LAPORAN PERJALANAN TUGAS

1. Dasar
1.Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 27 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 28 Maret 2018 an. Very GM Saragih
NIP. 198309102017052002
2. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 27 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 28 Maret 2018 an. Sahman Damanik
THL
3. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 27 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 28 Maret 2018 an.Lusiana Siagian
NIP. 198401152006042004

2. Yang Melaksanakan Perjalanan Dinas :

1. Nama : Very GM Saragih
NIP : 198309102017052002
Pangkat/Golongan : Pengatur/IIC
Jabatan : Bidan
2. Nama : Sahman Damanik
NIP : THL
Pangkat/Golongan : THL
Jabatan : Honorer
3. Nama : Lusiana Siagian
NIP : 198401152006042004
Pangkat/Golongan : Penata/IIIC
Jabatan : Epidemiolog Kesehatan
4. Tujuan
Melaksanakan kegiatan Posyandu Lansia di Kel. BP Nauli
5. Waktu/Lamanya Perjalanan Dinas :
28 Maret 2018/1 hari
6. Hasil Pelaksanaan Tugas :

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

7. Penutup.
Demikian laporan perjalanan dinas ini diperbuat untuk dapat dipergunakan sebagaimana mestinya.
Pematangsiantar, Maret 2018
Diketahui, Yang melaksanakan tugas,
Kepala SKPD Dinas Kesehatan 1. Very GM Saragih ________________
Kota Pematangsiantar,
2. Sahman Damanik ________________

dr.Ronald H. Saragih,M.Kes 3. Lusiana Siagian ________________

NIP. 19620818 199003 1 005
 LAPORAN PERJALANAN TUGAS

1. Dasar
1.Surat Perintah Tugas Nomor : 800/ /SPTI/III/2018 Tanggal 2 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 3 Maret 2018 an. Juni Tetty Siallagan
NIP. 197006051991032007

2. Yang Melaksanakan Perjalanan Dinas :

1. Nama : Juni Tetty Siallagan
NIP : 197006051991032007
Pangkat/Golongan : Penata Tk.I/IIID
Jabatan : Perawat Penyelia
3. Tujuan
Melaksanakan kegiatan pengambilan obat TB MDR ke RSUD
4. Waktu/Lamanya Perjalanan Dinas :
3 Maret 2018/1 hari
5. Hasil Pelaksanaan Tugas :
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................

6. Penutup.
Demikian laporan perjalanan dinas ini diperbuat untuk dapat dipergunakan sebagaimana
mestinya.
Pematangsiantar, Maret 2018
Diketahui, Yang melaksanakan tugas,
Kepala SKPD Dinas Kesehatan 1.Juni Tetty Siallagan ________________
Kota Pematangsiantar,

dr.Ronlad H. Saragih,M.Kes
NIP. 19620818 199003 1 005
 LAPORAN PERJALANAN TUGAS

1. Dasar
1.Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 9 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 10 Maret 2018 an. Roni Panjaitan
NIP 197711301998032001
2. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 9 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 10 Maret 2018 an. Arni
NIP. 196203071986012001

2. Yang Melaksanakan Perjalanan Dinas :

1. Nama : Roni Panjaitan
NIP : 197711301998032001
Pangkat/Golongan : Penata Muda Tk.I/IIIB
Jabatan : Bidan Pelaksana Lanjutan
2. Nama : Arni
NIP : 196203071986012001
Pangkat/Golongan : Penata Tk.I/IIID
Jabatan : Perawat Penyelia
3. Tujuan
Melaksanakan kegiatan Sweeping DO KB di Kel. Mekar Nauli
4. Waktu/Lamanya Perjalanan Dinas :
10 Maret 2018/1 hari
5. Hasil Pelaksanaan Tugas :

.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
6. Penutup.
Demikian laporan perjalanan dinas ini diperbuat untuk dapat dipergunakan sebagaimana mestinya.
Pematangsiantar, Maret 2018
Diketahui, Yang melaksanakan tugas,
Kepala SKPD Dinas Kesehatan 1. Roni Panjaitan ________________
Kota Pematangsiantar,
2.Arni ________________

dr.Ronald H. Saragih,M.Kes
NIP. 19620818 199003 1 005
 LAPORAN PERJALANAN TUGAS

1. Dasar
1.Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 20 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 21 Maret 2018 an.Hotma Tua L Siburian
NIP. 198404142009032008
2. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 20 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 21 Maret 2018 an. Roselina Simanjuntak
NIP. 196408031988022001
3. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 20 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 21 Maret 2018 an.Lusiana Siagian
NIP. 198401152006042004
4.Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 20 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 21 Maret 2018 an.Sahman Damanik
NIP. THL
5. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 20 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 21 Maret 2018 an.Juni Tetty Siallagan
NIP. 196408031988022001
6. Surat Perintah Tugas Nomor : 800/ /SPT/III/2018 Tanggal 20 Maret 2018 SPPD Nomor :
800/ /SPPD-BOK/III/2018 Tanggal 21 Maret 2018 an.Frinses J Sihite
NIP. 197911172006042017

2. Yang Melaksanakan Perjalanan Dinas :

1. Nama : Hotma Tua L Siburian
NIP : 198404142009032008
Pangkat/Golongan : Penata Muda/IIIA
Jabatan : Nutrisionis
2. Nama : Roselina Simanjuntak
NIP : 196408031988022001
Pangkat/Golongan : Penata Muda Tk.I/IIIB
Jabatan : Staf Puskesmas
3. Nama : Lusiana Siagian
NIP : 198401152006042004
Pangkat/Golongan : Penata /IIIC
Jabatan : Epidemiolog Kesehatan
4. Nama : Sahman Damanik
NIP : THL
Pangkat/Golongan : THL
Jabatan : Honorer
5. Nama : Juni Tetty Siallagan
NIP : 196408031988022001
Pangkat/Golongan : Penata Tk.I/IIID
Jabatan : Perawat Penyelia
6. Nama : Frinses J Sihite
NIP : 197911172006042017
Pangkat/Golongan : Penata Muda/IIIA
Jabatan : Perawat Pelaksana
3. Tujuan
Melaksanakan kegiatan Home visit PIS-PK di kel. Mekar Nauli
4. Waktu/Lamanya Perjalanan Dinas :
21 Maret 2018/1 hari
5. Hasil Pelaksanaan Tugas :
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
6. Penutup.
Demikian laporan perjalanan dinas ini diperbuat untuk dapat dipergunakan sebagaimana mestinya.
Pematangsiantar, Maret 2018
Diketahui, Yang melaksanakan tugas,
Kepala SKPD Dinas Kesehatan 1. Hotma Tua L Siburian ________________
Kota Pematangsiantar,
2. Roselina Simanjuntak ________________

3. Lusiana Siagian _________________

4. Sahman Damanik _________________

5.Juni Tetty Siallagan _________________

dr.Ronald H. Saragih,M.Kes 6. Frinses J Sihite _________________

NIP. 19620818 199003 1 005
Diketahui : Pematangsiantar,
Kepala Puskesmas BP Nauli Yang Melakukan Perjalanan Dinas

Kota Pematangsiantar

Drg. Hendry F Ginting

NIP.197512312006041043 NIP.