Panduan Wawancara Penderita Demam Berdarah
Panduan Wawancara Penderita Demam Berdarah
Panduan Wawancara Penderita Demam Berdarah
KLINIK SANITASI
A. DATA UMUM
Nama : ......................................................
Umur : ......................................................
Nama orang tua : ......................................................
Pekerjaan : ......................................................
Alamat : ......................................................
Kelurahan : ......................................................
C. DUGAAN PENYEBAB :
Dari hasil wawancara penyebab penyakit Demam Berdarah
diduga .........................................................................................................................................
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D. SARAN
Saran diarahkan kepada pesan penyuluhan yang berkaitan dengan
perilaku ......................................................................................................................................
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