SURAT PERINTAH TUGAS

Nomor : 090/ /SPT/Pusk/2019

Dasar : DPA Progaram Peningkatan Pelayanan Masyarakat BOK ( DAK Non Fisik
Bantuan Operasional Kesehatan) Puskesmas Nomor : 1.02.1.02.01.16.25 Tahun
2019

MEMERINTAHKAN

Kepada : 1. Nama : M. Junaidi,SKM

Pangkat/Gol : Penata Tk 1/ III-c
NIP : 196912021989032001
Jabatan : Kepala UPTD Puskesmas Rantau Pandan

2. Nama : Muhammad Dodi Indra, SKM

Pangkat/Gol :-
NIP :-
Jabatan : Petugas Promotor Kesehatan

3. Nama : Erlina Patriyanti, Amd.Keb

Pangkat/Gol :-
NIP :-
Jabatan : Petugas Puskesmas

4. Nama :
Pangkat/Gol :-
NIP :-
Jabatan :

Untuk : Melaksanakan Penyuluhan HIV/AIDS di SMP/SMA :

1. MTS / Dusun Rantau Pandan / Tanggal Juli 2019
2. MTS. Tafizal Qur’an/ Dusun Rantau Duku/ Tanggal Juli 2019
3. MTS. Nurul Haq/ Dusun Lubuk Mayan / Tanggal Juli 2019
4. MAS. Nurul Haq/ Dusun Lubuk Mayan / Tanggal Juli 2019

Ditetapkan di
: UPTD Puskesmas Rantau Pandan
Pada Tanggal
: Juli 2019
Kepala UPTD Puskesmas Rantau Pandan

M. JUNAIDI,SKM
NIP.19641231 1988 03 1076
PEMERINTAH KABUPATEN BUNGO
DINAS KESEHATAN
UPTD PUSKESMAS RANTAU PANDAN
Jln. RM Taher Ds. Rantau Pandan Kec. Rantau Pandan Kode Pos. 37261
 e-mail : puskesmasrpandan@gmail.com

SURAT PERINTAH TUGAS

Nomor : 090/ /SPT/Pusk/2019

Dasar : DPA Progaram Peningkatan Pelayanan Masyarakat BOK ( DAK Non Fisik
Bantuan Operasional Kesehatan) Puskesmas Nomor : 1.02.1.02.01.16.25 Tahun
2019

MEMERINTAHKAN

Kepada 1. Nama : M. Junaidi,SKM

Pangkat/Go l : Penata Tk 1/ III-c
NIP : 196912021989032001
Jabatan : Kepala UPTD Puskesmas Rantau

2.Nama : Muhammad Dodi Indra, SKM

Jabatan : Petugas Promotor Kesehatan

Untuk : Menghadiri Pertemuan Penyampaian Progres Kegiatan Promkes Triwulan I Tahun

2019

Ditetapkan di
: UPTD Puskesmas Rantau Pandan
Pada Tanggal
: 10 Juli 2019
Kepala UPTD Puskesmas Rantau Pandan

M. JUNAIDI,SKM
NIP.19641231 1988 03 1076

LAPORAN SINGKAT PERJALANAN DINAS

Nama Petugas : M. Junaidi,SKM/196912021989032001
Jabatan : Kepala UPTD Puskesmas Rantau Pandan
Nomor Surat Tugas : 090/ /SPT/Pusk/2019
Tanggal Surat Tugas : Juli 2019
Berangkat Tanggal : Juli 2019
Kembali Tanggal : Juli 2019
Tujuan :

Kegiatan Yang Dilaksanakan :

Menghadiri Pertemuan Penyampaian Progres Kegiatan Promkes Triwulan I Tahun 2019
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Hasil Kegiatan :
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Mengetahui Rantau Pandan, Juli 2019

Yang Melakukan Perjalanan Dinas

M. Junaidi,SKM
NIP. NIP.19641231 1988 03 1076

LAPORAN SINGKAT PERJALANAN DINAS

Nama Petugas : Muhammad Dodi Indra, SKM
Jabatan : Promotor Kesehatan Puskesmas
Nomor Surat Tugas : 090/ /SPT/Pusk/2019
Tanggal Surat Tugas : Juli 2019
Berangkat Tanggal : Juli 2019
Kembali Tanggal : Juli 2019
Tujuan :

Kegiatan Yang Dilaksanakan :

Menghadiri Pertemuan Penyampaian Progres Kegiatan Promkes Triwulan I Tahun 2019
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Hasil Kegiatan :
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Mengetahui Rantau Pandan, Juli 2019

Yang Melakukan Perjalanan Dinas

Muhammad Dodi Indra, SKM

NIP.

LAPORAN SINGKAT PERJALANAN DINAS

Nama Petugas : M. Junaidi,SKM/196912021989032001
Jabatan : Kepala UPTD Puskesmas Rantau Pandan
Nomor Surat Tugas : 090/ /SPT/Pusk/2019
Tanggal Surat Tugas : Juli 2019
Berangkat Tanggal : Juli 2019
Kembali Tanggal : Juli 2019
Tujuan :

Kegiatan Yang Dilaksanakan :

Melaksanakan Penyuluhan HIV/AIDS di SMP/SMA
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Hasil Kegiatan :
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Mengetahui Rantau Pandan, Juli 2019

Kepala Sekolah Yang Melakukan Perjalanan Dinas

M. Junaidi,SKM
NIP. NIP. 196912021989032001

LAPORAN SINGKAT PERJALANAN DINAS

Nama Petugas : Muhammad Dodi Indra, SKM
Jabatan : Promotor Kesehatan
Nomor Surat Tugas : 090/ /SPT/Pusk/2019
Tanggal Surat Tugas : Juli 2019
Berangkat Tanggal : Juli 2019
Kembali Tanggal : Juli 2019
Tujuan :

Kegiatan Yang Dilaksanakan :

Melaksanakan Penyuluhan HIV/AIDS di SMP/SMA
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Hasil Kegiatan :
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Mengetahui Rantau Pandan, Juli 2019

Kepala Sekolah Yang Melakukan Perjalanan Dinas

Muhammad Dodi Indra, SKM

NIP.

LAPORAN SINGKAT PERJALANAN DINAS

Nama Petugas : Erlina Patriyanti, Amd.Keb
Jabatan : Staf Puskesmas
Nomor Surat Tugas : 090/ /SPT/Pusk/2019
Tanggal Surat Tugas : Juli 2019
Berangkat Tanggal : Juli 2019
Kembali Tanggal : Juli 2019
Tujuan :

Kegiatan Yang Dilaksanakan :

Melaksanakan Penyuluhan HIV/AIDS di SMP/SMA
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
Hasil Kegiatan :
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Mengetahui Rantau Pandan, Juli 2019

Kepala Sekolah Yang Melakukan Perjalanan Dinas

Erlina Patriyanti, Amd.Keb

NIP.

LAPORAN SINGKAT PERJALANAN DINAS

Nama Petugas :
Jabatan :
Surat Tugas : 090/ /SPT/Pusk/2019
Tanggal Surat Tugas : Juli 2019
Berangkat Tanggal : Juli 2019
Kembali Tanggal : Juli 2019
Tujuan :

Kegiatan Yang Dilaksanakan :

Melaksanakan Penyuluhan HIV/AIDS di SMP/SMA
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
Hasil Kegiatan :
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................

Mengetahui Rantau Pandan, Juli 2019

Kepala Sekolah Yang Melakukan Perjalanan Dinas

NIP.