DAFTAR ISI

BAB I PENGERTIAN ................................................................................................................................ 1

BAB II RUANG LINGKUP ......................................................................................................................... 4

BAB III TATA LAKSANA .......................................................................................................................... 5

A. TATA LAKSANA PENYELENGGARAAN TATA NASKAH ............................................................. 5

B. TATA LAKSANA NASKAH DINAS ............................................................................................. 8
C. KEWENANGAN PENGGUNAAN ATAS NAMA ......................................................................... 9
D. PARAF, PENULISAN NAMA, PENANDATANGANAN DAN PENGGUNAAN TINTA UNTUK
NASKAH DINAS ...................................................................................................................... 9
E. STEMPEL ................................................................................................................................ 10
F. KOP NASKAH DINAS ............................................................................................................... 11
G. SAMPUL NASKAH DINAS ........................................................................................................ 11
H. PAPAN NAMA ........................................................................................................................ 12
I. DOKUMEN AKREDITASI .......................................................................................................... 12

BAB IV DOKUMENTASI ......................................................................................................................... 33

LAMPIRAN ............................................................................................................................................ 34

A. KOP NASKAH DINAS ................................................................................................................ 34

B. CONTOH KEPUTUSAN KEPALA UPT PUSKESMAS SETABELAN ............................................... 35
C. CONTOH FORMAT STANDAR OPERASIONAL PROSEDUR ( SOP ) ........................................... 38
D. CONTOH SURAT BIASA .......................................................................................................... 40
E. CONTOH SURAT KETERANGAN .............................................................................................. 41
F. CONTOH FORMAT SURAT IZIN .............................................................................................. 42
G. SURAT PERJANJIAN ................................................................................................................ 43
H. FORMAT SURAT PERINTAH TUGAS ........................................................................................ 45
I. FORMAT SURAT PERINTAH PERJALANAN DINAS ( SPPD ) ..................................................... 46
J. FORMAT SURAT KUASA ......................................................................................................... 48
K. CONTOH FORMAT SURAT UNDANGAN ................................................................................. 49
L. CONTOH FORMAT SURAT KETERANGAN MELAKSANAKAN TUGAS ....................................... 50
M. CONTOH SURAT PANGGILAN ................................................................................................. 51
N. CONTOH FORMAT NOTA DINAS ............................................................................................ 52
O. CONTOH LEMBAR DISPOSISI .................................................................................................. 53
P. CONTOH LAPORAN ................................................................................................................ 54
Q. CONTOH SURAT PENGANTAR ................................................................................................ 55
R. CONTOH FORMAT BERITA ACARA ........................................................................................ 56
S. CONTOH FORMAT NOTULEN ................................................................................................. 57
T. CONTOH FORMAT DAFTAR HADIR ........................................................................................ 58
U. CONTOH BENTUK PENULISAN A.N D UPT PUSKESMAS SETABELAN ..................................... 59
V. BENTUK PEMBUBUHAN PARAF DAN PENULISAN NAMA DI UPT PUSKESMAS SETABELAN .. 60
W. BENTUK, UKURAN DAN ISI STEMPEL UPT PUSKESMAS SETABELAN ..................................... 61
X. BENTUK, UKURAN DAN ISI KOP SAMPUL NASKAH DINAS DI UPT PUSKESMAS SETABELAN . 62
Y. BENTUK DAN ISI PAPAN NAMA UPT PUSKESMAS SETABELAN .............................................. 64