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PEMERINTAH KABUPATEN BANDUNG BARAT

UPT BLUD RSUD CIKALONGWETAN


DINAS KESEHATAN
Jl. Padalarang–Purwakarta No.290 Km 11 Cikalong Wetan Kode Pos 40556
Email: rsudcikalongwetan@gmail.com Website: www.rsudcikalongwetan.com Telp 022 868666243

NOTULEN

Sidang/Rapat : ................................................................................
Hari/Tanggal : ................................................................................
Waktu Panggilan : ................................................................................
Waktu Sidang/Rapat : ................................................................................
Acara : 1. ........................................................................
2. ….………………………………………………….
3. ….………………………………………………….
Pimpinan Sidang/Rapat
Ketua : ................................................................................
Sekretaris : ................................................................................
Pencatat : ................................................................................

Peserta sidang/rapat : 1. ........................................................................


2. ……………………………………………………
Kegiatan Sidang/Rapat : 1. ........................................................................
2. ……………………………………………………
1. Kata Pembukaan : ...............................................................................
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PEMERINTAH KABUPATEN BANDUNG BARAT
UPT BLUD RSUD CIKALONGWETAN
DINAS KESEHATAN
Jl. Padalarang–Purwakarta No.290 Km 11 Cikalong Wetan Kode Pos 40556
Email: rsudcikalongwetan@gmail.com Website: www.rsudcikalongwetan.com Telp 022 868666243

2. Pembahasan : ...............................................................................
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3. Peraturan : ...............................................................................
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PIMPINAN RAPAT
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Pangkat………………………….
NIP. ……………………………..

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