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PEMERINTAH KABUPATEN BARITO UTARA

DINAS KESEHATAN

UPT PUSKESMAS BATU RAYA Jl. Kenanga DesaBatu Raya I KecamatanGunungTimang.e-mail : [email protected]

Batu Raya,

Nomor Lampiran Perihal

: / /RUJ / PKM-BRY / :: Rujukan Pasien

/

Kepada : Yth. Petugas Kesehatan Di _ Tempat Dengan Hormat, Mohon pemeriksaan dan penanganan lebih lanjut penderita : Nama : Umur : Jenis Kelamin : Alamat : Keluhan :

Pemeriksaan Fisik

:

Diagnosa Therapy

: :

Demikian surat ini dibuat, atas bantuannya kami ucapkan terima kasih. Yang Merujuk

(.......................................................)

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