PEMERINTAH KABUPATEN MOJOKERTO

DINAS KESEHATAN
UPT PUSKESMAS JATIREJO
Jalan Basuki Rahmat 26 Dinoyo- Jatirejo-Mojokerto
Kode Pos 61373 Jawa Timur Telp. (0321) 490358
Email :puskesmas.jatirejo.mojokerto@gmail.com

NOTULEN

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Daftar Hadir : Terlampir

Mengetahui,
KEPALA UPT. PUSKESMAS JATIREJO Petugas

M. SUGENG PURWANTO, SKM

Penata Tk.I
NIP. 19670620 199603 1 004