PEMERINTAH KABUPATEN MERANGIN

PUSKESMAS MUARA MADRAS

KECAMATAN JANGKAT
Jl : kesehatan No : 03 Kode Pos :37372

LAPORAN PERJALANAN DINAS

Nama/Jabatan : 1. Ns Dodo Pebriansyah S.kep

: 2. Taufik Andar Amd. Ak
Pangkat/Golongan : TKS/NS
Daerah yang di kunjungi : SD Negeri No 22/VI Pulau
Tengah I
Waktu kunjungan : Januari 2017

Masalah/Materi :

Pembinaan dan penyuluhan kesekolah

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

Laporan Hasil Kegiatan :

.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
.. ...............................................................................................................................................
Yang melakukan perjalanan dinas
Mengetahui
Nama :
Jabatan :
1. Ns Dodo Pebriansyah S.kep .................

2.Taufik Andar Amd.Ak .................