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YAYASAN PENDIDIKAN ISLAM RAUDLATUL ULUM YAYASAN PENDIDIKAN ISLAM RAUDLATUL ULUM

RUMAH SAKIT UMUM AS-SUYUTHIYYAH PATI RUMAH SAKIT UMUM AS-SUYUTHIYYAH PATI
Jl. Raya Juwana – Tayu Km. 07 Guyangan Trangkil Pati Kode Pos 59153 Telp (0295) 4199057 Fax (0295) 4199058 Jl. Raya Juwana – Tayu Km. 07 Guyangan Trangkil Pati Kode Pos 59153 Telp (0295) 4199057 Fax (0295) 4199058

FORM TUKAR SHIFT/JAGA FORM TUKAR SHIFT/JAGA

Nama : ............................................................. Nama : .............................................................
Jabatan : ............................................................. Jabatan : .............................................................
Instalasi/Bag. : ............................................................. Instalasi/Bag. : .............................................................
Hari/Tanggal : ............................................................. Hari/Tanggal : .............................................................
Jam Tugas : ..........................s/d.............................. Jam Tugas : ..........................s/d..............................
Keperluan : ............................................................. Keperluan : .............................................................
............................................................. .............................................................

Mohon izin untuk tukar shift/jaga dengan petugas : Mohon izin untuk tukar shift/jaga dengan petugas :

Nama : ............................................................. Nama : .............................................................
Jabatan : ............................................................. Jabatan : .............................................................
Hari/Tanggal : ............................................................. Hari/Tanggal : .............................................................
Jam Tugas : ..........................s/d.............................. Jam Tugas : ..........................s/d..............................

Pati, ............................... Pati, ...............................
Yang Menggantikan Yang Digantikan Yang Menggantikan Yang Digantikan

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Mengetahui, Atasan langsung Mengetahui, Atasan langsung

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