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RSIA

HARAPAN MEDIKA
Jalan Jendral Sudirman Simpang Ngaso. Ujungbatu - Rokan Hulu – Riau
TELP : (0762) 7363179, FAX : (0762) 6300842, WA : 0823-8778-5553, Email : harapanmedika07@gmail.com

NOTULEN

Hari / Tanggal : ......................................................................................................


Waktu : ......................................................................................................
Tempat : ......................................................................................................
Acara : ......................................................................................................

Due
No Bagian Usulan/ Keputusan PIC P D ND
Date

⁎ PIC (Personal In Charge), P (Pending), D (Done),ND (Not Done)

Notulen Pimpinan Diketahui Oleh

Nama

Jabatan

Tanda Tangan

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