DAFTAR HADIR
NOTULEN
Notulen Sebelumnya -
Pembahasan 1. ……………
2. ……………
3. ………. Intervensi dilakukan sesuai masalah pokok per
desa………dst
4. ………..
.
Kesimpulan 1. ………….
2. ………….
3. …… intervensi dilakukan dengan prioritas masalah utama di setiap
desa
4. Penanggung jawab intervensi lanjut sesuia dengan binwil masing-
masing
Waktu Penutupan
xxxxxxx, ....................................2023
Mengetahui ,
Kepala Puskesmas...... Notulen
……………………………
NIP. ………………….. NIP.
PEMERINTAH KABUPATEN NUNUKAN
DINAS KESEHATAN PEGENDALIAN
PENDUDUK DAN
KOPnya KELUARGA
pake Kop Kecamatan BERENCANA
UPTD PUSKESMAS .......................
Alamat : ........................................
Telepon: ........... Email : ....................
Nunukan,........................................2023
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Hari, Tanggal : .............................................
Waktu : .............................................
Tempat : ............................................
Acara : Lokakarya Triwulan Puskesmas..............................................
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,
Camat ……….
…………………………….
Nip.