Nama Ketua Komite Medik Nama Ketua Satuan Pengawas Intern Nama Ketua Komite Etik dan Hukum Nama Ketua Komite Keperawatan Nama Ketua Komite Pengembangan
Komite: ....................................................................................................... ....................................................................................................... ....................................................................................................... ....................................................................................................... .......................................................................................................
1. Departemen/Bagian/SMF: Kesehatan Anak
Nama Ketua Departemen/Bagian Nama Ketua SMF Nama Koordinator Pelayanan Medik dan Keperawatan Nama Koordinator Etik dan Mutu Nama Ketua Program Studi S1 Nama Ketua Program Studi Sp.1 Nama Ketua Program Studi Sp.2
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2. Departemen/ Bagian/SMF: Obstetri dan Ginekologi Nama Ketua Departemen/Bagian ....................................................................................................... Nama Ketua SMF ....................................................................................................... Nama Koordinator Pelayanan Medik ....................................................................................................... dan Keperawatan Nama Koordinator Etik dan Mutu .......................................................................................................
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