PEMERINTAH KABUPATEN SAMBAS

PUSAT KESEHATAN MASYARAKAT (PUSKESMAS)

SELAKAU
Jln.Raya Sei Nyirih Kecamatan Selakau Kode Pos 79452

ABSENSI RAPAT TIM AKREDITASI

POKJA I
Tema

:..........................................................................................................

Hari / Tanggal

:..........................................................................................................

Waktu

:..........................................................................................................

Tempat

:..........................................................................................................

1. Ketua Tim

: Bayurizu

2. Sekretaris 1

: Dhofarudin

3. Sekretaris 2

: U. Dery

4. Internal Audit

: Irwan Setiawan

5. Koordinator Pokja I

: Dwi Kartika

:5...........................

: Rusdi

:...................................

Bab I

Anggota

Bab II

Anggota

: 1. Kursain

:4...........................

:...................................

: Tiyas Pratiwi

:...................................

: 1. Mahmuda

4. U. Deri
5. Cintia
6. Misriani
: Susi
Anggota

:3...........................

:...............................

3. Kursain

:2...........................

: 2. Eni Mulyani

2. Catur Juliandi

Bab III

:1...........................

: 1. Ridwan
2. Dhofarudin
3. Cintia

:...................................
:...................................
:...................................
:...................................
:...................................
:...................................
:...................................
:...................................
:...................................
:...................................

Mengetahui
Penanggung Jawab

Dr.H.Yana Sumartana
NIP.19720526 2005021002

*Catatan Hasil Rapat :

No

Koordinator

Instrumen Penilaian

Kesimpulan