Blangko Program Fisik

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RUMAH SAKIT ISLAM WONOSOBO

Jl. Mayjend Bambang Sugeng Km. 3 (0286) 322961 – 325250 – 3325232

Fax. (0286) 3325233 WONOSOBO 56317

Rencana Program Kerja

RUANG …………..
Tahun 2015

I.Usulan Pengadaan Peralatan Keperawatan

Spesifikasi
No Nama Alat Jumlah Jenis Keterangan
Bahan Ukuran Warna

II.Usulan Program Non Fisik

Wonosobo, November 2015

Ka.ruang ………………

__________________________

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