PEMERINTAH KABUPATEN MALUKU TENGGARA

DINAS KESEHATAN
PUSKESMAS DANAR
Jl. Husada Ohoi Danar Sare Kecamatan Kei Kecil Timur Selatan
Email : puskesmasdanar@gmail kode pos 97611

LAPORAN PERJALANAN DINAS

I Dasar : Surat Tugas Kepala Puskesmas Danar Nomor : 800/ / / P.Danar/ 2022
II Petugas pelaksana : 1. .............................................
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III Maksud Perjalanan Dinas : Melaksanakan ...........................................................
IV Lokasi Tugas : ...............................................................
V Waktu Pelaksanaan : ....... (.......... ) hari, tanggal .... s/d ..... ............ 2022
VI. Kegiatan :
A. Gambaran Umum

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B. Permasalahan Yang Ditemukan :

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C. Usul Pemecahan :
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Demikian Laporan Perjalanan ini dibuat sebagai pertanggungjawaban pelaksanaan

Kegiatan .

Mengetahui ..............., ............................. 2022

Kepala Puskesmas Danar Petugas Pelaksana

(Hi. Yusuf Warwefubun) (....................................................)

Penata Tk. I NIP. .........................................
NIP. 19770905 200003 1 006
DOKUMENTASI LAPORAN PERJALANAN DINAS

Danar, 21 Juli 2022