Form Jadwal Perencanaan Kpp.docx

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KOP PUSKESMAS

PERENCANAAN PENILAIAN PERILAKU PEMBERI LAYANAN KLINIS DAN KESELAMATAN PASIEN PUSKESMAS ……………………. KABUPATEN ………………………… TAHUN …………………………….

No.

Rencana Waktu Penilaian

Unit/Program Minggu I

Mengetahui Ketua Tim Manajemen Mutu

------------------------------------------

Minggu II

Pelaksana

Minggu III

Minggu IV

……………………………………………, 20…. Tim KPP, Ketua

……………………………………………………….

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