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TIME SHEET

PERIOD : 1 - 30 JUNE 2014


NAME: Klinik Dokter Keluarga
UNIT: Primary Clinic Care at IDC Pontianak

Time in Time out Signature of


Date Total Hour Remarks
AM PM Nurse Doctor IDC Staff IOM Staff
1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Signature
Klinik Dokter Keluarga Pontianak Sub Office

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