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PEMERINTAH KOTA BATAM

DINAS KESEHATAN
UPT. PUSKESMAS KAMPUNG JABI
J Jalan Hang Kasturi ,Kelurahan Batu Besar , Kecamatan Nongsa
T Telp. (0778) 4083933,Email : pkmkampungjabi2017@gmail.com
BATAM Kode
KodePos
Pos :: 29466
29466
Batam, tanggal , bulan Tahun
Nomor : ........./PKM-KJ/TU Kepada Yth
Sifat : ................ Kepala ...........................
Lampiran : .............. di
Perihal : .................. Batam

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Tanggal : .........................................
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Acara : ........................................

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KEPALA UPT. PUSKESMAS KAMPUNG JABI

dr. Ade Safitri Andayani Amran


Pembina / IV a
NIP. 19751007 200801 2 011

Catatan ;
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