TAKSIRAN PERSALINAN
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KARTU TAKSIRAN PERSALINAN NAMA IBU : ................... ........................... NAMA SUAMI : ....................... ....................... ALAMAT : ............ ................................ .. ... ................................ .......... ..................... KARTU TAKSIRAN PERSALINAN NAMA IBU : ................... ........................... NAMA SUAMI : ....................... ....................... ALAMAT : ............ ................................ .. ... ................................ .......... ..................... KARTU TAKSIRAN PERSALINAN NAMA IBU : ................... ........................... NAMA SUAMI : ....................... ....................... ALAMAT : ............ ................................ .. ... ................................ .......... ..................... KARTU TAKSIRAN PERSALINAN NAMA IBU : ................... ........................... NAMA SUAMI : ....................... ....................... ALAMAT : ............ ................................ .. ... ................................ .......... .....................
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Transcript of TAKSIRAN PERSALINAN
KARTU TAKSIRAN PERSALINAN
NAMA IBU : ..............................................
NAMA SUAMI : ..............................................
ALAMAT : ..............................................
.............................................
.............................................
G P A : ...............................................
H P H T : ...............................................
T P : ...............................................
JENIS RESIKO : ...............................................
KARTU TAKSIRAN PERSALINAN
NAMA IBU : ..............................................
NAMA SUAMI : ..............................................
ALAMAT : ..............................................
.............................................
.............................................
G P A : ...............................................
H P H T : ...............................................
T P : ...............................................
JENIS RESIKO : ...............................................
KARTU TAKSIRAN PERSALINAN
NAMA IBU : ..............................................
NAMA SUAMI : ..............................................
ALAMAT : ..............................................
.............................................
.............................................
G P A : ...............................................
H P H T : ...............................................
T P : ...............................................
JENIS RESIKO : ...............................................
KARTU TAKSIRAN PERSALINAN
NAMA IBU : ..............................................
NAMA SUAMI : ..............................................
ALAMAT : ..............................................
.............................................
.............................................
G P A : ...............................................
H P H T : ...............................................
T P : ...............................................
JENIS RESIKO : ...............................................
