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KRITIK DAN SARAN
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TANGGAL PERIKSA
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MM
/
DD
/
YYYY
JAM MULAI PELAYANAN
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Time
:
AM
PM
JAM SELESAI PELAYANAN
*
Time
:
AM
PM
LAYANAN YANG DITUJU
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Pendaftaran
Pelayanan Umum
Pelayanan Gigi
Pelayanan KIA (Kesehatan Ibu dan Anak)
Pelayanan MTBS (Manajemen Terpadu Balita Sakit)
Pelayanan KB
Pelayanan Laboratorium
Pelayanan Gizi
Pelayanan Farmasi
Pelayanan PKD (Poliklinik Kesehatan Desa)
Posyandu
Pusling (Puskesmas Keliling)
Other:
KRITIK DITUJUKAN UNTUK
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PELAYANAN
PETUGAS
SARANA DAN PRASARANA
Other:
ADUAN PELAYANAN
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Your answer
SARAN PENYEMPURNAAN
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Your answer
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