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  • LPT 3 Org

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    p2m puskesmastirtajaya
    6 tayangan1 halaman

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    LPT 3 ORG.docx

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    6 tayangan1 halaman

    LPT 3 Org

    Diunggah oleh

    p2m puskesmastirtajaya

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    LAPORAN PELAKSANAAN TUGAS

    1. Dasar Penugasan : Surat Tugas Kepala Puskesmas Tirtajaya No. 440/ /PKM
    2. Nama Petugas / Tim :
    3. Tujuan Perjalanan :
    4. Maksud Perjalanan :
    5. Tanggal Perjalanan :
    6. Hasil Kunjungan :
    a. ................................................................................................................................................
    ................................................................................................................................................
    ................................................................................................................................................
    ................................................................................................................................................
    ..................................................................................................................
    b. ................................................................................................................................................
    ................................................................................................................................................
    ................................................................................................................................................
    ................................................................................................................................................
    ..................................................................................................................

    7. Kesimpulan/ Saran Perbaikan :


    a. ................................................................................................................................................
    ....................................................................................................................................
    b. ................................................................................................................................................
    ....................................................................................................................................

    Lokasi yang di Kunjungi Karawang, ..............................


    Pelapor,

    ____________________ 1. ....................... (....................)

    2. ....................... (....................)

    3. ........................ (...................)

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