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  • Surat Permohonan Vaksin VAR

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    4 views1 page

    Surat Permohonan Vaksin VAR

    Uploaded by

    Anonymous sm2C8OmDNN

    Copyright:

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

    PEMERINTAH KABUPATEN REJANG LEBONG

    DINAS KESEHATAN
    UPT. PUSKESMAS KOTAPADANG
    Jl. Waru Permai No. 03. Kel. Kotapadang Kode Pos : 39183

    Kotapadang,

    Nomor : /P.1702020101/ /2018 Kepada Yth,


    Sifat : Biasa Kepala Dinas Kesehatan Kab.
    Lampiran : - Rejang Lebong
    Perihal : Permohonan Vaksin VAR C/q Ka. Subid Gudang Farmasi
    a/n Di Curup

    Sehubungan dengan adanya kasus KLB Rabies di Kabupaten Rejang Lebong yang
    salah satunya termasuk diwilayah Puskesmas kotapadang Yaitu :

    Nama :
    Umur :
    Alamat :
    Letak Gigitan :
    Tanggal Gigitan :
    Tanggal Datang Ke PKM :

    Untuk itu kami mohon kepada bapak agar kiranya dapat memberikan vaksin
    sebanyak 1 keur.

    Demikianlah atas perhatian dan kerjasama di ucapakan terima kasih.

    Kotapadang,
    Mengetahui pimpinan puskesmas
    Kepala.UPT Puskesmas Kotapadang

    Kayamuddin.SKM
    NIP. 197003221991031005

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