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PERJANJIAN KERJA SAMA.
‘ANTARA,
PUSKESMAS ULAK RENGAS
BIDAN NISYATUN AMd.Keb
TENTANG
PELAYANAN KESEHATAN MATERNAL DAN NEONATAL
BAGI PESERTA
PROGRAM JAMINAN KESEHATAN
ee EEE EE
Nomar: 445/ (¢7 /P.10201/15-LU/2022
Nomor :003/PMB.NIS/XI/2022.
Perjanjian Kerja Sama ini, dibuat dan ditandatangani di Puskesmas Ulak Rengas pada hari
Senin tanggal 28 Bulan November tahun dua ribu dua puluh dua, oleh dan antara
|. SITIREGINA ANGGRAINI, SKM. M.K.M, selaku Pihak Pertama berdasarkan jabatan
sebagai Kepala Puskesmas Ulak Rengas yang berkedudukan dan beralamat di
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