EP 1. Daftar Hadir DSB

PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
UPT PUSKESMAS SAMARANG
Jalan Raya Samarang No. Telp ( 0262 ) Kode Pos - Garut
Email : Samarangpuskesmas@yahoo.co.id Blog : http ://puskesmasSamarang.blogspot.com
DAFTAR HADIR PERTEMUAN
Hari : .......................................................................
Tanggal : .......................................................................
Waktu : .......................................................................
Tempat : .......................................................................
Acara : .......................................................................
NO NAMA JABATAN/PANGKAT TANDATANGAN

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Garut, Agustus 2017

Kepala UPT Puskesmas Samarang
Hj.Sukmanah L,S.Kep, Ners

NIP.196802151989012001
DINAS KESEHATAN
DAFTAR MAMIN
Hari : .......................................................................
Tanggal : .......................................................................
Waktu : .......................................................................
Tempat : .......................................................................
Acara : .......................................................................
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Garut, 20 Juli 2017


NIP.196802151989012001
DINAS KESEHATAN
NOTULEN
Sidang/Rapat : .........................................................................................................
Waktu Panggilan : .........................................................................................................
Waktu Sidnag/Rapat : .........................................................................................................
Acara : 1. ....................................................................................................
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Pimpinan Sidang Rapat
Ketua : .........................................................................................................
Sekretaris : .........................................................................................................
Pencatat : .........................................................................................................
Peserta Sidang/Rapat : 1. ....................................................................................................
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Kegiatan Sidang/Rapat : 1. ....................................................................................................
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1. Kata Pembukaan : .........................................................................................................
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2. Pembahasan : .........................................................................................................
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3. Peraturan : .........................................................................................................
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PIMPINAN RAPAT
DINAS KESEHATAN
DAFTAR BANTUAN TRANSPORT
Hari : .......................................................................
Tanggal : .......................................................................
Waktu : .......................................................................
Tempat : .......................................................................
Acara : .......................................................................
NO NAMA UANG TANDATANGAN

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
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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
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
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47 Rp 50,000 47
48 Rp 50,000 48
49 Rp 50,000 49
Jumlah Rp 2,450,000
Garut, 20 Juli 2017


NIP.196802151989012001
DINAS KESEHATAN
VISUM HASIL KEGIATAN
Nama Kegiatan : Kelas ibu balita

Hari :
Tanggal :
Tempat/Lokasi : Desa Samarang
Mengetahui, Samarang, 2017
Pejabat yang dikunjungi, Pelaksana
(..............................)
NIP.
DINAS KESEHATAN
Hari : .......................................................................
Tanggal : .......................................................................
Waktu : .......................................................................
Tempat : .......................................................................
Acara : .......................................................................

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Mengetahui, Garut, Agustus 2017
Kepala Desa Samarang Bidan Desa Samarang

EP 1. Daftar Hadir DSB

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EP 1. Daftar Hadir DSB

Diunggah oleh

Hak Cipta:

Format Tersedia

PEMERINTAH KABUPATEN GARUT

DAFTAR HADIR PERTEMUAN

NO NAMA JABATAN/PANGKAT TANDATANGAN

Garut, Agustus 2017

Hj.Sukmanah L,S.Kep, Ners

NO NAMA JABATAN/PANGKAT TANDATANGAN

Garut, 20 Juli 2017

Hj.Sukmanah L,S.Kep, Ners

DAFTAR BANTUAN TRANSPORT

NO NAMA UANG TANDATANGAN

Garut, 20 Juli 2017

Hj.Sukmanah L,S.Kep, Ners

VISUM HASIL KEGIATAN

Nama Kegiatan : Kelas ibu balita

NO NAMA JABATAN/PANGKAT TANDATANGAN

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