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Laporan Kesehatan Harian Pegawai dan Dosen Politeknik STTT Bandung
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Email
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Your email
Nomor Induk Pegawai/Dosen (NIP Baru)
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Your answer
Nama Lengkap
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Your answer
Lokasi Bekerja
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Kantor
Rumah
Other:
Bagaimana kondisi Saudara saat ini?
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Sehat
Tidak Sehat
Apakah hari ini merasakan batuk?
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Ya
Tidak
Apakah hari ini merasakan pilek?
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Ya
Tidak
Apakah hari ini merasakan demam?
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Ya
Tidak
Gejala lain yang muncul?
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