Puskesmas Gimpu: Dinas Kesehatan
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3 tayangan4 halamanPuskesmas Gimpu: Dinas Kesehatan
Judul Asli:
Isi Kotak Saran
Diunggah oleh
Melvin Ace D. LuffyDeskripsi:
Isi Kotak Saran
Hak Cipta:
© All Rights Reserved
Format Tersedia
Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
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PEMERINTAH KABUPATEN SIGI
DINAS KESEHATAN
PUSKESMAS GIMPU
KECAMATAN KULAWI SELATAN
Jln. Poros Palu Gimpu Desa Lawua Kec.Kulawi Selatan Kode Pos 94363
UNTUK PENINGKATAN DAN PERBAIKAN LAYANAN YANG
KAMI BERIKAN SILAHKAN MENYAMPAIKAN
MASUKAN/KOMENTAR/SARAN ATAUPUN PERTANYAAN
DENGAN MENGISI FORMULIR BERIKUT INI:
NAMA : ...................................................................................
NOMOR TELPON/HP : ....................................................................................
ALAMAT : ...............................................................................
TOPIK : ...................................................................................
ISI SARAN/PERTANYAAN :
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TANGGAL,.................................
TANDA TANGAN
PEMERINTAH KABUPATEN SIGI
DINAS KESEHATAN
PUSKESMAS GIMPU
KECAMATAN KULAWI SELATAN
Jln. Poros Palu Gimpu Desa Lawua Kec.Kulawi Selatan Kode Pos 94363
UNTUK PENINGKATAN DAN PERBAIKAN LAYANAN YANG KAMI
BERIKAN SILAHKAN MENYAMPAIKAN MASUKAN/KOMENTAR/SARAN
ATAUPUN PERTANYAAN DENGAN MENGISI FORMULIR BERIKUT INI:
NAMA : ...............................................................................................
NOMOR TELPON/HP : ...............................................................................................
ALAMAT : ...............................................................................................
TOPIK : ...............................................................................................
ISI SARAN/PERTANYAAN :
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
TANGGAL,.................................
TANDA TANGAN
PEMERINTAH KABUPATEN SIGI
DINAS KESEHATAN
PUSKESMAS GIMPU
KECAMATAN KULAWI SELATAN
Jln. Poros Palu Gimpu Desa Lawua Kec.Kulawi Selatan Kode Pos 94363
UNTUK PENINGKATAN DAN PERBAIKAN LAYANAN YANG KAMI
BERIKAN SILAHKAN MENYAMPAIKAN MASUKAN/KOMENTAR/SARAN
ATAUPUN PERTANYAAN DENGAN MENGISI FORMULIR BERIKUT INI:
NAMA : ...............................................................................................
NOMOR TELPON/HP : ...............................................................................................
ALAMAT : ...............................................................................................
TOPIK : ...............................................................................................
ISI SARAN/PERTANYAAN :
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
TANGGAL,.................................
TANDA TANGAN
PEMERINTAH KABUPATEN SIGI
DINAS KESEHATAN
PUSKESMAS GIMPU
KECAMATAN KULAWI SELATAN
Jln. Poros Palu Gimpu Desa Lawua Kec.Kulawi Selatan Kode Pos 94363
UNTUK PENINGKATAN DAN PERBAIKAN LAYANAN YANG KAMI
BERIKAN SILAHKAN MENYAMPAIKAN MASUKAN/KOMENTAR/SARAN
ATAUPUN PERTANYAAN DENGAN MENGISI FORMULIR BERIKUT INI:
NAMA : ...............................................................................................
NOMOR TELPON/HP : ...............................................................................................
ALAMAT : ...............................................................................................
TOPIK : ...............................................................................................
ISI SARAN/PERTANYAAN :
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
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TANGGAL,.................................
TANDA TANGAN
