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Kuisoner Kepuasan Masyarakat RSUD Kota Madiun
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Nama :
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Pelayananan yang di dapat
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Klinik rawat Jalan
Instalasi Gawat Darurat
Instalasi Rawat Inap
Instalasi Radiologi
Instalasi Laboratorium
Instalasi Farmasi
Other:
Usia :
Kurang dari 20 thn
21-40 thn
41-60 tahun
lebih dari 60 tahun
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Jenis Kelamin
Laki laki
Perempuan
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pendidikan
SD
SMP
SMA
D1-D4/S1
S2 KEATAS
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Pekerjaan
PNS
TNI/POLRI
Peg Swasta
Wiraswasta
Lainya
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Hubungan Status
pasien
Keluarga
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