\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

\\\\\\\\\\\\\\\\\\\\\\\\\\\DAFTAR HADIR RAKORDES

NO

NAMA

1
2
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15
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17
18
19
20
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22
23
24
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27
28
29
30
31
32
33
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35

TANGGAL:
ALAMAT
TANDA TANGAN
1
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3
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12
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15
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22
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25
26
27
28
29
30
31
32
33
34
35

Mengetahui,
Kepala UPT Puskesmas Klangenan

Dr.H.Asep Firmansjah
NIP. 19700904 200112 1 002

Klangenan,
Petugas Promkes,

.Eva Kunaefa
NIP. 19841007 200912 2 001

DAFTAR HADIR
PENYULUHPAN KELOMPOK PROGRAM
DI LUAR/DALAM GEDUNG PUSKESMAS KLANGENAN
TANGGAL :
NO

NAMA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
28
29
30
31
32
33
34
35

ALAMAT

TANDA TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

Mengetahui,
Kepala UPTD Puskesmas Klangenan

Dr.H.Asep Firmansjah
NIP. 19700904 200112 1 002

Klangenan, ....................................
Petugas penyuluh

______________________
NIP/NRPTT

DAFTAR HADIR DAFTAR HADIR

RAKORCAM KLANGENAN PUSKESMAS KLANGENAN
HARI/TANGGAL............................................

NO

NAMA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

ALAMAT

TANDA TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

Mengetahui,
Kepala UPT Puskesmas Klangenan

Klangenan, ....................................
Petugas Promkes,

Dr.H.Asep Firmansjah
NIP. 19700904 2001 12 1 002

........................................
.................................

TIM KESSA DESA.............................................PUSKESMAS KLANGENAN

HARI/TANGGAL............................................

NO

NAMA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

ALAMAT

TANDA TANGAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

Mengetahui,
Kepala UPT Puskesmas Klangenan

Klangenan, ....................................
Petugas Promkes,

Dr.H.Asep Firmansjah
NIP. 19700904 200112 1 002

........................................
.................................