Amplop Dinas Laboratorium.docx

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DETASEMEN KESEHATAN WILAYAH 02.04.02 FKTP RUMAH SAKIT PEMBANTU 02.09.04 KERINCI LABORATORIUM KLINIK Jl. Jend. A. Yani Kota Sungai Penuh Telf.(0748) 22015 Fax.(0748) 21147 Email : [email protected]

No.RM : Nama

:

Umur

:

Alamat : Kepada Yth. ………………………………………………. ………………………………………………. Di ………………………………………………

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