' 121+ L!8!in #ir' 0 & (oto L"'ko!#t ;o#it! /.,0 c& 8 +., & ro 121, L"%ofok#!#in t!("t ,00 &* t!("t 121 Lioc!in 26 in9"k#i !&' 121/ Liok!in!
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE
NAMA OBAT
SATUAN
STOK A>AL 5
1
2
3
4
20 2 1 22 2 ) 2+ 2, 2 2/ 2 23 2/0 2/1 2/2 2/) 2/+ 2/, 2/ 2// 2/ 2/3 20 21 22 2) 2 + 2 , 2 2/ 2 23 230 231 232 23) 23+ 23, 23 23/ 23 2 33 )00 )01 )02 )0)
1+0) 1+0, 1+0 1+0/ 1+12 1+1) 1+1, 1+1 1+1/ 1+1 1+13 1,01 1,02 1,0) 1,0+ 1,0, 1,0 1,0/ 1,0 1,03 1,10 1,11 1,12 1,1) 1,1, 1,1 1,1 1,13 1,20 1,21 1,22 1,2)
N!#!f!& 100 &* N! tri'& Bik! r(on !t t!("t ,00 &* N!tri'& Dikof"n!k ,0 &* N! tri'& Kori! !r't!n inf'# 0.36 N"o K!o&in! #ir' N"'ro(!t in9"k#i N"'ro#!n(" ,000 t!("t Nif"iin 10 &* t!("t Ni#t!tin 100.000 IU #'#"n#i Ni#t!tin 100.000 IU:* t!("t %!*in! Ni#t!tin ,00.000 IU:* t!("t or! O(!t Antit'("rk'o#i# k!t - An!k O(!t Antit'("rk'o#i# k!t - I O(!t Antit'("rk'o#i# k!t -II O(!t B!t'k ;it!& c!ir!n 100& OBAT KUSTA M B !n!k OBAT KUSTA M B "7!#! OBAT KUSTA P B !n!k OBAT KUSTA P B "7!#! O(!t M!!ri! t!("t OB; Troic! E8t! M"nto 0 & OB; Troic! P'# An!k J"r'k 0 & OB; Troic! P'# M"nto 0 & O($"k G!## Ok#i*"n G!# !!& t!( 'n* - 1&) Ok#i*"n G!# !!& t!( 'n* - &) Ok#it"tr!#ikin! ;
t!("t t!("t t!("t (oto (oto !&' t!("t t!("t (oto t!("t t!("t !k"t !k"t !k"t (oto #tri #tri #tri #tri t!("t (oto (oto (oto c# t!('n * t!('n * t'(" t'(" !&' k!#' t!("t !&' (i9i (i9i (i9i (oto (oto t!("t t'(" !&' (oto t!("t !&' t!("t
10) 10+ 10 103 110 112 11+ 11, 11
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
)0+ )0, )0 )0/ )0 )03 )10 )11 )12 )1) )1+ )1, )1 )1/ )1 )13 )20 )21 )22 )2) )2+ )2, )2 )2/ )2 )23 ))0 ))1 ))2 ))) ))+ )), )) ))/ )) ))3 )+0 )+1 )+2
2
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
11/ Pir!nt" S'# 12,&* : , & (oto 11 Piriok#in! ;
o%"n ,8,00c& ro
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE
NAMA OBAT
SATUAN
STOK A>AL 5
1
2
3
4
)+) )++ )+, )+ )+/ )+ )+3 ),0 ),1 ),2 ),) ),+ ),, ), ),/ ), ),3 )0 )1 )2 )) )+ ), )
1 1, 1 1 11/ 11 113 120 121 122 12) 12+ 12,
%i! %i! !&' %i! kit !&' !&' #!c5"t #!c5"t (oto t!("t !&' t!("t t!("t (i9i t'(" t'(" t!("t (oto #"t #"t #"t #"t ro
)/
1301
) )3 )/0 )/1 )/2 )/) )/+ )/, )/ )// )/ )/3 )0 )1 )2 ))
130) 130+ 1311 1312 131) 131+ 131, 131 131/ 1313 1320 1321 1322 132) 132+ 132,
S"r'& Anti Bi#! U! r in9"k#i ?ABU I S"r'& Anti Dit"ri in 9" k#i 20 .0 00 IU S"r'& Anti T"t!n'# in9"k#i 1.,00 IU S"r'& Anti T"t!n'# in9"k#i 20.000 IU S"r'& Kontro Si!noko(!!&in! ?it B12 in9"k#i Sik4ono!t" in9"k#i 2, &* :& Sik no 2:0 2+81)80 c& Sik no ):0 2+81)80 c& Si%"r A&!*!& #"r('k ,-/,6 Si&%!#t!tin t!("t 10 &* S!#5i - In9"k#i S!#&in! t!("t Sirono!cton" 2, &* Son# G"!tin c'(ic"# 18181c& St"#oi R"ct! 10 &*:2, & St"#oi R"ct! , &*:2, & Sto!8 :Bi#!koi S' 10&* S'f!#"t!&i! t"t"# &!t! 1,6 S'r*ic! *o%" no. S'r*ic! Go%" No. / S'r*ic! Go%" No. /, S'r*ic! Go%" No. S"&i!# Non >o%"n 108 ,00c& T!("t T!&(!5 D!r!5 ?B"#i II S'f!t t!(.)00&* T"&or!r$ Stoin* ="tc5"r T"o#! t!("t T"tr!#ikin! ;< k!#' ,00 &* T5i!&"nico Sir' T5i!&5"nico ,00 &* T5r"" 7!$ Sto
1)0 1)1 1)+ 1), 1)/ 1+1 1+2 1+) 1++ 1+,
t!("t #"t t!("t k!#' (oto k!#' c# t!("t t!("t !&' !&' t!("t #"t t!("t kit t!("t
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lal
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
2
)+
132
), ) )/ ) )3 )30 )31 )32 )3) )3+
2002 200) 200+ 200, 200 200/
)3,
210)
)3 )3/ )3 )33 +00 +01 +02 +0) +0+ +0, +0 +0/ +0 +03 +10 +11 +12 +1) +1+ +1, +1 +1/ +1 +13 +20 +21 +22 +2)
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
2/11 2/12 2/1)
Trikr"#o =or&!in ?=orinokr"#o (oto c!ir!n - 10 & U&(iic! i! D, 1:2 NS (oto >in* N""" (!$i no.2, (i9i Foi'& Po%ion 106 - )0 & (oto Foi'& Po%ion 106 - )00 & (oto Foi'& Po%ion 1000 & IN< t!("t 20 &* t!("t irc'& KID #ir' (oto or!in t!("t PROGRAM IMUNISASI P"!r't B
201 202 20) 20+
PROGRAM IMS Aco5o S7!(
2101 2102
2201 2)02 2)0) 2,01 2,02 202 20) 20+ 2/01 2/0+ 2/0 2/0/ 2/0 2/03
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lal
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
2
+2+ +2, +2 +2/ +2 +23 +)0 +)1 +)2 +)) +)+ +), +) +)/ +) +)3 ++0 ++1 ++2 ++) +++ ++, ++ ++/ ++ ++3 +,0 +,1 +,2 +,) +,+ +,, +, +,/ +, +,3 +0 +1 +2 +) ++ +,
20, 20 20/ 20 203 210 211 212 21) 21+ 21, 21
)002 )00) )00+ )00, )00 )00/ )00 )003 )010 )011 )012
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
I&&"r#ion Oi K"rt!# P; ) - +2 KO; 106 M"t5$!t" Sirit M"t5$"n B'" 0.)6 N!c 0.36 O(9"ct G!## R"!*"n Sifii# RPR:kit ?10& 'ntk ,00 t"#t R"!*"n Sifii# TP;A !c'!(:T!('n* !r!5 !#tic t't' &"r!5 H$o F"o7 !n B'" Ti R"!*"n R!i #$5ii#:St!n!r Di!*n 100 P"rfor&! T"#t Stri#: Stik GDA A<i! S!&on"! T5$i O Anti*"n A %i! >i! S!&on"! T5$i O Anti*"n B %i! >i! S!&on"! T5$i O Anti*"n < %i! >i! S!&on"! T5$i O %i! >i! S!&on"! T5$i ; Anti*"n A %i! >i! S!&on"! T5$i ; Anti*"n B %i! >i! S!&on"! T5$i ; Anti*"n < %i! >i! S!&on"! T5$i ; %i!
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
2
+ +/ + +3 +/0 +/1 +/2 +/) +/+ +/, +/ +// +/ +/3 +0 +1 +2 +) ++ +, + +/ + +3 +30
)01) )01+ )01, )01 )01 )013 )020 )021 /03 1) 1)3 1+0
+31 +32 +3) +3+ +3, +3 +3/ +3 +33 ,00 ,01 ,02 ,0) ,0+
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
;B#A( Stri T"# D"t"r&in" ;I R!i S$5ii# I
Pengecatan Brii!nt
(o8 (o8 (o8 (o8 %i! %i! %i! %i! (oto #tick t'(" t'("
(oto (oto (oto (oto (oto (oto #"t #"t #"t (oto
PROGRAM HIV
130, T"# ;I I ?Oncoro(" #"t 130 T"# ;I II ? Int"c5 Triin" #"t 130/ T"# ;I III ?iki! #"t R"!*"n I SD Bioin" ;I 1:2 R"!*"n I Int"c On" St" Anti ;I Tri Lin" T"#
P
PENERIMA PERSEDIA PEMAKAI AN AN AN 6
7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
KET. 17
No. No. URUT KODE 1
,0, ,0 ,0/ ,0 ,03 ,10 ,11 ,12 ,1) ,1+
NAMA OBAT
SATUAN
STOK A>AL
3
4
5
6
BPJS
LAINLAIN
2
PENERIMA PERSEDIA PEMAKAI AN AN AN 7
( 5+6 )
8
SISA STOK
STOK OPT.
9 ( 7-8 )
10
PERMINTA AN ( 8+Bln lalu
DAK
BPJS
12
13
PEMBERIAN PROG LAIN-2 14
15
TOTAL 16
iof'in" ? D )00&* @ L!&i%'in" ? )T< 1,0&* T"nofo%ir )00@L!&i%'in )00@Ef!%i"n 00 D"7!#! iof'in" ? D 0&* @ L!&i%'in" )0&*@N"%ir!in" ,0&* ? Tri" =D< An!k iof'in" ?D 100 &* t!("t T"nofo%ir )00 &* t!("t Ef!%ir"n4 ?E= 200 &* T"nofo%ir )00 &* @ E&citrit!(in" 200 ?=
t!("t t!("t t!("t t!("t t!("t
Ri*5t Si*n "ror!( S"r'&
UMUM
JUMLAH
KUNJUNGAN RESEP -------------------------------------------------M"n*"t!5'i:&"n$"t'9'i K"!! In#t!!#i =!r&!#i K!('!t"n J"&("r
NIP.
F!n* &"n$"r!5k!n Si" P"n$i&!n!n P"n$!'r!n I=K J"&("r
NIP.
F!n* &"!ork!n:&"&int! K"!! P'#k"#&!#
NIP.
F!n* &"n"ri&! P"n*"o! O(!t P'#k"#&!#
NIP.
KET. 17
KOP PUSKE
BERITA ACARA STOK OPNAME OBAT DAN PER PUSKESMAS !!!!!!!! P!! t!n**!..(n.#:.. Bn.201/ t"!5 &"!k#!n!k!n Stok On! k"#"5!t!n #"#"'!i !ft!r i (!7!5 ini NO. URUT
NO. LPLPO
NAMA OBAT
1
2
)
1 2 ) + , / 3 10 11 12 1) 1+ 1, 1 1/ 1 13 20 21 22 2) 2+ 2, 2 2/ 2 23 )0 )1
101 102 10) 10+ 10, 10 10/ 10 103 110 111 112 11) 11+ 11, 11 11/ 11 113 120 121 122 12) 12+ 12, 12 12/ 12 201 202 20)
Air r!k#! "nt! '#" A!t #'ntik #"k!i !k!i 1 & A!t #'ntik #"k!i !k!i 2, & A!t #'ntik #"k!i !k!i , & A("n!4o t!("t +00 &* Ao'rino t!("t A&inofiin! t!("t 200 &* A&inofiin! in9"k#i 2+&*:&-10& A&itritiin! ;
STOK A>AL SATUAN PER 1 JAN 201/ +
(oto #"t #"t #"t t!("t t!("t t!("t !&' t!("t (oto k!#' k!"t (oto t!("t !&' t!("t t'(" #' ot t!("t !&' (oto t!("t t!("t t!("t t!("t !&' t!("t %i! %i! (oto
-
)2 )) )+ ), ) )/ ) )3 +0 +1 +2 +) ++ +, + +/ + +3 ,0 ,1 ,2 ,) ,+ ,, , ,/ , ,3 0 1 2 ) + , / 3 /0 /1 /2 /) /+ /, /
20+ )01 +0+ +0, +0 +0/ +0 +03 +10 +11 +12 +1) ,01 ,02 ,0) ,0+ ,0, ,0 ,0/ 01 02 0) 0+ 0, 0 0/ 0 03 10 11 /01 /02 /0) /0+ /0, /0 /0/ /0 /03 /10 01 02 0) 0+ 301
B"t!&"t!#on kri&
&
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