PEMERINTAH KABUPATEN SERUYAN INSTALASI PEMELIHARAAN SARANA DAN PRASARANA RUMAH SAKIT
Alamat : Jl. A. Yani No.30 No.30 Kuala Pembuang 74211 Kalimantan Tengah Telpon/ Faximile. (0538) 21017 / 21566 e-mail :
[email protected]
LAPORAN PERBAIKAN / MAINTENENCE KOMPONEN DAN PR OGRAM KOMPUTER
Hari / Tanggal
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Nama Alat
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Bagian / Ruang
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Kerusakan / Keluhan : .......................... ........................... ........................ ........................... ............ ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .........................................................................................................................................................
Catatan Tambahan
: ........................... ......................... .......................... .......................... ............
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Petugas Staf IT
Pelapor
Rahmadi Guruh Saputra, ST NIP. 19910117 201503 1 006
..........................................................
Mengetahui : Kepala Ruangan IPSRS RSUD Kuala Pembuang
ERWAN PUDJIADI, ST NIP. 19900114 201503 010
PEMERINTAH KABUPATEN SERUYAN INSTALASI PEMELIHARAAN SARANA DAN PRASARANA RUMAH SAKIT
Alamat : Jl. A. Yani No.30 Kuala Pembuang 74211 Kalimantan Tengah Telpon/ Faximile. (0538) 21017 / 21566 e-mail :
[email protected]
LAPORAN PERBAIKAN / MAINTENENCE KOMPONEN DAN PR OGRAM KOMPUTER
Hari / Tanggal
: ......................... ........................... ......................... ...
Nama Alat
: .......................... .......................... .......................... ..
Bagian / Ruang
: ......................... .......................... .......................... ...
Kerusakan / Keluhan : .......................... ........................... ........................ ........................... ............ ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .........................................................................................................................................................
Catatan Tambahan
: ........................... ......................... .......................... .......................... ............
.........................................................................................................................................................
Petugas Staf IT
Pelapor
Rahmadi Guruh Saputra, ST NIP. 19910117 201503 1 006
..........................................................
Mengetahui : Kepala Ruangan IPSRS RSUD Kuala Pembuang
ERWAN PUDJIADI, ST NIP. 19900114 201503 010
PEMERINTAH KABUPATEN SERUYAN INSTALASI PEMELIHARAAN SARANA DAN PRASARANA RUMAH SAKIT
Alamat : Jl. A. Yani No.30 Kuala Pembuang 74211 Kalimantan Tengah Telpon/ Faximile. (0538) 21017 / 21566 e-mail :
[email protected]
LAPORAN PERBAIKAN / MAINTENENCE KOMPONEN DAN PR OGRAM KOMPUTER
Hari / Tanggal
: ......................... ........................... ......................... ...
Nama Alat
: .......................... .......................... .......................... ..
Bagian / Ruang
: ......................... .......................... .......................... ...
Kerusakan / Keluhan : .......................... ........................... ........................ ........................... ............ ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .........................................................................................................................................................
Catatan Tambahan
: ........................... ......................... .......................... .......................... ............
.........................................................................................................................................................
Petugas Staf IT
Pelapor
Rahmadi Guruh Saputra, ST NIP. 19910117 201503 1 006
..........................................................
Mengetahui : Kepala Ruangan IPSRS RSUD Kuala Pembuang
ERWAN PUDJIADI, ST NIP. 19900114 201503 010
PEMERINTAH KABUPATEN SERUYAN INSTALASI PEMELIHARAAN SARANA DAN PRASARANA RUMAH SAKIT
Alamat : Jl. A. Yani No.30 Kuala Pembuang 74211 Kalimantan Tengah Telpon/ Faximile. (0538) 21017 / 21566 e-mail :
[email protected]
LAPORAN PERBAIKAN / MAINTENENCE KOMPONEN DAN PR OGRAM KOMPUTER
Hari / Tanggal
: ......................... ........................... ......................... ...
Nama Alat
: .......................... .......................... .......................... ..
Bagian / Ruang
: ......................... .......................... .......................... ...
Kerusakan / Keluhan : .......................... ........................... ........................ ........................... ............ ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .........................................................................................................................................................
Catatan Tambahan
: ........................... ......................... .......................... .......................... ............
.........................................................................................................................................................
Petugas Staf IT
Pelapor
Rahmadi Guruh Saputra, ST NIP. 19910117 201503 1 006
..........................................................
Mengetahui : Kepala Ruangan IPSRS RSUD Kuala Pembuang
ERWAN PUDJIADI, ST NIP. 19900114 201503 010
PEMERINTAH KABUPATEN SERUYAN INSTALASI PEMELIHARAAN SARANA DAN PRASARANA RUMAH SAKIT
Alamat : Jl. A. Yani No.30 Kuala Pembuang 74211 Kalimantan Tengah Telpon/ Faximile. (0538) 21017 / 21566 e-mail :
[email protected]
LAPORAN PERBAIKAN / MAINTENENCE KOMPONEN DAN PR OGRAM KOMPUTER
Hari / Tanggal
: ......................... ........................... ......................... ...
Nama Alat
: .......................... .......................... .......................... ..
Bagian / Ruang
: ......................... .......................... .......................... ...
Kerusakan / Keluhan : .......................... ........................... ........................ ........................... ............ ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .........................................................................................................................................................
Catatan Tambahan
: ........................... ......................... .......................... .......................... ............
.........................................................................................................................................................
Petugas Staf IT
Pelapor
Rahmadi Guruh Saputra, ST NIP. 19910117 201503 1 006
..........................................................
Mengetahui : Kepala Ruangan IPSRS RSUD Kuala Pembuang
ERWAN PUDJIADI, ST NIP. 19900114 201503 010
