Format Daftar Hadir Pertemuan PKM Bagendit

PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
UPT PUSKESMAS BAGENDIT
JL. K.H Hasan Arif No.10 Desa Banyuresmi Kecamatan Banyuresmi Kab. Garut
Tlp. (0262) 2443001 E-mail : puskesmasbagendit2014@gmail.com
DAFTAR HADIR
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
NO. NAMA TANDA TANGAN KET
PANGKAT
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Garut, ........................................
PEMBUAT DAFTAR
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...............................................
NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR KELAS BALITA

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
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Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR PERTEMUAN AMP SOSIAL

Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR KEGIATAN REFRESHING KADER

Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
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5 5
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Garut, ........................................
PIMPINAN PERTEMUAN/RAPAT PEMBUAT DAFTAR
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR KEGIATAN PEMBENTUKAN SAKA BAKTI

HUSADA
Hari : ..........................................................................
Tanggal : ..........................................................................
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Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR PERTEMUAN PEMBINAAN POSKESTREN

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
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Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR KEGIATAN PEMICUAN CLTS
Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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2 2
3 3
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Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR SOSIALISASI PMT PEMULIHAN

Hari :
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Tanggal :
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Waktu :
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Tempat :
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Acara :.........................................................................
JABATAN/
PANGKAT
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2 2
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5 5
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11 11
12 12
13 13
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15 15
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19 19
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21 21
22 22
23 23
Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR SOSIALISASI GIZI

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
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Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR SOSIALISASI BPB

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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DINAS KESEHATAN
DAFTAR HADIR FGD TB PARU
Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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25 25
Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR SOSIALISASI BATRA

Hari :
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Tanggal :
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Waktu :
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Tempat :
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Acara :.........................................................................
JABATAN/
PANGKAT
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2 2
3 3
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5 5
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11 11
12 12
13 13
14 14
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21 21
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23 23
24 24
25 25
Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR PERTEMUAN PEMBENTUKAM KKR

Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
NO. NAMA TANDA TANGAN
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
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2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR SOSIALISASI SDIDTK

Hari :
..........................................................................
Tanggal :
..........................................................................
Waktu :
..........................................................................
Tempat :
..........................................................................
Acara :.........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
32 32
33 33
Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR PERTEMUAN KESEHATAN KERJA

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
Garut, ........................................
.................................................... ....................................................
.................................................. ...............................................
NIP. .................................................. NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR PEMBENTUKAN DOKCIL

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................
DINAS KESEHATAN
DAFTAR HADIR PERTEMUAN AMP PUSKESMAS

Hari :..........................................................................
Tanggal :..........................................................................
Waktu :..........................................................................
Tempat :..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................

DINAS KESEHATAN
DAFTAR HADIR PERTEMUAN MMD

Hari : ..........................................................................
Tanggal : ..........................................................................
Waktu : ..........................................................................
Tempat : ..........................................................................
Acara : .........................................................................
JABATAN/
PANGKAT
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
Garut, ........................................
PEMBUAT DAFTAR
....................................................
...............................................
NIP. ..................................................

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PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR KELAS BALITA

DAFTAR HADIR PERTEMUAN AMP SOSIAL

DAFTAR HADIR KEGIATAN REFRESHING KADER

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR KEGIATAN PEMBENTUKAN SAKA BAKTI

DAFTAR HADIR PERTEMUAN PEMBINAAN POSKESTREN

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR SOSIALISASI PMT PEMULIHAN

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR SOSIALISASI GIZI

DAFTAR HADIR SOSIALISASI BPB

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR SOSIALISASI BATRA

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR PERTEMUAN PEMBENTUKAM KKR

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR SOSIALISASI SDIDTK

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR PERTEMUAN KESEHATAN KERJA

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR PEMBENTUKAN DOKCIL

DAFTAR HADIR PERTEMUAN AMP PUSKESMAS

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR PERTEMUAN MMD

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