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BERITA ACARA PELAKSANAAN PROMOSI KESEHATAN

MAHASISWA AKPER SERULINGMAS CILACAP


TAHUN AKADEMIK 2015
Pada hari ini Rabu tanggal 4 bulan November tahun 2015 bertempat di Pabrik Tahu
Bapak Saimun, Jln. Masjid Nurul Islam, Dsa. Karangrena.
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Tema
: Home industry Pabrik Tahu
Hari / Tanggal
: Rabu, 4 November 2015
Waktu
: 16.00 Selesai
Banyaknya Peserta : .............................................................................
Kejadian Penting Selama Berlangsung Promosi
Kesehatan : .............................................................................................................
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Demikian berita acara ini dibuat dengan sesungguhnya dan sebenar-benarnya untuk
dapat dipergunakan sebagaimana mestinya.
Cilacap, 4 November 2015
Pelaksana Promosi Kesehatan

Tanda Tangan

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Mengetahui Dosen Pengampu Promkes
Titi Alfiani, S.Kep., Ns.

AKADEMI KEPERAWATAN SERULINGMAS CILACAP


Jl. Raya Maos No. 505 Maos Cilacap 53272 Telp/Fax : (0282) 695452
DAFTAR HADIR PESERTA
No

Nama Peserta

Tanda Tangan

Cilacap, 4 November 2015


Pelaksana Promosi Kesehatan
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Tanda Tangan

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Mengetahui,

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