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  DINAS KESEHATAN KOTA PADANGSIDIMPUAN UPTD. PUSKESMAS SADABUAN ¬† Jalan H. M. Syukur Soritua No. Sadabuan Kecamatan Padangsidimpuan Utara Kode Pos 22715 PENGUKURAN INDIKATOR LAYANAN KLINIS BAGIAN : IMUNISASI BULAN : NO. INDIKATOR LAYANAN KLINIS TANGGAL JLH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1. Kelengkapan data (wawancara) pasangan 2. Pemeriksaan fisik pasangan 3. Pemeriksaan penunjang pasangan  4. Status imunisasi Tetanus Toxoid / TT pada pihak perempuan Diketahui : Padangsidimpuan, Ketua Manajemen Mutu Yang melakukan Monitoring Ns. Nita Puspita Sari, Skep .......................................... NIP : 19891205 201508 2 001 NIP :
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