DAFTAR HADIR PESERTA

KEGIATAN : KAJI BANDING PROGRAM GIZI DALAM RANGKA PENANGANA

UPTD PUSKESMAS SUKOMORO KE UPTD PUSKESMAS LEMB
TEMPAT : UPTD PUSKESMAS LEMBEYAN
HARI/ TANGGAL : SELASA, 17 DESEMBER 2019

NO NAMA ASAL INSTANSI TANDA TANGAN

1 1 .........................
2

3 3 .........................
4

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

6
7 7 .........................

9 9 .........................

10

11 11 .........................
12

13 13 .........................

14

15 15 .........................

16
17 17 .........................

18

19 19 .........................

20

Mengetahui
Kepala UPTD Puskesmas Sukomoro Pelaksana

dr. SISWIYANTINING W TSALIS M AL FAJRIAH, AMd.K

NIP. 19610401 198903 2 002 NIP. 19830111 201001 2 00

MEGA RATNANINGTYAS, SK
NIP. 19840409 201902 2 00
RANGKA PENANGANAN STUNTING
TD PUSKESMAS LEMBEYAN

TANDA TANGAN

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

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

6 .........................

8 .........................

10 .........................

12 .........................

14 .........................

16 .........................

18 .........................

20 .........................
 Pelaksana

S M AL FAJRIAH, AMd.Kep
19830111 201001 2 002

A RATNANINGTYAS, SKM
19840409 201902 2 006