PEMERINTAH KABUPATEN CIAMIS
DINAS KESEHATAN
UPTD PUSKESMAS SADANANYA
Jl. Sadananya No. 477 Sadananya Telepon (0265)775690
email : puskesmas_sadananya@[Link] Kecamatan Sadananya
CIAMIS
Kode Pos : 46256
KEPUTUSAN KEPALA UPTD PUSKESMAS SADANANYA
NOMOR : ............................. TAHUN ...........
TENTANG
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KEPALA UPTD PUSKESMAS SADANANYA
Menimbang : a. ......................................................................................................
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b. ......................................................................................................
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Mengingat : 1. ......................................................................................................
2. ......................................................................................................
3. dan seterusnya
LAMPIRAN KEPUTUSAN KEPALA UPTD
PUSKESMAS SADANANYA
NOMOR : ..............................................
TANGGAL : ..............................................
TENTANG : ..............................................
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Ditetapkan di Ciamis
pada tanggal ....................................anuari 2016
KEPALA UPTD PUSKESMAS SADANANYA
DEDENG NURKHOLIK SP, SKM., MM
Penata Tk. I
NIP. 19770427 200112 1 002