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PEMERINTAH PROVINSI JAWA TIMUR
RUMAH SAKIT UMUM DAERAH Dr. SAIFUL ANWAR
TERAKREDITASI KARS VERSI 2012 TINGKAT PARIPURNA
Jl. Jaksa Agung Suprapto No. 2 MALANG 65111
Telp. (0341) 362101, Fax. (0341) 362110
Email: rsu-drsaifulanwar@jatimprov.go.id
Website: www.rsudsaifulanwar.jatimprov.go.id
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| Nama Pasien | {{ .Repalcable }} |
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| Permintaan Terapi | {{ .Repalcable }} |
| PELAKSANAAN PROGRAM | Tanggal | TTD | ||
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| PASIEN | DOKTER | TERAPIS | ||
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Tempat & Tanggal Cap dan TTD Dr. SpKFR |
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