DAFTAR HADIR

HARI :

TANGGAL :

TEMPAT :

ACARA :

NO NAMA ALAMAT TANDA TANGAN

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Tangerang, - 09 - 2021
Pelaksana Kegiatan

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 UPT PUSKESMAS SANGIANG
Jl. Cempaka XIII No. 5A, Perum Taman Cibodas, Kel. Sangiang Jaya, Kec. Periuk, Kota Tangerang
Telp: 021-55786271 Email: pkmsangiang@yahoo.co.id

DAFTAR HADIR

Hari :
Tanggal :
Tempat :
Acara :

NO NAMA ALAMAT TANDA TANGAN

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Tangerang,
Kepala UPT Puskesmas Sangiang,

dr. Hj. Ikah Farhah

NIP. 197305302005012005
 TANDA TERIMA DONASI DOCTORSHARE

NO NAMA Bagian TANGGAL ITEM BARANG HAIR SPA HAIR MASK TANDA TANGAN

1 dr.Fery Ferdiansyah Ka Pus REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA HAIR MASK
2 SARNADI,SKM Ka Subag TU REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
3 drg.YULIA FRIFIANTY dokter gigi REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
4 MASLAKHAH,SKM Bidan/skm REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
5 M A R K I, AMK Perawat REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
6 NURALIYAH S,SSiT Bidan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
FITRIAH
7 Perawat REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
HANDAYANI
ARIK
8 Ast. Apoteker REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HARI SPA
ARUMAWATI ,AMF
IIN HANIFATUL
9 Analis Kesehatan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
BAROJAH
10 NURAFIFAH,AMK Perawat REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
SITI
11 Bidan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
HABIBAH,Am.Keb
12 Erina Devi Kesling REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
13 Evi Novita Perawat REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
14 dr.NURUL H I dr. Umum REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
15 Astri Maryati Farm,Apt Apoteker REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
16 ANISSA ISNAENI Bidan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
17 DARUL ILMI Akuntansi REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
18 LAILATU SYAIDAH Promkes REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
19 RETASYA VIRGINIA M Gizi REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
20 NENG NURLAELAH F Bidan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
21 FENI LIANASARI Rekam medis REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
22 DUDI MULYADI Supir REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
23 MOHAMAD SOLEH Keamanan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
24 Rita Afriyanti Loket REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS
25 Agi Kausar Kebersihan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
26 Putri Natalya Analis Kesehatan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR SPA
27 Usup Keamanan REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS HAIR MASK
28 dr.Chyntia Omega Dokter Umum REDOXON 1 BOX GARNIER 12 PCS MASKER KN 95 3 PCS