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PEMERINTAH KABUPATEN PANDEGLANG

DINAS KESEHATAN
UPT PUSKESMAS DTP SUMUR
Jl. Pasir malang Desa Sumberjaya – Sumur 42283
Email: puskesmassumur.2@gmail.com

KERANGKA ACUAN KEGIATAN


PROGRAM TB PARU

A. PENDAHULUAN
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B. LATAR BELAKANG
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C. TUJUAN
1. Tujuan Umum
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2. Tujuan Khusus
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b. ....................................................................

D. KEGIATAN POKOK DAN RINCIAN KEGIATAN


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E. CARA MELAKSANAKAN KEGIATAN


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F. SASARAN
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G. JADWAL PELAKSANAAN KEGIATAN


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

NO JENIS KEGIATAN WAKTU PENANGGUNG


JAWAB
1
2

3
4

2. Jadwal Kegiatan Luar Gedung


Bulan Penanggung
Kegiatan
1 2 3 4 5 6 7 8 9 10 11 12 Jawab
1

H. PEMBIAYAAN
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I. PENCATATAN, PELAPORAN DAN EVALUASI


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J. PENUTUP
Demikian kerangka acuan kegiatan ini dibuat, semoga kegiatan dapat terlaksana dengan
lancar dan tujuan kegiatan ini dapat tercapai.

Sumur, 02 Februari 2022


Mengetahui
Kepala UPT Puskesmas DTP Sumur Penanggung Jawab Program TB Paru

Eha Julaeha Sah,S.Kep ......................................................


NIP.198106262007012011

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