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DINAS KESEHATAN KAB. KONAWE SELATAN DINAS KESEHATAN KAB.

KONAWE SELATAN
PUSKESMAS RANOMEETO PUSKESMAS RANOMEETO
Jl. Lanud Wolter Mongisidi No.93 Ranomeeto Jl. Lanud Wolter Mongisidi No.93 Ranomeeto

Dokter : Tanggal,.. Dokter : Tanggal,..

R/ R/

Pro :. Pro :.
Umur :. Umur :.
Alamat :. Alamat :.

DINAS KESEHATAN KAB. KONAWE SELATAN DINAS KESEHATAN KAB. KONAWE SELATAN
PUSKESMAS RANOMEETO PUSKESMAS RANOMEETO
Jl. Lanud Wolter Mongisidi No.93 Ranomeeto Jl. Lanud Wolter Mongisidi No.93 Ranomeeto

Dokter : Tanggal,.. Dokter : Tanggal,..

R/ R/
Pro :. Pro :.
Umur :. Umur :.
Alamat :. Alamat :.
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
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ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
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ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
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ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
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ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
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ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
ASKES ASKESKIN GAKIN UMUM KADER ASKES GAKIN GAKIN
APOTIK PUSK.LAMEURU
Jl.manggis No.21
No. R/..Tgl
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Sehari....x..Sendok Makan
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APOTIK PUSK.LAMEURU
Jl.manggis No.22
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Jl.manggis No.22
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APOTIK PUSK.LAMEURU
Jl.manggis No.23
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APOTIK PUSK.LAMEURU
Jl.manggis No.22
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APOTIK PUSK.LAMEURU
Jl.manggis No.23
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APOTIK PUSK.LAMEURU
Jl.manggis No.23
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Jl.manggis No.24
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Jl.manggis No.22
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Jl.manggis No.21
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Jl.manggis No.21
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APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO
Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Obat Luar Obat Luar Obat Luar Obat Luar

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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Obat Luar Obat Luar Obat Luar Obat Luar

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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Aturan pakai.x Aturan pakai.x Aturan pakai.x Aturan pakai.x

Obat Luar Obat Luar Obat Luar Obat Luar

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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Obat Luar Obat Luar Obat Luar Obat Luar

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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Aturan pakai.x Aturan pakai.x Aturan pakai.x Aturan pakai.x

Obat Luar Obat Luar Obat Luar Obat Luar

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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Aturan pakai.x Aturan pakai.x Aturan pakai.x Aturan pakai.x

Obat Luar Obat Luar Obat Luar Obat Luar

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Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Nama... Nama... Nama... Nama...
Aturan pakai.x Aturan pakai.x Aturan pakai.x Aturan pakai.x

Obat Luar Obat Luar Obat Luar Obat Luar
APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO
Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Nama... Nama... Nama... Nama...
Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
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Nama... Nama... Nama... Nama...
Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Nama... Nama... Nama... Nama...
Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh Sehari ....x....sendok teh
sendok makan sendok makan sendok makan sendok makan
tetes tetes tetes tetes
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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Sehari .......x.......tablet Sehari .......x.......tablet Sehari .......x.......tablet Sehari .......x.......tablet
kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


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kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
No. R/........Tgl No. R/........Tgl No. R/........Tgl No. R/........Tgl
Nama... Nama... Nama... Nama...
Sehari .......x.......tablet Sehari .......x.......tablet Sehari .......x.......tablet Sehari .......x.......tablet
kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO APOTIK PUSK.RANOMEETO


Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93 Jl.L.W.Mongisidi No.93
No. R/........Tgl No. R/........Tgl No. R/........Tgl No. R/........Tgl
Nama... Nama... Nama... Nama...
Sehari .......x.......tablet Sehari .......x.......tablet Sehari .......x.......tablet Sehari .......x.......tablet
kapsul kapsul kapsul kapsul
bungkus bungkus bungkus bungkus
Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan Sesudah / sebelum makan

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