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PEMERINTAH KABUPATEN MALANG

DINAS KESEHATAN
UPT PUSKESMAS WAGIR
JL. Raya Pandanrejo No. 61 Wagir Telp. .081336288385
e-mail :puskesmaswagir@ymail.com website: puskesmaswagir.weebly.com
Malang 65158

LAPORAN HASIL KEGIATAN

PROGRAM : GIZI

KEGIATAN : KONSELING PMBA

TANGGAL : ...........................................................2020

TEMPAT : ………………………RT……RW………….

PETUGAS MONITORING : SUNARMI S.Kep Ners

HASIL :

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EVALUASI :

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RENCANA TINDAK LANJUT :

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TINDAK LANJUT :

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Wagir, ..........................................2020

Mengetahui,

PJ UKM ESENSIAL Pelaksana

SUNARMI, S Kep Ners YOVITA KARTIKA Amd Keb

NIP.196905081991022003
PEMERINTAH KABUPATEN MALANG
DINAS KESEHATAN
UPT PUSKESMAS WAGIR
JL. Raya Pandanrejo No. 61 Wagir Telp. .081336288385
e-mail :puskesmaswagir@ymail.com website: puskesmaswagir.weebly.com
Malang 65158

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