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  • Surat Ket Imunisasi

    Diunggah oleh

    ratna sari Dewi
    5 tayangan6 halaman

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    SURAT KET IMUNISASI

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    Surat Ket Imunisasi

    Diunggah oleh

    ratna sari Dewi

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    PEMERINTAH KABUPATEN MAJALENGKA

    DINAS KESEHATAN
    UPTD PUSKESMAS MALAUSMA
    Alamat : Jl. Karta BrajaNomor 26 malausmaKodePos 45464
    Email : malausmapuskesmas@gmail.comsms 085320542848

    SURAT KETERANGAN IMUNISASI MEASLES RUBELLA

    Saya yang bertandatangan di bawah ini:


    Nama : Hj. Tati Susilawati, S.ST
    NIP : 197004211991032003
    Jabatan : Kepala UPTD Puskesmas Malausma

    Menerangkan bahwa :
    Nama : .......................................................................................................................
    Tgl Lahir : .......................................................................................................................
    Alamat : .......................................................................................................................

    Telah diberikan imunisasi Measles Rubella di RA KARTIKA Bungursari-Malausma pada Tanggal 20


    September 2018.
    Demikian surat keterangan ini diberikan untuk dipergunakan sebagaimana mestinya.

    Yang Memberi Keterangan,


    Kepala UPTD Puskesmas Malausma

    Hj. Tati Susilawati,S.ST


    NIP. 197004211991032003
    PEMERINTAH KABUPATEN MAJALENGKA
    DINAS KESEHATAN
    UPTD PUSKESMAS MALAUSMA
    Alamat : Jl. Karta BrajaNomor 26 malausmaKodePos 45464
    Email : malausmapuskesmas@gmail.comsms 085320542848

    NOTULEN
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    Pelaksana

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