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  • A KNG SKDNG Sjgo Sjowjgowjg

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    Finaldy Agung Pranadita
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    2 views1 page

    A KNG SKDNG Sjgo Sjowjgowjg

    Uploaded by

    Finaldy Agung Pranadita
    ;jmg;oejrfhjoldfjhodfg

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Divisi Regional REGIONAL VI - SEMARANG

    Kantor Cabang PURWOKERTO

    Data Kunjungan Puskesmas / Dokter Keluarga

    No. Kunjungan : 0142G0050717Y000027


    Puskesmas/Dokter : drg. Lidyawati Hananta (JST)
    Kabupaten/Kota : KAB. BANYUMAS(0142)

    Nama : TRI WAGIYANI Umur : 53 Tahun 22-Feb-1964

    No. Kartu BPJS : 0000082457831 Status : 1 Utama/ Tanggungan P (L/P)

    Diagnosa : Loss of teeth due to accident, extraction or local

    Telah diberikan : Cetak Gigi

    Demikian surat ini dibuat untuk dapat dipergunakan sebagaimana mestinya.

    Salam sejawat, 17 July 2017

    drg. Lidyawati Hananta (JST)

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