PEMERINTAH KOTA TANGERANG

DINAS KESEHATAN
UPT PUSKESMAS BUGEL
Alamat : Jl. Arya Wasangkara No.5 Bugel Karawaci
Telp: 5588887 Email : puskesmas.bugel@gmail.com

Tangerang, 28 Maret 2018

Nomor : 000 /xxx / xxx/ 2018 Kepada Yth. Kepala UPT Puskesmas
Lampiran :- Bugel
Perihal : Undangan di
Tempat

...................................Kalimat Pembuka...............................................................................
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Hari, Tanggal : .....................................................
Waktu : Pukul ......... s/d ........... WIB
Tempat : ................................................................................................

...................................Kalimat Penutup.............................................................................
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Demikian atas perhatian saudara, kami sampaikan Terima kasih.

Koordinator Kegiatan

Ttd

(Nama Koordinator Kegiatan)

NIP.

Tembusan :
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2. .......................................
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