Form Tukar Jadwal

YAYASAN PENDIDIKAN ISLAM RAUDLATUL ULUM

YAYASAN PENDIDIKAN ISLAM RAUDLATUL ULUM

RUMAH SAKIT UMUM AS-SUYUTHIYYAH PATI

RUMAH SAKIT UMUM AS-SUYUTHIYYAH PATI

Jl. Raya Juwana  –  Tayu  Tayu Km. 07 Guyangan Trangkil Pati Kode Pos 59153 Telp (0295) 4199057 Fax (0295) 4199058

Jl. Raya Juwana  –  Tayu  Tayu Km. 07 Guyangan Trangkil Pati Kode Pos 59153 Telp (0295) 4199057 Fax (0295) 4199058

FORM TUKAR SHIFT/JAGA Nama  Jabatan Instalasi/Bag. Hari/Tanggal  Jam Tugas Keperluan

: .............................. ............................... : .............................. ............................... : .............................. ............................... : .............................. ............................... : ..........................s/d. ............................. : .............................. ............................... .............................................................

Mohon izin untuk tukar shift/jaga dengan petugas : Nama  Jabatan Hari/Tanggal  Jam Tugas

: : : :

.............................. ............................... .............................. ............................... .............................. ............................... ..........................s/d. .............................

Yang Menggantikan

Pati, ............................... Yang Digantikan

FORM TUKAR SHIFT/JAGA Nama  Jabatan Instalasi/Bag. Hari/Tanggal  Jam Tugas Keperluan

: ............................. ................................ : ............................. ................................ : ............................. ................................ : ............................. ................................ : ..........................s/d. ............................. : ............................. ................................ .............................................................

Mohon izin untuk tukar shift/jaga dengan petugas : Nama  Jabatan Hari/Tanggal  Jam Tugas

: ............................. ................................ : ............................. ................................ : ............................. ................................ : ..........................s/d. .............................

Yang Menggantikan

Pati, ............................... Yang Digantikan

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Mengetahui,

Atasan langsung

Mengetahui,

Atasan langsung

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