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    Format SPO

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    Lean Ws

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    © All Rights Reserved
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    of 1

    JUDUL PROSEDUR

    (Arial 16)

    LOGO RS No. Dokumen : No. Revisi : Halaman

    XXX.SPO.000 00 1 of 1
    (Arial 11) (Arial 11) (Arial 11)
    Tanggal terbit : Ditetapkan,
    Direktur RSI Hasanah
    STANDAR PROSEDUR
    OPERASIONAL .. Maret 2015 (Arial 11)
    (Arial 14) (Arial 11)
    dr. …………….
    Pengertian (Arial 11, line spacing 1½ )
    Tujuan Sebagai acuan penerapan langkah-langkah untuk melakukan JUDUL
    PROSEDUR
    Kebijakan : 1. Standar pelayanan ............ Departemen Kesehatan RI tahun ............
    2. Keputusan Direktur RSI Hasanah Nomor : ............... tentang Kebijakan
    Pelayanan .................... RSI Hasanah.
    Prosedur : Persiapan Alat :
    Persiapan petugas :

    Pelaksanaan :

    Unit Terkait :
    Disiapkan oleh Disetujui oleh
    Nama :
    Jabatan : Kepala ……. Wakil Direktur ....................
    Tanda Tangan :

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