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PEMERINTAH KABUPATEN OGAN KOMERING ULU TIMUR

UPTD PUSKESMAS BUNGA MAYANG


Jln. Arah Muaradua KM 13 Negeri Ratu Kec. Bunga Mayang Kab. OKU Timur Kode Pos 32181

LAPORAN PERJALANAN KEGIATAN

1. Nama : .............................................................................

2. NIP : ...................................................................................

3. Pangkat/Gol : ...................................................................................

4. Jabatan : ...................................................................................

5. Daerah yang dikunjungi : ...................................................................................

6. Nomor/Tgl SPD : ...................................................................................

7. Masalah yang dibahas/temuan yang : ...................................................................................


diperoleh

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8. Saran-saran tindak lanjut yang : ...................................................................................


diusulkan

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Mengetahui Bunga Mayang, 2021

Pelapor

1. ..................................................

2. ..................................................
(.................................................) 3. ..................................................

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