DAFTAR HADIR PESERTA

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Sumbersari, ............................2018
Mengetahui:
Kepala Puskesmas Sumbersari, Pembuat Daftar,

dr. Arriyassatul Mutaqiyah ........................................

NIP. 19780331 200604 2 008 NIP .................................
Nama Kegiatan : ......................................................................
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Tanggal/Pukul : ......................................................................
Tempat : ......................................................................

Notulen Pertemuan ....................................................................................................

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Majalaya, ............................2018
Pimpinan Pertemuan, Notulen,

Hj. Teti Mulyati, SKM., MMKes .......................................

NIP. 19690417 198903 2 004 NIP .....................................
 PEMERINTAH KABUPATEN BANDUNG
DINAS KESEHATAN
PUSKESMAS SUMBERSARI
Kp. Lembang Haur RT 01 RW 05 Desa Sumbersari Ciparay 40381
Telp. (022) 85962080 e-mail : pksumbersari_bandungkab@yahoo.com

Nomor : ...../....../PKM/..../2018 Sumbersari, ....................... 2018

Sifat : Penting Kepada:
Lampiran :- Yth Karyawan/Karyawati
Perihal : di
Tempat

Dengan hormat,
Sehubungan dengan pentingnya pembahasan penggalangan Komitmen Dalam
Peningkatan Kinerja di Puskesmas Jelekong, maka Kami mohon Bapak/Ibu
untuk hadir pada:

Hari : Rabu
Tanggal : 7 Maret 2018
Waktu : 15.30 sampai dengan selesai
Tempat : Aula Puskesmas Jelekong

Demikian surat undangan ini Kami sampaikan, atas perhatian dan

kerjasamanya Kami ucapkan terima kasih.

Kepala Puskesmas Sumbersari,

dr. Arriyassatul Mutaqiyah

NIP 19670521 199803 2 003