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PEMERINTAH KABUPATEN BANYUWANGI

DINAS KESEHATAN
UPTD PUSKESMAS SEMPU
Jl. Kalisetail No.170 Sempu Telp/Fax (0333) 845011
KECAMATAN SEMPU 68468

SURAT PERINTAH TUGAS


Nomor : 094/ /429.112.36 /2020

Yang bertanda tangan di bawah ini :


Nama : HADI KUSAIRI, SKM, MMKes
NIP : 19640705 198802 1 004
Gol / Pangkat : III D / Penata Tk.I
Jabatan : Kepala Puskesmas Sempu
MEMBERIKAN TUGAS KEPADA :
No Nama NIP Tanggal
1 HENDY SETIYANTORO, 19800827 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13,
SKep Ns 200604 1 019 14, 16, 17, 18, 19, 20, 21, 23, 24,
26, 27
2 MITA SRI RAHAYU, 19801007 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13,
AMdKeb 201905 2 001 14, 16, 17, 18, 19, 20, 21, 23, 24,
26, 27
3 Dr. DANIEK WARDHANI THL 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13,
ENDRAJATI 14, 16, 17, 18, 19, 20, 21, 23, 24,
26, 27
4 Dr EVANH THL 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13,
PURWANARENDRA HADI 14, 16, 17, 18, 19, 20, 21, 23, 24,
26, 27
Untuk melakukan pelacakan (Tracing) dan deteksi dini (Screening) Kasus Covid 19 pada bulan
Maret Tahun 2020.
Demikian surat tugas ini diberikan untuk dilaksanakan dengan sebaik-baiknya dan penuh rasa
tanggung jawab.

Dikeluarkan di : Banyuwangi
Pada tanggal : Maret 2020

Kepala Puskesmas Sempu

HADI KUSAIRI, SKM, MMKes


NIP. 19640705 198802 1 004

PEMERINTAH KABUPATEN BANYUWANGI


DINAS KESEHATAN
UPTD PUSKESMAS SEMPU
Jl. Kalisetail No.170 Sempu Telp/Fax (0333) 845011
KECAMATAN SEMPU 68468

SURAT PERINTAH TUGAS


Nomor : 094/ /429.112.36 /2020

Yang bertanda tangan di bawah ini :


Nama : HADI KUSAIRI, SKM, MMKes
NIP : 19640705 198802 1 004
Gol / Pangkat : III D / Penata Tk.I
Jabatan : Kepala Puskesmas Sempu
MEMBERIKAN TUGAS KEPADA :
No Nama NIP Tanggal
1 HENDY SETIYANTORO, 19800827 3, 4, 6, 7, 8, 9, 11, 13, 14, 15, 16,
SKep Ns 200604 1 019 17, 18, 20, 21, 23, 24, 25, 27, 28,
29, 30
2 MITA SRI RAHAYU, 19801007 3, 4, 6, 7, 8, 9, 11, 13, 14, 15, 16,
AMdKeb 201905 2 001 17, 18, 20, 21, 23, 24, 25, 27, 28,
29, 30
3 Dr. DANIEK WARDHANI THL 3, 4, 6, 7, 8, 9, 11, 13, 14, 15, 16,
ENDRAJATI 17, 18, 20, 21, 23, 24, 25, 27, 28,
29, 30
4 Dr EVANH THL 3, 4, 6, 7, 8, 9, 11, 13, 14, 15, 16,
PURWANARENDRA HADI 17, 18, 20, 21, 23, 24, 25, 27, 28,
29, 30
Untuk melakukan pelacakan (Tracing) dan deteksi dini (Screening) Kasus Covid 19 pada bulan
April Tahun 2020.
Demikian surat tugas ini diberikan untuk dilaksanakan dengan sebaik-baiknya dan penuh rasa
tanggung jawab.

Dikeluarkan di : Banyuwangi
Pada tanggal : April 2020

Kepala Puskesmas Sempu

HADI KUSAIRI, SKM, MMKes


NIP. 19640705 198802 1 004
PEMERINTAH KABUPATEN BANYUWANGI
DINAS KESEHATAN
UPTD PUSKESMAS SEMPU
Jl. Kalisetail No.170 Sempu Telp/Fax (0333) 845011
KECAMATAN SEMPU 68468

SURAT PERINTAH TUGAS


Nomor : 094/ /429.112.36 /2020
Yang bertanda tangan di bawah ini :
Nama : HADI KUSAIRI, SKM, MMKes
NIP : 19640705 198802 1 004
Gol / Pangkat : III D / Penata Tk.I
Jabatan : Kepala Puskesmas Sempu
MEMBERIKAN TUGAS KEPADA :
No Nama NIP Tanggal
1 HENDY SETIYANTORO, 19800827 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
SKep Ns 200604 1 019 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
2 MITA SRI RAHAYU, 19801007 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
AMdKeb 201905 2 001 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
3 JUNI’AH AMdKep 19801228 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
200701 2 007 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
4 DWI KARTIKOSARI 19830302 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
AMdKeb 201704 2 002 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
5 SITI HASANAH AMdKeb 19840210 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
201704 2 005 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
6 YHAN WISNU HASMORO 19860227 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
AMdKep 201903 1 001 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
7 TWIN AGUSTINA AMdKeb 19790822 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
201905 2 002 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
8 Dr. DANIEK WARDHANI THL 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
ENDRAJATI 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
9 Dr EVANH THL 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
PURWANARENDRA HADI 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
10 LAGISTA PRANATA Skep THL 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
Ns 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
11 UMI SUCIATI AMdKep THL 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,
15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30

12 CANDRA WIBOWO THL 2, 4, 5, 6, 8, 9, 11, 12, 13, 14,


AMdKep 15, 16, 18, 19, 20, 21, 22, 23,
26, 27, 28, 29, 30
Untuk melakukan pelacakan (Tracing) dan deteksi dini (Screening) Kasus Covid 19 pada bulan
Mei Tahun 2020.
Demikian surat tugas ini diberikan untuk dilaksanakan dengan sebaik-baiknya dan penuh rasa
tanggung jawab.

Dikeluarkan di : Banyuwangi
Pada tanggal : Mei 2020

Kepala Puskesmas Sempu

HADI KUSAIRI, SKM, MMKes


NIP. 19640705 198802 1 004

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