DINAS KESEHATAN
UPT PUSKESMAS KLAMPOKAN
Jl. Desa Battal Ds. Krajan RT 001 RW 003 No.06
Desa Klampokan Panji - Situbondo 68323
Telp (082264601282)-E_mail : puskesmas.klampokan19 @gmail.com
A. NAMA KEGIATAN :
B. TANGGAL PELAKSANAAN :
C. TEMPAT KEGIATAN :
D. PELAKSANA KEGIATAN :
E. SASARAN KEGIATAN :
F. HASIL KEGIATAN :
a. PROSES KEGIATAN
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b. PERMASALAHAN YANG DI HADAPI
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c. EVALUASI HASIL KEGIATAN
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d. RENCANA TINDAK LANJUT KEGIATAN
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e. LAMPIRAN HASIL KEGIATAN
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