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Pengaduan Puskesmas Kabat
Form Pengaduan Puskesmas Kabat
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Tanggal Pengaduan
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MM
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DD
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YYYY
Nama
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Alamat
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No. HP yang bisa dihubungi
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Digunakan untuk klarifikasi dan dapat dihubungi Petugas (Hanya Petugas yang bisa melihat no.HP responden)
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Yang diadukan
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Loket
Pelayanan Umum
Pelayanan Gigi
Pelayanan KIA/KB
Pelayanan MTBS
Pelayanan Lab
Pelayanan Gizi
Other:
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Keterangan Pengaduan
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