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PEMERINTAH KABUPATEN KEDIRI

DINAS KESEHATAN
UPTD PUSKESMAS MOJO
Jalan Raya Mojo Nomor 201 Kotak Pos 64162 Telepon (0354) 477584
Email : puskesmasmojo@gmail.com

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Nomor : ................. Yth. ..........................................


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Hal : undangan di –
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Hari, tanggal : ......................


Waktu : ......................
Tempat : ......................
Acara : ......................

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Kepala,

TTD & Cap Instansi

dr. Rindang Farihah Idana


NIP. 19820728 200901 2 007
Tembusan :
Catatan : .................................
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