DINAS KESEHATAN
UPTD. PUSKESMAS SUMBERMALANG
Jl. Raya Rengganis no. 3 Telp.085100510335
SUMBERMALANG 68355
HARI SANTOSO,S.Kep.Ners
NIP. 198005102005011010 .........................................................
No Dokumen : FM /07/01/04/2017
No Revisi :0
Tgl Terbit : April 2017