DINAS KESEHATAN
UPTD PUSKESMAS LANJAS
Jl. Yetro Sinseng Mo. 67 Muara Teweh Telp. ( 0519 ) 21370 Email : Care_pkmlanjas@yahoo.com
1. Hari : …………………………………………………………..
2. Tanggal : …………………………………………………………..
3. Jam : …………………………………………………………..
4. Acara : …………………………………………………………..
PIMPINAN RAPAT,
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NIP. ...............................................