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PEMERINTAH KABUPATEN GARUT

DINAS KESEHATAN KABUPATEN GARUT


UPT PUSKESMAS SINDANGRATU
Jalan Raya Bungbulang Km 65 Kecamatan Pakenjeng, Garut (44164)
E-mail: puskesmasdtpsindangratu@gmail.com

NOTULEN

Rapat : .............................................................................................

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

Waktu Panggilan : .............................................................................................

Waktu Rapat : .............................................................................................

Acara : 1. .........................................................................................

2. .........................................................................................

3. .........................................................................................

4. .........................................................................................

5. .........................................................................................

Pimpinan Rapat : .............................................................................................

Ketua : .............................................................................................

Sekretaris : .............................................................................................

Pencatat/notulis : .............................................................................................

: .............................................................................................

Peserta Rapat : 1. .........................................................................................

2. .........................................................................................

3. .........................................................................................

4. .........................................................................................

Kegiatan Rapat : 1. .........................................................................................

2. .........................................................................................

3. .........................................................................................
1. Pembukaan : .............................................................................................

.............................................................................................

2. Pembahasan : .............................................................................................

.............................................................................................

3. Peraturan : .............................................................................................

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Sekretaris, Pimpinan Rapat,

IPCN Ketua TIM PPI

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