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LAPORAN PELAKSANAAN TUGAS

1. Dasar Penugasan : Surat Tugas Kepala Puskesmas Nomor : 800/ /PKM-PA/2019


2. Nama Petugas : Johana Tapangan, Amd.Keb
3. Tujuan Perjalanan : Kelurahan Sukasari, Rw.....
( Posyandu ......................................)
4. Tanggal Perjalanan : ....................... 2019
5. Maksud Perjalanan : Pelayanan Posyandu
6. Hasil Kunjungan :
a. Penimbangan
0 – 11 Bulan 12 – 23 Bulan 24 – 60 Bulan
L P L P L P
S
D

b. Pelayanan Imunisasi :

L P L P
BCG + Polio 1 Campak
DPT - HB - HIB 1 + Polio2 Boster Pentabio
DPT - HB - HIB 2 + Polio 3 Boster Campak
DPT - HB - HIB 3 + Polio 4 HB0
TT :

c. Pemeriksaan ANC =
K1: K4: KL:

7. Permasalahan yang dihadapi


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8. Rencana Tindak Lanjut


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Bogor, ................2019

Kader Posyandu Yang melaksanakan

( ...............................................) Johana Tapangan , Amd.Keb


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