3.1.7.2 Instrumen Kaji Banding

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3.1.7.2

3.1.7.3 Dokumen Pelaksanaan Kaji

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INSTRUMEN KAJI BANDING 

PEMERINTAH KABUPATEN CIANJU DINAS KESEHATAN KESEHATAN

UPTD PUSKESMAS CIANJUR JL. PANGERAN HIDAYATULLOH NO. 1 CIAN

Peri Periha hall

: Perm Permoh ohon onan an Kaji Kaji Band Bandin ing g Kepada Yth Kepada UPT Di ..................

Dalam rangka analisis kinerja UPT Puskes mas Cianjur Kota, Kabupaten Cianjur  Dengan ini mohon izin melakukan Kaji Banding Program PP, PP, Promkes dan !dm ke Puskesmas ...................................................pada : "ari "ari Tanggal anggal

:.... :...... .... ..... ..... ..... ..... ..... ..... .... ..... ..... ..... ..... ..... ..... .... ..... ..... ..... ..... ..... ..... .... ..... ... :............. :..................... ............... .............. .............. ............... ............... ............ .....

#aktu aktu

:...... :.......... ....... ....... ........ ....... ....... ........ ....... ....... ....... ....... ........ ....... ....... ........ ......

Tempat empat

:...... :.......... ....... ....... ........ ....... ....... ........ ....... ....... ....... ....... ........ ....... ....... ........ ...... Demikian atas perhatian dan kerjasaman$a dan terimakasih.

Cianjur,..........  Sign up to vote on this title Kepala UPTD

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