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Lampiran I Peraturan Bupati Blitar

Nomor : 40 Tahun 2016


Tanggal : 13 Oktober 2016

LAPORAN HASIL PERJALANAN DINAS


1.Dasar : DPA 1.02.1.02.01.35.22, Tanggal 4 Januari 2017
2.Tujuan Kunjungan : Hotel Purnama Batu
3.Tanggal Kunjungan : 17 Desember 2017
4.Maksud Kunjungan : Peningkatan Kapasitas Nakes Puskesmas Sanankulon Penggalangan
Komitmen Akreditasi 2018
5. Nama Petugas : dr. Evi Rossalina dan karyawan karyawati UPT Puskesmas Sanankulon

5. Hasil Kunjungan :
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Pelaksana
Lampiran I Peraturan Bupati Blitar
Nomor : 40 Tahun 2016
Tanggal : 13 Oktober 2016

LAPORAN HASIL PERJALANAN DINAS


1.Dasar : DPA 1.02.1.02.01.35.22, Tanggal 4 Januari 2017
2.Tujuan Kunjungan : Dinkes Kab.Blitar
3.Tanggal Kunjungan : 20 Juni 2017
4.Maksud Kunjungan : Penyusunan RKA Perubahan JKN Tahun 2017
5. Nama Petugas : 1. Ernie YUliastutik
2. Agus Dwi P
3. Etik Wahyuningati

5. Hasil Kunjungan :
1. Mempersiapkan perlengkapan untuk rapat penyusunan RKA Perubahan JKN tahun 2017 meliputi

leptop, hardcopi DPA JKN 2017, SPPD dan catatan usulan perubahan belanja.

2. Berangkat ke Dinkes Kab. Blitar, setibanya di Dinkes langsung menuju aula. Mengisi absensi dan

mengambil tempat.

3. Menyiapkan leptop dan kebutuhan lain-lain.

4. Mendengarkan informasi yang disampaikan oleh Bapak Hasnan bahwa RKA perubahan harus masuk

Bapeda hari ini juga sehingga RKAP dikerjakan sekarang di aula ini sampai selesai.

5. Menanyakan kepada puskesmas lain yang telah akreditasi sebelumnya tentang kebutuhan akreditasi

puskesmas dan dimasukkan ke dalam RKA perubahan

6. Menanyakan kepada Bapak Luluk tentang kode rekening belanja barang dan jasa agar tidak salah

kode rekening belanja lagi.

7. Menginput ke dalam format RKAP yang telah tersedia.

8. Dana awal Kapitasi JKN Tahun 2017 adalah sejumlah Rp. 1.400.234.000, sedangkan dana setelah

perubahan sebesar Rp. 2.289.750.329.

9. Selesai mengerjakan RKAP, softfile dicopikan ke dalam leptop Bapak Hasnan.

10. Merapikan peralatan dan barang-barang kemudian berpamitan pulang

PELAKSANA

ETIK WAHYUNINGATI
\

Pelaksana

ETIK WAHYUNINGATI
NRPTT
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA 1.02.1.02.01.35.22, Tanggal Juni 2017

2.Tujuan Kunjungan :

3.Tanggal Kunjungan :

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA 1.02.01.01.16.49.5.2, Tanggal 14 Oktober 2016

2.Tujuan Kunjungan : Aula Dinas Kesehatan Kabupaten Blitar

3.Tanggal Kunjungan : 3 November 2016

4.Maksud Kunjungan : Koordinasi memaksimalkan program JKN

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA 1.02.01.01.16.49.5.2, Tanggal 4 Januari 2016

2.Tujuan Kunjungan : Dinas Kesehatan Kabupaten Blitar

3.Tanggal Kunjungan : 9 Mei 2017

4.Maksud Kunjungan : Konsul Bendahara JKN

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA 1.02.01.01.16.49.5.2, Tanggal 4 Januari 2016

2.Tujuan Kunjungan : Dinas Kesehatan Kabupaten Blitar

3.Tanggal Kunjungan : 6 April 2016

4.Maksud Kunjungan : Pertemuan dan Koordinasi Bendahara

5. Hasil Kunjungan :
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Pelaksana

Ernie Yuliastutik

NIP. 19750726 200604 2 015


LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Pustu Purworejo

3.Tanggal Kunjungan : 28 Desember 2015

4.Maksud Kunjungan : ANC Terpadu

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Bendowulung

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Purworejo

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Sanankulon

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Bendosari

3.Tanggal Kunjungan : 16 November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Kalipucung

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Sumber

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Sumberjo

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Sumberingin

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Jeding

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.
LAPORAN HASIL PERJALANAN DINAS

1.Dasar : DPA nomor 1.02.01.01.16.49.5.2 tanggal 2 Januari 2015

2.Tujuan Kunjungan : Desa Gledug

3.Tanggal Kunjungan : November 2015

4.Maksud Kunjungan :

5. Hasil Kunjungan :
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Pelaksana

NIP.

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