PEMERINTAHAN KABUPATEN SUKABUMI

DINAS KESEHATAN
PPK. BLUD. UPTD. PUSKESMAS GUNUNGGURUH
Jl. Palabuhan II KM 10 Kp. Kubang Jaya Rt 02 Rw 09 Desa Sirnaresmi Email: pkm.gguruh@gmail.com

NOTULEN

Rapat :

Hari/Tanggal : ............................................................................................................................
Waktu Panggilan : ............................................................................................................................
Waktu Rapat : ............................................................................................................................
Acara : ............................................................................................................................
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Pimpinan Rapat
Ketua : ..........................................................................................................................................
Sekretaris : ...........................................................................................................................................
Pencatat : ...........................................................................................................................................

Peserta Rapat : ...........................................................................................................................................

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Kegiatan Rapat :..........................................................................................................................................

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1. Kata Pembukaan : ..............................................................................................................................
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2. Pembahasan : ..............................................................................................................................
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