CEKLIS LINGK FISIK.docx

CEKLIS LINGK FISIK.docx - PEMERINTAH KABUPATEN CIREBON...

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PEMERINTAH KABUPATEN CIREBON DINAS KESEHATAN UPT PUSKESMAS DTP PLUMBON Jalan Raya Plumbon KM.12 KecamatanPlumbon Telp.(0231) 321632 E-mail : [email protected] CIREBON 45155 CEKLIS PEMANTAUAN LINGKUNGAN FISIK Bulan :………………………… Tahun : ....................................... Pemantauan Ruangan Kondisi Langit-langit dinding lantai atap baik rusak Baik rusak Baik rusak Baik rusak BP Laboratorium Kamar mandi pasien BP gigi
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