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JUDUL SOP

No. Dokumen :

Tanggal terbit :
SOP :
No. Revisi
Tgl. Mulai Berlaku :

Halaman :

Tanda Tangan:
Ditetapkan oleh: Dr. Asit Widyastuti
Kepala Puskesmas Sragi I NIP:197106122003122007

1. Pengertian
2. Tujuan
3. Kebijakan
4. Referensi
5. Prosedur/ Langkah- langkah
1. ....................................................................................................
2. ....................................................................................................
3. ....................................................................................................
4. ....................................................................................................
5. ....................................................................................................
6. ....................................................................................................
7. ....................................................................................................
8. ....................................................................................................
9. ....................................................................................................
10. ....................................................................................................
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6. Unit terkait
7. Diagram alir
Daftar Tilik

Dilakukan
No Daftar Pertanyaan
Ya Tidak
1 Apakah Anda telah membaca SOP ini?
2 Apakah anda sudah mengimplenentasikan SOP ini?
3
4
5
6

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