PEMERINTAH KABUPATEN LUMAJANG

PUSKESMAS PADANG
Jl. Raya Padang No. 48 (0334) 889522
PADANG-LUMAJANG
LAPORAN HASIL KEGIATAN
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PUSKESMAS PADANG KABUPATEN LUMAJANG

I. NAMA KEGIATAN :
II. TANGGAL PELAKSANAAN :
III. TEMPAT KEGIATAN :
IV. PELAKSANA KEGIATAN :
V. SASARAN KEGIATAN :
VI. HASIL KEGIATAN :
a. PROSES KEGIATAN
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b. PERMASALAHAN YANG DIHADAPI

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c. PROBLEM SOLVING
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Padang, 09 Oktober 2017

Mengetahui
Kepala Puskesmas Padang

DR. RINA YULYA AGUSTIN

NIP .19800814 201001 2 016