PEMERINTAH KABUPATEN TULANG BAWANG

DINAS KESEHATAN
UPTD PUSKESMAS RAWAT INAP PASIRAN JAYA
Jln. Raya Pendowo Asri, Kampung Pendowo Asri, Kec.Dente Teladas, Kab.Tulang Bawang
email : puskesmaspasiranjaya@gmail.com

KERANGKA ACUAN KEGIATAN

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A. Pendahuluan
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B. Latar Belakang
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C. Tujuan Umum dan Tujuan Khusus

1. Tujuan Umum
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2. Tujuan Khusus
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D. Kegiatan Pokok dan Rincian Kegiatan

Kegiatan Pokok :
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Rincian Kegiatan :
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E. Cara Melaksanakan Kegiatan

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F. Sasaran
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G. Jadwal Pelaksanaan Kegiatan

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H. Pembiayaan
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I. Monitoring Evaluasi Pelaksanaan Kegiatan dan Pelaporan

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J. Pencatatan, Pelaporan dan Evaluasi Kegiatan

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Mengetahui
Kepala UPTD Puskesmas Rawat Inap
Pasiran Jaya

Nengah Suwile
NIP. 19681019 198812 1 001