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PEMERINTAH KABUPATEN BANDUNG

DINAS KESEHATAN
PUSKESMAS PASIRJAMBU
Jln. Stasion Cisondari No. 1 Telp. (022) 5928103 Kode Pos 40972 Kab.Bandung
Email : pkmpasirjambu_bandungkab@yahoo.com

Kegiatan : ……………………………………………………………………
Notulen
Pertemuan Tanggal : ................................................................................................
Tingkat
Puskesmas Pukul : ……………………………………………………………………

Tempat : ……………………………………………………………………

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Susunan Acara
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Pembahasan

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Rencana Tindak ……………………………………………………………………………………………


Lanjut
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Mengetahui Pasirjambu, …… ………………


Kepala Puskesmas Pasirjambu Notulis

drg. Ernawaty Purba (………………………………….)


NIP:19781004 200604 2 025 NIP. ...……………………………

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