JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulir Saran Dan Pengaduan RSUD Lawang Kabupaten Malang
Formulir Layanan Aduan RSUD Lawang
Saran dan Masukan Anda Sangat Berarti Bagi Kami Guna Evaluasi Kinerja Pelayanan Kami
Layanan Informasi RSUD Lawang 08113016177 (Via WA)
Jalan RA Kartini Nomor 5 Lawang
* Indicates required question
Unit/Ruangan
*
Unit Gawat Darurat
Sentra Administrasi Terpadu/SAT (Pendaftaran/Kasir)
Poliklinik Rawat Jalan
Rawat Inap
Sarana
Pra Sarana
Petugas (Dokter/Perawat/Bidan/Administrasi)
Nama
*
Your answer
Nomor Handphone
Your answer
Uraian Aduan
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
