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lembar balik

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POLEWALI MANDAR

PEMERINTAH KABUPATEN POLEWALI MANDAR

DINAS KESEHATAN
SSIIPP
UPTD PUSKESMAS PERAWATAN MATANGNGA
Alamat : Jl. Poros Matangnga No. 01 Kec. Matangnga Kab. Polewali Mandar
A QQ
AAM
MA NDD A
AN

BERITA ACARA SERAH TERIMA BARANG

Tanggal
No Nama Barang Banyaknya Tanda Tangan Keterangan
Terima

1 Lembar balik kalender 1 Buah 1. Posk. Katimbang

mingguan

2 Lembar balik kalender 1 Buah 2. Posk. Rangoan

mingguan

3 Lembar balik kalender 1 Buah 3. Pol. Ringinan

mingguan

4 Lembar balik kalender 1 Buah 4. Pustu Lilli

mingguan

5 Lembar balik kalender 1 Buah 5. Posk. Tapua

mingguan

6 Lembar balik kalender 1 Buah 6. Posk. Ba’ba Tapua

mingguan

7 Lembar balik kalender 1 Buah 7. Posk. Mambu Tapua

mingguan

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