PEMERINTAH KABUPATEN GARUT

DINAS KESEHATAN
UPT PUSKESMAS PEMBANGUNAN
Jalan Raya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

DAFTAR HADIR PERTEMUAN

Hari : Selasa

Tanggal : 04 April 2017

Waktu : 09.00 WIB

Tempat : Kantor UPT Puseksmas Pembangunan

Acara : Pembahasan Identifikasi Kebutuhan Masyarakat

NO NAMA JABATAN/PANGKAT TANDATANGAN KET

1 dr. Hj. Sri Cahyatiningsih Ka. Puskesmas 1

2 Yanyan Supriatna, S.IP, SKM Ka. TU 2

3 dr, Hj. Sisca Risya F Dokter Fungsional 3

4 Ema Asgaritta, SST Bidan KIA 4

5 Jemi Mulyadi, SE Staf TU 5

6 H. Subagja Eska H Administrasi 6

GArut, 04 Maret 2017

Kepala UPT Puskesmas Pembangunan

Dr. Hj Sri Cahyatiningsih

NIP. 196910062002122001
 PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
UPT PUSKESMAS PEMBANGUNAN
Jalan Raya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

DAFTAR MAMIN

Hari : .......................................................................
Tanggal : .......................................................................
Waktu : .......................................................................
Tempat : .......................................................................
Acara : .......................................................................

NO NAMA JABATAN/PANGKAT TANDATANGAN KET

1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
NO NAMA JABATAN/PANGKAT TANDATANGAN KET

26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49

GArut, 20 Juli 2017

Kepala UPT Puskesmas Pembangunan

Dr. Hj Sri Cahyatiningsih

NIP. 196910062002122001
 PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
UPT PUSKESMAS PEMBANGUNAN
Jalan Raya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

NOTULEN

Sidang/Rapat : Rapat tim perencanaan

Waktu Panggilan : 08.30 WIB
Waktu Sidang/Rapat : 09.00 WIB s.d selesai
Acara : 1. Pembukaan
2. Penyampaian kebutuhan masyarakat
3. Analisa dan pemecahan masalah
4. Rencana Tindak Lanjut
5. Penutup
Pimpinan Sidang Rapat
Ketua : Dr. Hj. Sri Cahyatiningsih
Sekretaris : Yanyan Supriatna, S.IP{, SKM
Pencatat : Jemmy Mulyadi, SE
Peserta Sidang/Rapat : 1. Kepala Puskesmas
2. Kepala Tata Usaha
3. Anggota tim Perencanaan
Kegiatan Sidang/Rapat : 1. Pembukaan Rapat
2. Inventarisasi kegiatan bulan lalu
3. Analisa masalah dan pemecahannya
4. Penyusunan Kegiatan yang akan datang
5. Pembuatan Rencana Tindak Lanjut
1. Kata Pembukaan : Pelaksanaan kegiatan perlu ada peningkatan yang signifikan
dimana kerjasama yang efektif antara lintas program dan lintas sektor
perlu ditingkatkan, selain itu kegiatan yang dilaksanakan harus
sesuai dengan jadwal yang telah ditetapkan. Monitoring hasil kegiatan
akan dipantau untuk melihat hasil pencapaian kegiatan

2. Pembahasan : .........................................................................................................
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 PIMPINAN RAPAT
KEPALA UPT PUSKESMAS Pembangunan

Dr. Hj Sri Cahyatiningsih

NIP. 196910062002122001
PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
T PUSKESMAS PEMBANGUNAN
ya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

NOTULEN

Pelaksanaan kegiatan perlu ada peningkatan yang signifikan

dimana kerjasama yang efektif antara lintas program dan lintas sektor
perlu ditingkatkan, selain itu kegiatan yang dilaksanakan harus
sesuai dengan jadwal yang telah ditetapkan. Monitoring hasil kegiatan
akan dipantau untuk melihat hasil pencapaian kegiatan

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KEPALA UPT PUSKESMAS Pembangunan

Dr. Hj Sri Cahyatiningsih

NIP. 196910062002122001
 PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
UPT PUSKESMAS PEMBANGUNAN
Jalan Raya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

DAFTAR BANTUAN TRANSPORT

Hari : .......................................................................
Tanggal : .......................................................................
Waktu : .......................................................................
Tempat : .......................................................................
Acara : .......................................................................

NO NAMA UANG TANDATANGAN KET

1 Rp 50,000 1
2 Rp 50,000 2
3 Rp 50,000 3
4 Rp 50,000 4
5 Rp 50,000 5
6 Rp 50,000 6
7 Rp 50,000 7
8 Rp 50,000 8
9 Rp 50,000 9
10 Rp 50,000 10
11 Rp 50,000 11
12 Rp 50,000 12
13 Rp 50,000 13
14 Rp 50,000 14
15 Rp 50,000 15
16 Rp 50,000 16
17 Rp 50,000 17
18 Rp 50,000 18
19 Rp 50,000 19
20 Rp 50,000 20
21 Rp 50,000 21
22 Rp 50,000 22
NO NAMA UANG TANDATANGAN KET
23 Rp 50,000 23
24 Rp 50,000 24
25 Rp 50,000 25
26 Rp 50,000 26
27 Rp 50,000 27
28 Rp 50,000 28
29 Rp 50,000 29
30 Rp 50,000 30
31 Rp 50,000 31
32 Rp 50,000 32
33 Rp 50,000 33
34 Rp 50,000 34
35 Rp 50,000 35
36 Rp 50,000 36
37 Rp 50,000 37
38 Rp 50,000 38
39 Rp 50,000 39
40 Rp 50,000 40
41 Rp 50,000 41
42 Rp 50,000 42
43 Rp 50,000 43
44 Rp 50,000 44
45 Rp 50,000 45
46 Rp 50,000 46
47 Rp 50,000 47
48 Rp 50,000 48
49 Rp 50,000 49
Jumlah Rp 2,450,000

GArut, 20 Juli 2017

Kepala UPT Puskesmas Pembangunan

Dr. Hj Sri Cahyatiningsih

NIP. 196910062002122001
 PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
UPT PUSKESMAS PEMBANGUNAN
Jalan Raya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

VISUM HASIL KEGIATAN

Nama Kegiatan : Pertemuan penetapan jenis jenis pelayanan di Puskesmas

Hari : Jumat
Tanggal : 03 Januari 2017
Tempat/Lokasi : Gedung UPT Puskesmas Pembangunan
 Garut, 03 Januari 2017
Peserta

(............................................)
NIP.
PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
T PUSKESMAS PEMBANGUNAN
Raya Pembangunan No. 216 Telp.0262-231661 Tarogong Kidul- Garut

VISUM HASIL KEGIATAN

 Garut, 03 Januari 2017

(............................................)
NIP.