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Aturan penulisan :

1. Logo berwarna : Logo dinas sebelah kiri dan logo puskesmas sebelah kanan
2. Huruf menggunakan Arial ukuran 12
3. Margin kanan 1,5 cm dan kiri 2 cm. Margin atas dan bawah 2 cm
4. Spasi 1 sampai 1,5

CONTOH FORMAT SK DAN SOP YANG SUDAH DI ATUR PENULISAN NYA


PEMERINTAH KABUPATEN BOGOR
DINAS KESEHATAN
UPT PUSKESMAS SADENG PASAR
Kp. Sadeng Pasar Rt. 001 Rw. 003 Desa Babakan Sadeng
Kecamatan Leuwisadeng Kabupaten Bogor
email : upfsadengpasar@gmail.com
Hotline: 0815-1475-2148

KEPUTUSAN KEPALA UPT PUSKESMAS SADENG PASAR


NOMOR : .../.......-........PkmSdPsr/I/2022

TENTANG
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KEPALA UPT PUSKESMAS SADENG PASAR


Menimbang : a. Bahwa.......................................................................
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b. Bahwa.......................................................................
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MEMUTUSKAN

Menetapkan : KEPUTUSAN...........................................................TENTANG
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KESATU : ....................................................................................................
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KEDUA : ....................................................................................................
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KETIGA : ..............
KETIGA : ....................................................................................................
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Ditetapkan di : .............................
Pada Tanngal : ............................
KEPALA,

drg. Febriyanti
NIP. 198102062011012003
LAMPIRAN I:

PERATURAN KEPALA UPT PUSKESMAS SADENG PASAR


NOMOR :............................................................
TANGGAL :............................................................

KEPALA,

drg. Febriyanti
NIP. 198102062011012003
JUDUL SOP

No. Dokumen :
No. Revisi :
SOP
Tgl. Terbit :
Halaman :

KEPALA UPT PUSKESMAS


UPT PUSKESMAS
drg. Febriyanti
SADENG PASAR
NIP. 198102062011012003

1. Pengertian .................................................................................................................
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5. Langkah - 1. ............................................................................................................
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4. ...........dst
6. Unit Terkait 1. ...................................
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4. ............dst

No. Dokumen : 440/ /SOP-/PkmSPs/I/2022


No. Revisi : 00
Tanggal Terbit : 04 / 01 /2022
Halaman : 1/1

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