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  • Rekomendasi Staf Klinis

    Diunggah oleh

    RSU PRIMAHUSADA
    58 tayangan1 halaman
    staf

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    staf

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    58 tayangan1 halaman

    Rekomendasi Staf Klinis

    Diunggah oleh

    RSU PRIMAHUSADA
    staf

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    R S I REKOMENDASI/REFERENSI STAF KLINIS UNTUK PEMILIHAN

    TEKNOLOGI MEDIS DAN OBAT


    A HU
    DI RSIA PRIMA HUSADA

    1. Nama :....................................................................................................................
    2. Jabatan :....................................................................................................................
    3. Tempat Tugas :.....................................................................................................................
    4. Waktu Pemberian Rekomendasi :............................................................................................
    :
    5. Dasar Pertimbangan :...............................................................................................................
    .................................................................................................................................................
    .................................................................................................................................................
    6. Isi Rekomendasi :................................................................................................................
    .................................................................................................................................................
    .................................................................................................................................................
    .................................................................................................................................................
    Sidoarjo,
    Pemberi Rekomendasi

    .....................................

    Keterangan/catatan dari :
    a. Kepala Instalasi :........................................................................................................
    .................................................................................................................................................
    .................................................................................................................................................
    b. Kepala Bidang/Bagian :........................................................................................................
    .................................................................................................................................................
    .................................................................................................................................................
    c. Direktur RSIA Prima Husada :................................................................................................
    .................................................................................................................................................
    .................................................................................................................................................
    d. Dirut PT. SUMIATI Prima Husada :........................................................................................
    .................................................................................................................................................
    .................................................................................................................................................

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