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FORMULIR PENJARINGAN KESEHA KES EHATA TAN/PEMERIKS N/PEMERIKS AAN BERKALA PESERTA DIDIK

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PUSKESMAS …………………………… (Diisi oleh Guru dan Petugas Puskesmas)

Na!a se)$ah , …………………………………………………………………. ,  …………………………………………………………………. A$a!at

, …………………………………………………………………. ,  ………………………………………………………………….

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T2"U (tunting) Password

Tanda Klinis anemia

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Kurus Tidak (T) Tidak (T)

Gemuk :a (Y) :a (Y)

Tidak ehat (T) Tidak (T)

ehat (S) :a (Y)

# Pe!e%isaan Ke-e%sihan Di%i %am$ut Kulit $er&ak keputihan; kemerahan; kehitaman

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-endampingi peserta didik ke puskesmas Password ru+ukan) (at(ika leastdiperlukan 6 characters)

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Sign up to vote on this title Para, !rang Tua Tanggal

Para, Guru

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REGISTER KEGIATAN KESEHATAN ANAK DI SEKOLAH NAMA SEKOLAH ,

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asil Pen+aringan Kesehatan dan Pemeriksaan 2erkala Ke$ersihan Diri

Gigi dan -ulut

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News LAPORAN KEGIATAN KESEHATAN ANAK DI SEKOLAH NAMA PUSKESMAS,

Documents

TINGKATAN SEKOLAH,

Lampiran / KABUPATEN, GARUT

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PRO*INSI, JA.A BARAT

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-odalitas 2ela+ar 

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