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PEMERINTAH KABUPATEN
......................... DINAS KESEHATAN UPTD PUSKESMAS
....................................... Alamat :
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PROGRAM
PEMBINAAN JARINGAN PUSKESMAS
DI
PUSKESMAS ................
|
No |
Nama
Faskes |
Lokasi
Faskes |
Waktu
Pelaksanaan |
Pelaksana |
|
1 |
Pustu.
Setu |
Desa
Setu |
|
|
|
2 |
Pusling... |
|
|
|
|
3 |
PKD.... |
|
|
|
|
4 |
Posyandu... |
|
|
|
|
5 |
Bidan
Desa... |
|
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|
|
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.................,
....................2015
Kepala
Puskesmas.......
....................................
NIP.
..........................
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