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PEMERINTAH KABUPATEN BARITO TIMUR

DINAS KESEHATAN
UPTD PUSKESMAS HAYAPING
KECAMATAN AWANG
Alamat : Jl. Pembangunan No.49 RT.01, Hayaping, Kec. Awang, Kab. Barito Timur
Kode Pos 73681 | e-mail: pkmhayaping@gmail.com

NOMOR: ..........................................................

KEPADA
Yth. .............................................................
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