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PUSAT KEDOKTERAN DAN KESEHATAN POLRI

RUMAH SAKIT BHAYANGKARA TK I R. SAID SUKANTO

PERMOHONAN PERBAIKAN NON ALKES


NOMOR : B / / / 2021 / IPKLT

Kepada : IPAL
Dari : Ka IPKLT
Perihal : Permohonan perbaikan non alkes
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Jakarta, ........................................
Ka IPKLT

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HASIL PENGECEKAN NON ALKES

Dari : IPAL
Perihal : Pengecekan Non Alkes

Dengan ini dilaporkan kepada Karumkit hasil pengecekan non alkes sebagai berikut :
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Yang mengerjakan Jakarta, ...............................


Ka. Instalasi / Kalak Ruangan .................................
1. ...........................................
2. ...........................................
3. ...........................................
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Mengetahui :
WATSAR/IPSRS/;

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