RUMAH SAKIT INSAN PERMATA

Jl. Bhayangkara 1 No. 68 Kel. Pakujaya, Kec. Serpong Utara – Tangerang Selatan
Telp. 021-53121344 Fax. 021-5396733
email. rsinsanpermata17@gmail.com

Nomor : ../MFK/RSIP/INT/IV/2019 Tangerang Selatan, 2019

Sifat : Rutin
Lampiran :
Perihal : Undangan Sosialisasi Terhadap Tumpahan paparan B3

Kepada Yth.
Unit Kerja UMUM

Di Tempat

Assalamu’alaikum Wr. Wb.

Teriring rasa syukur semoga limpahan kasih sayang Allah SWT menyertai didalam
melaksanakan kegiatan sehari-hari, aamiin.
Bersama ini kami mengundang kehadiran Bapak/Ibu/Saudara/i pada pertemuan yang
akan dilaksanakan pada :

 Hari : Kamis
 Tanggal : 11 April 2019
 Waktu : 13.30 WIB s.d 15.00 WIB
 Tempat : Aula RSIP
 Agenda : Sosialisasi Edukasi Pelayanan Fasilitas Yang Aman

Mengingat pentingnya kegiatan tersebut, maka kami sangat mengharapkan komitmen

kehadiran Bapak/Ibu/Saudara/i tepat pada waktunya.
Demikian, atas perhatian dan kehadirannya, kami ucapkan terimakasih.

Wassalamualaikum Warohmatullohi Wabarokatuh

Hormat Kami, Mengetahui,

Sofyan Saleh dr. Venty Widjajanti

Ketua Pokja MFK Ketua Akreditasi RS Insan Permata
 RUMAH SAKIT INSAN PERMATA
Jl. Bhayangkara 1 No. 68 Kel. Pakujaya, Kec. Serpong Utara – Tangerang Selatan
Telp. 021-53121344 Fax. 021-5396733
email. rsinsanpermata17@gmail.com

DAFTAR HADIR

 Hari : ......................................................................
 Tanggal : ......................................................................
 Waktu : ................. WIB s/d ............... WIB
 Tempat : ......................................................................
 Agenda : ......................................................................

No Nama Jabatan / Unit Kerja Tanda Tangan

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.
 RUMAH SAKIT INSAN PERMATA
Jl. Bhayangkara 1 No. 68 Kel. Pakujaya, Kec. Serpong Utara – Tangerang Selatan
Telp. 021-53121344 Fax. 021-5396733
email. rsinsanpermata17@gmail.com

No Nama Jabatan / Unit Kerja Tanda Tangan

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.
 RUMAH SAKIT INSAN PERMATA
Jl. Bhayangkara 1 No. 68 Kel. Pakujaya, Kec. Serpong Utara – Tangerang Selatan
Telp. 021-53121344 Fax. 021-5396733
email. rsinsanpermata17@gmail.com

NOTULEN

Rapat : ................................................................................
Hari/Tanggal : ............................... / ............................... 20 ........
Waktu Panggilan : ............ WIB
Waktu Rapat : ............ WIB

Agenda Rapat :
1. ......................................................................................................................
2. ......................................................................................................................
3. ......................................................................................................................

Pembahasan :
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................

Keputusan : .......................................................................................................
...................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................

Pimpinan Rapat

..............................................................................
Nip.
 RUMAH SAKIT INSAN PERMATA
Jl. Bhayangkara 1 No. 68 Kel. Pakujaya, Kec. Serpong Utara – Tangerang Selatan
Telp. 021-53121344 Fax. 021-5396733
email. rsinsanpermata17@gmail.com