PEMERINTAH KABUPATEN SAMBAS

PUSAT KESEHATAN MASYARAKAT (PUSKESMAS)

SELAKAU
Jln.Raya Sei Nyirih Kecamatan Selakau Kode Pos 79452

ABSENSI RAPAT TIM AKREDITASI

POKJA I

Tema :..........................................................................................................

Hari / Tanggal :..........................................................................................................

Waktu :..........................................................................................................

Tempat :..........................................................................................................

1. Ketua Tim : Bayurizu :1...........................

2. Sekretaris 1 : Dhofarudin :2...........................
3. Sekretaris 2 : U. Dery :3...........................
4. Internal Audit : Irwan Setiawan :4...........................
5. Koordinator Pokja I : Dwi Kartika :5...........................

Bab I : Rusdi :...................................

 Anggota : 1. Kursain :...................................
: 2. Eni Mulyani :...............................

Bab II : Tiyas Pratiwi :...................................

 Anggota : 1. Mahmuda :...................................
2. Catur Juliandi :...................................
3. Kursain :...................................
4. U. Deri :...................................
5. Cintia :...................................
6. Misriani :...................................
Bab III : Susi :...................................
 Anggota : 1. Ridwan :...................................
2. Dhofarudin :...................................
3. Cintia :...................................

Mengetahui
Penanggung Jawab

Dr.H.Yana Sumartana
NIP.19720526 2005021002
*Catatan Hasil Rapat :

No Koordinator Instrumen Penilaian Kesimpulan