Anda di halaman 1dari 1

PETUNJUK PENGISIAN INSTRUMEN BAGI PETUGAS KESEHATAN

Kesimpulan Hasil Inspeksi Kesehatan Lingkungan :


MEMENUHI SYARAT KESEHATAN/ TIDAK MEMENUHI SYARAT KESEHATAN
(Coret yang tidak perlu)(Rekomendasi ini untuk TTU/TFU yang bersifat Instansi Pemerintah dan
masyarakat/Non Komersil)

REKOMENDASI :
........................................................................................................................................................................
........................................................................................................................................................................
........................................................................................................................................................................
........................................................................................................................................................................
.........................................................................................................................................

................................20.......

Penanggung Jawab Sekolah Kepala Puskesmas

..................................................................... .................................................

..................................................................... ................................................

Anda mungkin juga menyukai