Blangko Daftar Hadir Promkes Di Masy Dan Sekolah

PEMERINTAH KABUPATEN PASER
DINAS KESEHATAN
UPTD PUSKESMAS PADANG PENGRAPAT
Jl. Gajah Mada, Padang Pengrapat Kode Pos 76211
E-mail : padang.pengrapat@gmail.com
DAFTAR HADIR :
No Nama Jabatan
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Padang Pengrapat,........................... 2018

Kepala UPTD Puskesmas Padang Pengrapat
Supriyanto, A.Md. Kep, S.K.M

Nip.19660407 198612 1 002
EN PASER
AN
NG PENGRAPAT
Kode Pos 76211
gmail.com
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ngrapat,........................... 2018
D Puskesmas Padang Pengrapat
yanto, A.Md. Kep, S.K.M

19660407 198612 1 002
DINAS KESEHATAN
DAFTAR HADIR
Penyuluhan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Alamat
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Pelaksana Program Promkes
Nina Nurmala Sari, SKM
EN PASER
AN
NG PENGRAPAT
Kode Pos 76211
gmail.com
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ngrapat,........................... 2018
ksana Program Promkes
na Nurmala Sari, SKM
DINAS KESEHATAN
DAFTAR HADIR
Penyuluhan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Alamat
10
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Pelaksana Program Promkes
Nina Nurmala Sari, SKM

EN PASER
AN
G PENGRAPAT
Kode Pos 76211
gmail.com
Tanda Tangan
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ngrapat,........................... 2018
ksana Program Promkes
na Nurmala Sari, SKM

DAFTAR HADIR
Penyuluhan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Alamat
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Supriyanto, A.Md.Kep,SKM
Nip. 19660407 198612 1 002
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ngrapat,........................... 2018
priyanto, A.Md.Kep,SKM
19660407 198612 1 002
DINAS KESEHATAN
DAFTAR HADIR
Kegiatan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Asal Posyandu Alamat
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Padang Pengrapat,.....................
Kepala UPTD Puskesmas Padang
Supriyanto, A.Md.Kep,SK
Nip. 19660407 198612 1 0
ER
NGRAPAT
s 76211
m
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engrapat,........................... 2018
TD Puskesmas Padang Pengrapat
upriyanto, A.Md.Kep,SKM
. 19660407 198612 1 002
DINAS KESEHATAN
DAFTAR HADIR
Penyuluhan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Alamat
10
11
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Nip. 19660407 198612 1 002
EN PASER
AN
G PENGRAPAT
Kode Pos 76211
gmail.com
Tanda Tangan
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ngrapat,........................... 2019
19660407 198612 1 002
DINAS KESEHATAN
DAFTAR HADIR
Kegiatan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Alamat
10
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Padang Pengrapat, 24 April 2019

Nip. 19660407 198612 1 002
EN PASER
AN
G PENGRAPAT
Kode Pos 76211
gmail.com
Tanda Tangan
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g Pengrapat, 24 April 2019

19660407 198612 1 002
DINAS KESEHATAN
DAFTAR HADIR
Penyuluhan :
Hari/Tanggal :
Tempat :
Jam :
No Nama Alamat Kelas Tanda Tangan
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Ka UPTD Puskesmas Padang Pengra
Nip. 19660407 198612 1 002
T
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at,........................... 2019
smas Padang Pengrapat
o, A.Md.Kep,SKM
407 198612 1 002

Blangko Daftar Hadir Promkes Di Masy Dan Sekolah

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PEMERINTAH KABUPATEN PASER

Padang Pengrapat,........................... 2018

Supriyanto, A.Md. Kep, S.K.M

yanto, A.Md. Kep, S.K.M

Padang Pengrapat,........................... 2018

Padang Pengrapat,........................... 2018

Nina Nurmala Sari, SKM

na Nurmala Sari, SKM

Padang Pengrapat,........................... 2018

No Nama Asal Posyandu Alamat

Padang Pengrapat,........................... 2019

Padang Pengrapat, 24 April 2019

g Pengrapat, 24 April 2019

No Nama Alamat Kelas Tanda Tangan

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