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PEMERINTAH KABUPATEN SANGGAU DINAS KESEHATAN PUSKESMAS BONTI Jalan Puskesmas Nomor : 124 Bonti 78552 Bonti, 10 mei 2016 Kepada Nomor : 851 / / PKM Yth: Kepala Dinas kesehatan Lampiran : - Kabupaten Sangg
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    PEMERINTAH KABUPATEN SANGGAUDINAS KESEHATAN PUSKESMAS BONTI Jalan Puskesmas Nomor : 12 Bon! #$%%2 Bonti, 10 mei 2016Kepada Nomor: 851 / / PKMYth:Kepala Dinas kesehatanampiran: !Ka #paten $an%%a#&al: Permohonan '#tidi ! Menan%%api permohonan (#ti )tas Nama :  N a m a: Mathe#s *in+a,$KM N*P : 1-.10-28 1--60 1 00Pan%kat / ol: Penata M#da / )3a atan: Pera4at P#skesmas Bonti nit Ker+a: P#skesmas Bonti)lamat: Desa Bantai Ke(, Bonti Ka  $an%%a#Den%an ini kami menet#+#i atas pen%a+#kan permohonan &u! Ta'unan Selama 12 ( DuaBelas ) Har *ar !an++al 2, Me s-* # .un 2/10 Selama men.alan &u! saa 3era*a* Pon! anak No HP /$%2%202/444 Demikianlah #nt#k men+adi pertim an%an dan atas perhatianna kami #(apkan terima kasih Kepala P#skesmas Bonti  *)&M)7), $KM NP 1-66015 1--00 2 015
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