DINAS KESEHATAN
PUSKESMAS BETOAMBARI
Jl. Wawokia no. 5, Kel. Bone-bone, Kec. Batupoaro
Telp. (0402) 2822689 Kode Pos 93723, e-mail: puskesmas.betoambari@asia.com
SURAT RUJUKAN
NO. : 445/
Kepada
Yth. Kepala RSUD Kota BauBau
TS
Di
BauBau
Pemeriksaan :
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………................................................
................................................................................................................................................................................................................
Diagnosa :
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………................................................
................................................................................................................................................................................................................
Keterangan :
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………................................................
................................................................................................................................................................................................................
Demikian disampaikan dan atas bantuan dan kerja sama TS diucapkan banyak terima kasi.
Bone-Bone, 2021
Yang memeriksa,
PEMERINTAH KOTA BAUBAU
DINAS KESEHATAN
PUSKESMAS BETOAMBARI
Jl. Wawokia no. 5, Kel. Bone-bone, Kec. Batupoaro
Telp. (0402) 2822689 Kode Pos 93723, e-mail: puskesmas.betoambari@asia.com
SURAT RUJUKAN
NO. : 445 /
Kepada
Yth. Kepala RSUD Kota Baubau
TS
Di
Baubau
Pemeriksaan :
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………................................................
................................................................................................................................................................................................................
Diagnosa :
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………................................................
................................................................................................................................................................................................................
Keterangan :
.Peserta Umum/ BM/ BS/ BPJS PBI...................................................................
Demikian disampaikan dan atas bantuan dan kerja sama TS diucapkan banyak terima kasi.
Bone-Bone, 2021
Yang memeriksa,