Form Komplain, Kritik dan Saran RSI Pekajangan

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Form Komplain, Kritik dan Saran RSI Pekajangan

Isilah data di bawah ini utuk melakukan komplain, kritik dan saran terhadap RS

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Email *

Record my email address with my response

Nama Lengkap *

Your answer

Status *

Pasien

Keluarga Pasien

Tamu / Pengunjung

Alamat *

Your answer

Nomor Handphone / WA *

Your answer

Sasaran Kritik/Saran *

Sarana Prasarana

Pelayanan

SDM

Kebijakan

Required

Uraian Komplain, Kritik dan Saran *

Your answer

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