Surat Permohonan PMT

 

PEMERINTAH KABUPATEN GIANYAR  DINAS KESEHATAN KESEHATAN UPT.KESMAS TEGALLALANG I

Jalan Raya Tegallalang Telp. (0361 !"6#$#. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%    N,

-##/11"/P*.Tgll I/'013

Tegallalang& Tegallalang& 1' Pe)*a)+ '013 Kepa2a&

a4p+)an

- 5555

Y7 - Kepala D+na Kee7aan

Pe Pe))+7a 7all

- Pe)4,7,nan a an n*a *an n PMT Pe4*l+7an Un* al+a G+8+ B*)*

P),p ,p++n+ Bal+ 9: Ka+2 B+ne4a P),p+n+ Bal+

Dengan 7,)4a

Be)2aa)an Be)2a a)an 2aa 7a+l 7a+l Pen+4angan Pen+4angan *lan Jan*a)+ Jan*a)+ '013& 2+4ana 2+4ana 2+e4*an 2+e4*an ' ,)ang al+a g+8+ *)* 2engan BB/U 2+ ;+laya7 e)a Be)a7a  NIP.1!6"0#11!!"031003  NIP .1!6"0#11!!"031003

 

PEMERINTAH KABUPATEN GIANYAR  DINAS KESEHATAN KESEHATAN UPT.KESMAS TEGALLALANG I

Jalan Raya Tegallalang Telp. (0361 !"6#$#. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%   Tegallalang& Tegallalang& 3 J*l+ '01#  N, -##/6!/P*.Tgll I/'01# Kepa2a& a4p a4p+)an -5 Y7 - S2) 2).. Ma7a2+ 2+p p*)a Pe)+7al - Pe4e)+a7*an Ja2*al P,yan2* / 2+ Pen+4angan B).Gaga7   Dengan 7,)4a Un* elan9a)an a4+ 2ala4 4elaanaan pe4ana*an Be)a Ba2an ana 2). aa na4a - N+ P** a4+an+& 2engan +n+ a4+ 4,7,n aga) 2aang e p,yan2* B).Gaga7 *n* 4en+4ang ana 2). e*a+ e*a+ 2engan