PEMERINTAH KABUPATEN PANDEGLANG

D I N A S K E S E H A T A N
PUSKESMAS BANGKONOL KECAMATAN KORONCOONG
Jalan Raya Rangkasbitung km. 4 Pandeglang

SURAT JAMINAN PERAWATAN RAWAT INAP/PERSALINAN

DI PUSKESMAS BANGKONOL

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Bangkonol, ....................................20...

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