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PEDOMAN PELAYANAN ANAK GIZI BURUK

Buku Pedoman Pelayanan Anak Gizi Buruk

Buku Pedoman Pelayanan Anak Gizi Buruk

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LAMPIRAN 4<br />

KARTU PENERIMA MAKANAN UNTUK PEMULIHAN <strong>GIZI</strong><br />

Nama PPG<br />

Nama Anak<br />

Nama<br />

Orangtua<br />

Tanggal<br />

Jenis Makanan<br />

Untuk Pemulihan<br />

Gizi<br />

Jumlah Sisa<br />

Makanan Untuk<br />

Pemulihan Gizi<br />

Nomor Pendaftaran<br />

Alamat<br />

(Dusun/RT/RW)<br />

Umur<br />

(tgl/bln/thn)<br />

Jumlah Makanan<br />

Untuk Pemulihan Gizi<br />

yang diterima<br />

Tanda Tangan<br />

Penerima<br />

Pedoman PelAYANAN <strong>ANAK</strong> <strong>GIZI</strong> <strong>BURUK</strong> 43

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