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  • Terverifikasi Amel Surat Pendelegasian Anestesi

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    1) Dr. Nasman Puar delegates his duties as an anesthesiologist at RUMAH SAKIT IBU DAN ANAK CICIK from [date] until [date] due to being unable to perform his duties. 2) He delegates his anesthesiology duties to [name of doctor] from [name of hospital] with medical registration number [number]. 3) The letter of delegation is valid from the determined date until Dr. Nasman Puar returns to his duties.

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    surat pendelegasian

    Original Title

    TERVERIFIKASI AMEL SURAT PENDELEGASIAN ANESTESI

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    1) Dr. Nasman Puar delegates his duties as an anesthesiologist at RUMAH SAKIT IBU DAN ANAK CICIK from [date] until [date] due to being unable to perform his duties. 2) He delegates his anesthesiology duties to [name of doctor] from [name of hospital] with medical registration number [number]. 3) The letter of delegation is valid from the determined date until Dr. Nasman Puar returns to his duties.

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    14 views2 pages

    Terverifikasi Amel Surat Pendelegasian Anestesi

    Uploaded by

    dewisatriyani
    1) Dr. Nasman Puar delegates his duties as an anesthesiologist at RUMAH SAKIT IBU DAN ANAK CICIK from [date] until [date] due to being unable to perform his duties. 2) He delegates his anesthesiology duties to [name of doctor] from [name of hospital] with medical registration number [number]. 3) The letter of delegation is valid from the determined date until Dr. Nasman Puar returns to his duties.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    RUMAH SAKIT IBU DAN ANAK CICIK

    Jl. Dr. sutomo No.94 Padang


    Telp. (0751) 38846, Fax: (0751) 841286
    Email Address: rsbcicik@gmail.com

    SURAT PENDELEGASIAN TUGAS


    NOMOR: …../SPG/YMD/RSIA-C/..../….

    Yang bertandatangan di bawah ini:


    Nama : dr. Nasman Puar, Sp.AN
    Jabatan : Penanggungjawab Pelayanan Anestesi

    Menyatakan tidak dapat melaksanakan tugas sebagai dokter anestesi pada


    tanggal…………sampai dengan…………………
    Demi kelancaran pelaksanaan tugas tersebut, saya mendelegasikan pelaksanaan tugas
    pelayanan anestesi kepada :

    Nama : ……………………………
    RS Asal : ……………………………
    SIP RS Asal : ……………………………
    Demikian surat pendelegasian ini saya buat dengan sungguh-sungguh dan surat ini berlaku
    sejak tanggal ditetapkan sampai saya bertugas kembali.

    Padang, …………………...
    Penerima Delegasi, Yang Mendelegasikan Tugas,

    dr. ………………… dr. Nasman Puar, Sp.An

    Mengetahui,

    dr. Dewi Satriyani


    Ka. Div. Pelayanan Medis
    RUMAH SAKIT IBU DAN ANAK CICIK
    Jl. Dr. sutomo No.94 Padang
    Telp. (0751) 38846, Fax: (0751) 841286
    Email Address: rsbcicik@gmail.com

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