Kop Amplop Surat Kuning.docx

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PEMERINTAH KABUPATEN BARITO UTARA

DINAS KESEHATAN

UPT PUSKESMAS BATU RAYA Jl. Kenanga Desa Batu Raya I Kecamatan Gunung Timang

Nomor:............................................................

KEPADA YTH

: ........................................................................ ........................................................................ DI – .....................................................

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