Laporan Harian Validasi Pelaku Perjalanan KKP Ambon
Sign in to Google to save your progress. Learn more
Tanggal Pelaporan
MM
/
DD
/
YYYY
Lokasi *
Jumlah Surat Rapid/Swab test/Surat Ket Sehat yang divalidasi
Rapid Test
Swab test
Surat Keterangan Kesehatan
Jumlah Surat Rapid/Swab test/Surat Ket Sehat yang ditolak
Alasan Ditolak
terindikasi Palsu
kadaluarsa/expired
Petugas Validasi
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy