DINAS KESEHATAN
RUMAH SAKIT UMUM DAERAH SUMBERREJO
Jl. Raya No. 231 Sumberrejo Bojonegoro 62191
Telepon (0353) 331530, Email rsudsumberrejobjn@gmail.com
NOTA DINAS
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Dari : ..............................................
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Nomor : kodifikasi naskah/nomor naskah/kode OPD/Tahun
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Lampiran : .............................................
Hal : .............................................
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Nama Jabatan
Nama
Pangkat/Golongan
NIP