DINAS KESEHATAN
PUSKESMAS LOMBOK
Alamat:Jalan. Wisata Lombok KM 10 Suka Maju, Lumbok Seminung 34879 (9)
SMS Center 081379316810, 082185531308, Email Puskesmaslomboklambar@gmail.com
NOTULEN
Rapat : ..................................................
Waktu : ..................................................
Acara : 1. ..................................................
2. ..................................................
Dst
Pimpinan Rapat
Ketua : ..................................................
Notulen : ..................................................
Peserta Rapat
1. ..................................................
2. ..................................................
3. ..................................................
4. ..................................................
5. ..................................................
6. Dst
Kegiatan Rapat :
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
Mengetahui
KEPALA PUSKESMAS LOMBOK PEMBUAT LAPORAN
Waktu : ..................................................
Tempat : ..................................................
Acara : ..................................................
1.
2.
3.
4.
6
Mengetahui
KEPALA PUSKESMAS LOMBOK PENANGGUNG JAWAB