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Formulir Pendaftaran Vaksinasi COVID-19 Bagi Lansia Kota Mamuju
Kementerian Kesehatan RI
Info : 119 ext 9
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Kab / Kota
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KAB MAMUJU
Jenis FASKES (tempat vaksinasi)
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Puskesmas
Rumah sakit
Klinik Pratama
Klinik Utama
KKP dan Wilker
Nama Faskes (tempat vaksinasi)
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KKP Kelas I Makassar Wilker Tampa Padang Mamuju
BAMBU
BINANGA
BOTTENG
BUTTU ADA
CAMPALOGA
RANGAS
TAMPAPADANG
TAPALANG
TARAILU
TOMMO
TOPORE
RS BHAYANGKARA POLDA SULBAR
RUMAHSAKIT UMUM MAMUJU
NIK
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Nama
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Jenis Kelamin
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Laki - laki
Perempuan
Umur
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Tanggal Lahir
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Nomor HP
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Alamat
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