Kartu Kotak Kepuasan

PUSKESMAS RAWAT JALAN SEGEDONG PUSKESMAS RAWAT JALAN SEGEDONG PUSKESMAS RAWAT JALAN SEGEDONG
KABUPATEN MEMPAWAH KABUPATEN MEMPAWAH KABUPATEN MEMPAWAH
Terima kasih Kepada Bpk/Ibu/Saudara (i) atas kunjungan Terima kasih Kepada Bpk/Ibu/Saudara (i) atas kunjungan Terima kasih Kepada Bpk/Ibu/Saudara (i) atas kunjungan
Bapak/Ibu di Puskesmas Rawat Jalan Segedong, untuk Bapak/Ibu di Puskesmas Rawat Jalan Segedong, untuk Bapak/Ibu di Puskesmas Rawat Jalan Segedong, untuk
meningkatkan Pelayanan kami, dimohon Bapak/Ibu mengisi meningkatkan Pelayanan kami, dimohon Bapak/Ibu mengisi meningkatkan Pelayanan kami, dimohon Bapak/Ibu mengisi
kotak kepuasan kami saran / kritikan. kotak kepuasan kami saran / kritikan. kotak kepuasan kami saran / kritikan.
Tanggal :
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Nama :
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Alamat :
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Kritik dan saran tulis dibelakang ( .......................... ) Kritik dan saran tulis dibelakang ( .......................... ) Kritik dan saran tulis dibelakang ( .......................... )
Tanggal :
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Nama :
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No. HP :
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Alamat :
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Tanggal :
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Nama :
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No. HP :
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KURANG PUAS KURANG PUAS KURANG PUAS
KRITIK DAN SARAN KRITIK DAN SARAN KRITIK DAN SARAN
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KURANG PUAS PUAS PUAS

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KURANG PUAS PUAS PUAS

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KURANG PUAS KURANG PUAS KURANG PUAS
KURANG PUAS
PUAS PUAS
KURANG PUAS
PUAS PUAS

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PUSKESMAS RAWAT JALAN SEGEDONG PUSKESMAS RAWAT JALAN SEGEDONG PUSKESMAS RAWAT JALAN SEGEDONG

KABUPATEN MEMPAWAH KABUPATEN MEMPAWAH KABUPATEN MEMPAWAH

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KURANG PUAS PUAS PUAS

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KURANG PUAS PUAS PUAS

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