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  • Surat Pernyataan Sipnap

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    rion batin medika
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    SURAT PERNYATAAN SIPNAP

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    33 views1 page

    Surat Pernyataan Sipnap

    Uploaded by

    rion batin medika

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    SURAT PERNYATAAN

    Yang bertanda tangan di bawah ini :

    Nama : apt. Nuzula Niken Rahastri Haryono Putri, S.Farm


    Tempat, tanggal lahir : Semarang, 16 Februari 1995
    Jabatan : Apoteker Penanggung Jawab
    Nama Unit Layanan : Apotek Puri Purnama
    Alamat Unit Layanan : Jl.Karangrejo 2 No. 23B RT 04 RW 02 Kel. Karangrejo Kec.
    Gajahmungkur Kota Semarang
    No. STR : 19950216/STRA-STIFAR-YPS/2020/266870

    Menyatakan bahwa saya bersedia mengirimkan laporan pada Sistem Pelaporan Narkotik
    dan Psikotropik (SIPNAP)

    Demikian pernyataan ini kami buat dengan sebenar-benarnya untuk dapat dipergunakan
    sebagaiman mestinya

    Semarang, 11 Maret 2022


    Yang Membuat Pernyataan,

    (: apt. Nuzula Niken Rahastri Haryono Putri, S.Farm)

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