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Form Aduan
Form Aduan Dinas Kesehatan Provinsi Kalimantan Selatan
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Informasi Pelapor
Nama Lengkap
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Email
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Nomor Telepon/HP
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Alamat Domisili
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Detail Aduan
Judul Aduan
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Isi Aduan
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Tanggal
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DD
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YYYY
Lokasi
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Kategori Pengaduan
Pelayanan Publik
Tenaga Kesehatan
Fasilitas Kesehatan
Administrasi
Obat & Vaksin
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