PEMERINTAH KABUPATEN BENGKULU UTARA

PUSKESMAS PERAWATAN AIR BINTUNAN

Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Mandiri di desa Girimulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Rukun Mulya di desa Girimulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Sejahtera di desa Girimulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Rukun Damai di desa Girimulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Werdo Waluyo di desa Girimulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

2. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Sido Waras di desa Tanjung Anom Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Werdo Waluyo di desa Tanjung Anom Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Ngudi Waras di desa Tanjung Anom Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Pringgondani di desa Wonoharjo Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Gotong Royong di desa Wonoharjo Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Sumber Waras di desa Wonoharjo Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Kartika di desa Wonoharjo Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Mbangun Rejo di desa Suka Makmur Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Ngudi Santoso di desa Suka Makmur Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Setia Budi I di desa Suka Makmur Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Setia Budi II di desa Suka Makmur Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Ngudi Mulyo di desa Suka Makmur Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Rena Jaya di desa Rena Jaya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Sehat di desa Suka Mulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001
 PEMERINTAH KABUPATEN BENGKULU UTARA
PUSKESMAS PERAWATAN AIR BINTUNAN
Jalan raya Girimulya kode Pos 38655
Puskesmas

LAPORAN PERJALANAN DINAS

Perihal : Laporan Hasil Perjalanan Dinas Dalam Rangka Pelaksanaan Kegiatan Posyandu Lansia,
di Posyandu Asoka di desa Suka Mulya Tanggal Mei 2019

Berkenaan dengan Surat Tugas No : /BOK/PKM-AB/ /2019 dari Kepala Puskesmas Air
Bintunan untuk melakukan kegiatan posyandu ke desa Dapat kami laporkan :

1.Jml Lansia :
2.Jml Lansia Di periksa :
3.Jml Lansia Di timbang :
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................

Girimulya, Mei 2019

1. Maryati,SST 1
NIP : 19740304 199212 2 001