PEMERINTAH KABUPATEN LINGGA

DINAS KESEHATAN PENGENDALIAN PENDUDUK

DAN KELUARGA BERENCANA
UPT PUSKESMAS DABO LAMA
Jln. Raja Ali Haji Kel.Dabo Lama Kec.Singkep Telepon:081261551243
Website:https//pusdabolama.linggakab.go.id UPT PUSKESMAS DABO
Email:upt.puskesmasdabolama@gmail.com KodePos 29871 LAMA

NOTULEN

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Tempat penyelenggaraan :
Hari, tanggal :
Jam :
Narasumber :
Peserta :

1. Agenda rapat :
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2. Pembukaan :

Susunan acara

Jam Acara Pengarah

3. Pembahasan Rapat hari ini:

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4. Masukan :
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5. Kesimpulan:

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6. Penutup:
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Mengetahui,
KEPALA UPT PUSKESMAS DABO LAMA Pemimpin Rapat

dr. JONNER SIMBOLON

Pembina
NIP 19761130 201001 1 010
 PEMERINTAH KABUPATEN LINGGA
DINAS KESEHATAN PENGENDALIAN PENDUDUK
DAN KELUARGA BERENCANA
UPT PUSKESMAS DABO LAMA
Jln. Raja Ali Haji Kel.Dabo Lama Kec.Singkep Telepon:081261551243
Website:https//pusdabolama.linggakab.go.id UPT PUSKESMAS
Email:upt.puskesmasdabolama@gmail.com KodePos 29871 DABO LAMA

Nomor : /PKM-TU/ /2022 Dabo Singkep, 09 Juni 2022

Sifat : Penting Kepada
Lampiran : - Yth . Staf UPT. Puskesmas Dabo Lama
Perihal : Rapat Evaluasi Program Di –
UKm Dabo Singkep

Dengan hormat,

Bersama ini kami mengundang bapak/ibu untuk menghadiri Rapat Lokakarya Mini Bulanan
yang akan dilaksanakan pada :

Hari : Jumat
Tanggal : 10 Juni 2022
Pukul : 10.00 Wib
Tempat : Ruang Rapat UPT. Puskesmas Dabo Lama

Demikianlah disampaikan, atas perhatian dan kerjasamanya diucapkan terima kasih.

KEPALA
KEPALAUPT.
UPT.PUSKESMAS
PUSKESMASDABO
DABOLAMA
LAMA

dr. JONNER SIMBOLON

dr. YAN CAHYADI ANAS
Pembina
Pembina
NIP. 19761130 201001 1 010
NIP. 19790111 200701 1 005
 DAFTAR HADIR PERTEMUAN RAPAT

Hari :
Tanggal :
Waktu :
Tempat :
Acara :

TANDA KET
NO NAMA JABATAN TANGAN
Kepala UPT
1 Puskesmas
dr.JONNER SIMBOLON
Dabo Lama

Kasubbag
2 SUSHENNI, AMK
Urusan Tata
Usaha

3 drg.SITI NAFIAH STAF

4 STAF
dr.YAN CAHYADI ANAS

5
IMRAWATI, Amd.Keb STAF

6 dr.HESTI NINGRUM STAF

7
drg.AMALIA STAF

8
ABDUL RASYID SIMBOLON, S.Farm.Apt STAF

9 STAF
SAFFANAH, AMK

10 STAF
SARNIATI, AMK

11
RAHMAWATY, AMK STAF

12
HELFRIDA MARPAUNG, AMK STAF

13
FITRIYADI, AMK STAF

14
Ns.JUBAIDAH, S.Kep STAF

15 STAF
YUNISTRI FITRIAWATI, AMK

16 ERMIATY TINDAON, AMd. Keb STAF

 TANDA KET
NO NAMA JABATAN TANGAN

17
IRMA YUVITA, AM.Keb STAF

18 WEREANI, AMK
STAF

19 STAF
DEVI AGUSANTI, AMG

20
SUSVIANA SANOVA, A.Md.Keb STAF

SUSHENNI, AMK
21 STAF

22 UMMY KALSUM, AMK

STAF

23 AMIKARIANTI,AMd.Keb
STAF

24 SYAFRINA, AMK
STAF

25 JON VIKTOR BARUS, AMK

STAF

26 SYARIFAH ARIANI, AMK

STAF

27 ROSI SURIANI,AMK
STAF

28 YOSSIE SHAFANI,AMK
STAF

29 NURSALINA,AMK
STAF

30 INGGIH NAYANGSARI,AMd.Keb
STAF

31 ROZI MARSIAH,AMd.Kep
STAF

32 DARMAYANTI, AMd.Kep
STAF

33 AN’NISA ARYA SISWI, AM.Keb

STAF

34 DETI LUPINA, A.Md.Keb

STAF

35 JENI IRAWATI, A.Md.KL

STAF
 TANDA KET
NO NAMA JABATAN TANGAN

36 dr.MIFTAHUL JANNAH
STAF

37 TRIANINGSIH,AMKG
STAF

38 FEBRYNA GITA LESTARY,AMd.Keb

STAF

39
ENDAH RESTY NORIWITA,AMd.Keb STAF

40 AMELIA PEBRIANTI, A.Md.KL

STAF

41 Ns.RIAN ARDILLA, S.Kep

STAF

42 NOVIA HANDAYANI, A.Md.Keb

STAF

43 FITRA SYAHRIANDI, AMK

STAF

44 SUSANTI, A.Md.Kep
STAF

45 M.PRAMONO,A.Md.AK
STAF

46 NELY IVANA
STAF

47 HAFSAH, A.Md.Keb
STAF

48 NOVI YANTI, A.M.Keb

STAF

49 MULIYANA PUTRI MURNI, A.Md.Keb

STAF

50 RIMA YORDA NINGSIH, SKL STAF

51 STAF
FAISAL, AMd.AK

52 ASRI AYU, A.Md.Keb STAF

53 METI HARYANI, S.KM

STAF

54 SEPTIAN EKA SAPUTRA, S.E STAF

NO JABATAN TANDA KET
NAMA
TANGAN

55 NURDIATI PUTRIAZARI, A.Md.Keb STAF

56 STAF
NURUL ATHIFAH, A.Md.Keb

57 EKA SELVIANI,A.Md.Keb STAF

58 ERNI MARTININGSIH STAF

59 HASLIANI STAF

60 JONI BASTIAN STAF

61 M. YUZAM RIZKI WAHYU STAF

62 SAFRIZAL STAF

63 ZULKIFLI STAF

KEPALA UPT. PUSKESMAS DABO LAMA

dr. JONNER SIMBOLON

Pembina
NIP. 19761130 201001 1 010