DINAS KESEHATAN
UPT PUSKESMAS CIBALONG
Jalan Karangnunggal Nomor 204 Telepon (0265) 566021
Email : puskesmas_cibalong@yahoo.com
Cibalong 46185
TENTANG
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Menimbang : a. bahwa…………………………………………………........;
b. bahwa………………………………………………………….…;
Mengingat : 1. ...........................................................................;
2. ...........................................................................;
MEMUTUSKAN
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KESATU : ..............................................................................
KEDUA : ..............................................................................
KETIGA : ..............................................................................
KEEMPAT : ..............................................................................
Ditetapkan di :
Pada tanggal :
LAMPIRAN : …………………………………………………….
NOMOR : …….…/……../PKMCBL/……..
TENTANG : ………………………………………………………………….
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