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    Ceklist Monitor Ambulance

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    Dilla
    This document is a monitoring sheet for an ambulance from Randuagung Public Health Center in Lumajang Regency, East Java, Indonesia. It contains information on the ambulance's cleanliness, fluids, tires, oxygen tank, first aid kit, fuel levels, and air conditioning being checked on a monthly basis over 31 days. The sheet is signed by the ambulance driver and the head of the Randuagung Public Health Center.

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    Ceklist Monitor Ambulance

    Uploaded by

    Dilla
    23 views1 page
    This document is a monitoring sheet for an ambulance from Randuagung Public Health Center in Lumajang Regency, East Java, Indonesia. It contains information on the ambulance's cleanliness, fluids, tires, oxygen tank, first aid kit, fuel levels, and air conditioning being checked on a monthly basis over 31 days. The sheet is signed by the ambulance driver and the head of the Randuagung Public Health Center.

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    CEKLIST MONITOR AMBULANCE.xlsx

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    This document is a monitoring sheet for an ambulance from Randuagung Public Health Center in Lumajang Regency, East Java, Indonesia. It contains information on the ambulance's cleanliness, fluids, tires, oxygen tank, first aid kit, fuel levels, and air conditioning being checked on a monthly basis over 31 days. The sheet is signed by the ambulance driver and the head of the Randuagung Public Health Center.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    23 views1 page

    Ceklist Monitor Ambulance

    Uploaded by

    Dilla
    This document is a monitoring sheet for an ambulance from Randuagung Public Health Center in Lumajang Regency, East Java, Indonesia. It contains information on the ambulance's cleanliness, fluids, tires, oxygen tank, first aid kit, fuel levels, and air conditioning being checked on a monthly basis over 31 days. The sheet is signed by the ambulance driver and the head of the Randuagung Public Health Center.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
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    PEMERINTAH KABUPATEN LUMAJANG

    PUSKESMAS RANDUAGUNG
    Jl. Raya Randuagung No. 192 Telp. (0334) 321080
    RANDUAGUNG - 67354

    LEMBAR MONITORING AMBULANCE PUSKESMAS RANDUAGUNG

    BULAN :
    AMBULANCE :
    NAMA SOPIR :
    NO MONITORING 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
    1 KEBERSIHAN AMBULANCE
    2 AIR RADIATOR
    3 OLI MESIN
    4 MINYAK REM
    5 OLI POWER STERING
    6 BAN AMBULANCE
    7 AIR ACCU
    8 AIR PEMBERSIH KACA
    9 ISI TABUNG O2
    10 KOTAK OBAT
    11 BENSIN / SOLAR DEX
    12 AC AMBULANCE

    SOPIR PENANGGUNG JAWAB KEPALA PUSKESMAS RANDUAGUNG

    dr. HANI SETIAWATI


    NIP. 19781213 200604 2 022

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