Pengabdian Masyarakat

DINAS KESEHATAN KABUPATEN TASIKMALAYA

UPTD PUSKESMAS DTP MANONJAYA
Jl. Tangsi No. 6 Telp. (0265) 381109 Fax.(0265) 381109 Manonjaya 46197

SURAT TUGAS
No :

Kepala UPTD Puskesmas DTP Manonjaya dengan ini :

MENUGASKAN
Kepada yang namanya tercantum dibawah ini :

NAMA PANGKAT
NO JABATAN
NIP GOLONGAN

H.Nana Rokhana, S.Kep.,Ners Penata TK.I

1 Ketua
NIP. 197408012199503 1 002 III/d
2 Heru Iyan Asari, S.Kep.,Ners. Msi Penata Muda TK.I Anggota
NIP. 19870101 201101 1 001 III/b
3 Rizka Hermawati, S.Kep Penata Muda Anggota
NIP. 19811127 201001 2 008 III/a
4 Hanna Handiawati, AMK Pengatur Anggota
NIP. 19830101 201101 1 001 II/c

Untuk : Melaksanakan tugas penyuluhan kesehatan penyakit filariasis yang akan

dilaksanakan pada :
Hari : ..........................................................................................
Tanggal : ...........................................................................................
Tempat : ...........................................................................................

Demikian surat tugas ini dibuat untuk dilaksanakan sebagaimana mestinya

Ditetapkan : Manonjaya
Pada Tanggal :
Kepala UPTD Puskesmas Manonjaya

dr.H.Bonbon Sahroni
NIP.19810421 201001 1016

Pengabdian Masyarakat

DINAS KESEHATAN KABUPATEN TASIKMALAYA

 UPTD PUSKESMAS DTP MANONJAYA
Jl.Tangsi No. 6 Telp. (0265) 381109 Fax.(0265) 381109 Manonjaya 46197

LAPORAN KEGIATAN

Hari/Tanggal :
Tempat :
Topik :
Laporan kegiatan penyuluhan :
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Ketua

..............................................
NIP. Pengabdian Masyarakat

DINAS KESEHATAN KABUPATEN TASIKMALAYA

 UPTD PUSKESMAS DTP MANONJAYA
Jl. Tangsi No. 6 Telp. (0265) 381109 Fax.(0265) 381109 Manonjaya 46197

SURAT TUGAS
No :

Kepala UPTD Puskesmas DTP Manonjaya dengan ini :

MENUGASKAN
Kepada yang namanya tercantum dibawah ini :

NAMA PANGKAT
NO JABATAN
NIP GOLONGAN

H.Nana Rokhana, S.Kep.,Ners Penata TK.I

1 Ketua
NIP. 197408012199503 1 002 III/d
2 Heru Iyan Asari, S.Kep.,Ners. Msi Penata Muda TK.I Anggota
NIP. 19870101 201101 1 001 III/b
3 Rizka Hermawati, S.Kep Penata Muda Anggota
NIP. 19811127 201001 2 008 III/a
4 Hanna Handiawati, AMK Pengatur Anggota
NIP. 19830101 201101 1 001 II/c

Untuk : Melaksanakan tugas tim satgas penanggulangan bencana yang akan

dilaksanakan pada :
Hari : ..........................................................................................
Tanggal : ...........................................................................................
Tempat : ...........................................................................................

Demikian surat tugas ini dibuat untuk dilaksanakan sebagaimana mestinya

Ditetapkan : Manonjaya
Pada Tanggal :
Kepala UPTD Puskesmas Manonjaya

dr.H.Bonbon Sahroni
NIP.19810421 201001 1016

Pengabdian Masyarakat

DINAS KESEHATAN KABUPATEN TASIKMALAYA

UPTD PUSKESMAS DTP MANONJAYA
 Jl.Tangsi No. 6 Telp. (0265) 381109 Fax.(0265) 381109 Manonjaya 46197

LAPORAN KEGIATAN

Hari/Tanggal :
Tempat :
Topik :
Laporan kegiatan penyuluhan :
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.............................................................................................................................................

Ketua

..............................................
NIP.