Lapdinas Juli 23

LAPORAN PERJALANAN DINAS
Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar
1. Dasar : Surat Perintah Tugas Nomor : 400/ /SPT/BOK/PP/II/2023 Tanggal 7 Februari 2023
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 8 Februari 2023 a/n Risma Siregar Amd.Keb
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 8 Februari 2023 a/n Farida Analisa Simatupang, AM.Keb
2. Yang Melaksanakan Perjalanan Dinas

a Nama : Risma Siregar Amd.Keb
NIP : NIP.19700225 199303 2003
Pangkat / Gol : Penata Tk.I/ III d
Jabatan : Bidan Penyelia/ Puskesmas Parsoburan
b Nama : Farida Analisa Simatupang, AM.Keb
NIP : NIP.19840407 201001 2027
Pangkat / Gol : Penata Muda Tk.I/ III c
Jabatan : Bidan Penyelia / Puskesmas Parsoburan
Kunjungan lapangan Pelayanan Kesehatan Ibu dan Anak (Kunjungan Pembinaan Pelayanan ANC, Persalinan,
3. Tujuan
PNC bagi Posyandu Prima, Praktik Mandiri, dan Posyandu / Sweeping Ibu Hamil ) di Kelurahan Suka Maju
:
4. Waktu / Lamanya Perjalanan Dinas : 8 Februari 2023 /1 hari
5. Hasil Perjalanan Dinas :
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6. Penutup :
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Diketahui Pematang Siantar, 8 Februari 2023

KEPALA UPTD PUSKESMAS PARSOBURAN Yang Melaksanakan Perjalanan Dinas
KOTA PEMATANG SIANTAR
dr. Terang Ukur H Kembaren,M.Kes Risma Siregar Amd.Keb 1______

NIP.19680520 200212 1 004 NIP.19700225 199303 2003
Farida Analisa Simatupang, AM.Keb 2______
NIP.19840407 201001 2027
atupang, AM.Keb
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 9 Februari 2023 a/n Lisbeth S Manurung,SKM

NIP : NIP.19700225 199303 2003
b Nama : Lisbeth S Manurung,SKM
NIP : NIP. 19761114 200604 2 017
Pangkat / Gol : Penata Tk-I/ III d
Jabatan : Ka.Sub Bag Tata Usaha/ Puskesmas Parsoburan
Kunjungan lapangan Pelayanan Kesehatan Ibu dan Anak (Kunjungan Pembinaan Pelayanan ANC, Persalinan,
3. Tujuan
PNC bagi Posyandu Prima, Praktik Mandiri, dan Posyandu / Sweeping Ibu Hamil ) di Kelurahan Suka Makmur
:
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19700225 199303 2003
Lisbeth S Manurung,SKM 2______
NIP. 19761114 200604 2 017
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 21 Februari 2023 a/n drg. Ani Arita Eva Simarmata

NIP : NIP.19700225 199303 2003
b Nama : drg. Ani Arita Eva Simarmata
NIP : NIP. 19671207 199312 2001
Pangkat / Gol : Pembina Utama Muda/ IV c
Jabatan : Dokter Gigi Madya/ Puskesmas Parsoburan
Kunjungan lapangan Pelayanan Kesehatan Ibu dan Anak (Kunjungan Pembinaan Pelayanan ANC, Persalinan, PNC
3. Tujuan bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Kunjungan Ibu Hamil TM III dan Pemberian tablet FE di
: Kelurahan Suka Maju
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19700225 199303 2003
drg. Ani Arita Eva Simarmata 2______
NIP. 19671207 199312 2001
Eva Simarmata
n ANC, Persalinan, PNC

berian tablet FE di
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 21 Februari 2023 a/n Shartisa O Simanjuntak, Am.Keb
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 21 Februari 2023 a/n Herlina R. Manurung, Amd.Kes

a Nama : Shartisa O Simanjuntak, Am.Keb
NIP : NIP.19831023 201705 2001
Pangkat / Gol : Pengatur TK.I / II d
Jabatan : Bidan Terampil / Puskesmas Parsoburan
b Nama : Herlina R. Manurung, Amd.Kes
NIP : NIP.19970925 202012 2 004
Pangkat / Gol : Pengatur/ II c
Jabatan : Perawat Gigi Terampil / Puskesmas Parsoburan
3. Tujuan bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Kunjungan Ibu Hamil TM III dan Pemberian tablet FE di
: Kelurahan Suka Makmur
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6. Penutup :
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dr. Terang Ukur H Kembaren,M.Kes Shartisa O Simanjuntak, Am.Keb 1______

NIP.19680520 200212 1 004 NIP.19831023 201705 2001
Herlina R. Manurung, Amd.Kes 2______
NIP.19970925 202012 2 004
manjuntak, Am.Keb
nurung, Amd.Kes

berian tablet FE di
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 22 Februari 2023 a/n dr. Mailani

NIP : NIP.19700225 199303 2003
b Nama : dr. Mailani
NIP : NIP.19670526 200012 2 002
Jabatan : Dokter Ahli Madya/ Puskesmas Parsoburan
3. Tujuan
bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Kunjungan Ibu Bumil Risti ) di Kelurahan Suka Maju
:
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19700225 199303 2003
dr. Mailani 2______
NIP.19670526 200012 2 002
han Suka Maju
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 22 Februari 2023 a/n Hotmauli Simanjuntak,Ssi.Apt

a Nama : Farida Analisa Simatupang, AM.Keb
NIP : NIP.19840407 201001 2027
b Nama : Hotmauli Simanjuntak,Ssi.Apt
NIP : NIP. 19771004 200502 2005
Pangkat / Gol : Pembina Tk .I/ IV b
Jabatan : Apoteker Ahli Madya/ Puskesmas Parsoburan
3. Tujuan
bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Kunjungan Ibu Bumil Risti ) di Kelurahan Suka Makmur
:
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6. Penutup :
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dr. Terang Ukur H Kembaren,M.Kes Farida Analisa Simatupang, AM.Keb 1______

NIP.19680520 200212 1 004 NIP.19840407 201001 2027
Hotmauli Simanjuntak,Ssi.Apt 2______
NIP. 19771004 200502 2005
a Simatupang, AM.Keb
anjuntak,Ssi.Apt

han Suka Makmur
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 13 Februari 2023 a/n Panioan Siahaan, S.Kep. Ners

NIP : NIP.19840407 201001 2027
b Nama : Panioan Siahaan, S.Kep. Ners
NIP : NIP.19731122 199703 2002
Pangkat / Gol : Pembina / IV a
Jabatan : Perawat Madya/ Puskesmas Parsoburan
3. Tujuan
: bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Kunjungan Ibu Nifas ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19840407 201001 2027
Panioan Siahaan, S.Kep. Ners 2______
NIP.19731122 199703 2002
aan, S.Kep. Ners

uka Maju
1______
2______

NIP : NIP.19840407 201001 2027
NIP : NIP. 19771004 200502 2005
3. Tujuan
: bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Kunjungan Ibu Nifas ) di Kelurahan Suka Makmur
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19840407 201001 2027
NIP. 19771004 200502 2005
anjuntak,Ssi.Apt

uka Makmur
1______
2______

NIP : NIP.19700225 199303 2003
NIP : NIP. 19671207 199312 2001
3. Tujuan
: bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Bayi Baru Lahir ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19700225 199303 2003
NIP. 19671207 199312 2001
Eva Simarmata

Maju
1______
2______

NIP : NIP.19700225 199303 2003
NIP : NIP. 19761114 200604 2 017
3. Tujuan
: bagi Posyandu Prima, Praktik Mandiri, dan Posyandu/ Bayi Baru Lahir ) di Kelurahan Suka Makmur
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19700225 199303 2003
NIP. 19761114 200604 2 017
Makmur
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 14 Februari 2023 a/n Lisna Siahaan, S.Gz
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 14 Februari 2023 a/n Nintaida Gultom, Am.Keb

a Nama : Lisna Siahaan, S.Gz
NIP : NIP. 19690120 199403 2002
Jabatan : Nutrisionist Penyelia/ Puskesmas Parsoburan
b Nama : Nintaida Gultom, Am.Keb
NIP : NIP. 19820831 200804 2 001
Pangkat / Gol : Penata/ III c
3. Tujuan bagi Posyandu Prima, Praktik Mandiri, dan Posyandu (Pemantauan kesehatan bayi/balita dan pemberian vitamin A
di Posyandu F1/01 )
:
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6. Penutup :
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dr. Terang Ukur H Kembaren,M.Kes Lisna Siahaan, S.Gz 1______

NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
Nintaida Gultom, Am.Keb 2______
NIP. 19820831 200804 2 001
dan pemberian vitamin A
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 17 Februari 2023 a/n Bintang Siahaan, A.MAK

a Nama : Herlina R. Manurung, Amd.Kes
NIP : NIP.19970925 202012 2 004
b Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
Jabatan : Pranata Lab Kes Penyelia / Puskesmas Parsoburan
di Posyandu F1/02 )
:
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6. Penutup :
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dr. Terang Ukur H Kembaren,M.Kes Herlina R. Manurung, Amd.Kes 1______

NIP.19680520 200212 1 004 NIP.19970925 202012 2 004
Bintang Siahaan, A.MAK 2______
NIP.19800823 200903 2006
nurung, Amd.Kes

1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 15 Februari 2023 a/n Rimmita Siburian, S.Kep.Ners
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 15 Februari 2023 a/n Lasmaria Nenni Asrita, Am.Keb

a Nama : Rimmita Siburian, S.Kep.Ners
NIP : NIP.19781101 200604 2008
Jabatan : Perawat Ahli Muda / Puskesmas Parsoburan
b Nama : Lasmaria Nenni Asrita, Am.Keb
NIP : NIP. 19870329 201705 2 001
di Posyandu F1/03 )
:
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6. Penutup :
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dr. Terang Ukur H Kembaren,M.Kes Rimmita Siburian, S.Kep.Ners 1______

NIP.19680520 200212 1 004 NIP.19781101 200604 2008
Lasmaria Nenni Asrita, Am.Keb 2______
NIP. 19870329 201705 2 001
rian, S.Kep.Ners
ni Asrita, Am.Keb

1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 15 Februari 2023 a/n Yetty Dameria, S.Kep .Ners
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 15 Februari 2023 a/n Christina H. Sihombing

a Nama : Yetty Dameria, S.Kep .Ners
NIP : NIP.19791104 201101 2005
Pangkat / Gol : Penata Muda Tk.I/ III b
Jabatan : Perawat Pertama / Puskesmas Parsoburan
b Nama : Christina H. Sihombing
NIP : NIP.19890406 202012 2 004
Jabatan : Assisten Apoteker / Puskesmas Parsoburan
di Posyandu F1/04 )
:
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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dr. Terang Ukur H Kembaren,M.Kes Yetty Dameria, S.Kep .Ners 1______

NIP.19680520 200212 1 004 NIP.19791104 201101 2005
Christina H. Sihombing 2______
NIP.19890406 202012 2 004
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 16 Februari 2023 a/n Miradonatha Tarigan , AMKL

a Nama : Miradonatha Tarigan , AMKL
NIP : NIP. 19820518 201101 2003
Pangkat / Gol : Penata Muda Tk.I / III b
Jabatan : Sanitarian Pelaksana Lanj,Mahir / Puskesmas Parsoburan
NIP : NIP.19840407 201001 2027
di Posyandu F1/05 )
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Miradonatha Tarigan , AMKL 1______

NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP.19840407 201001 2027
Tarigan , AMKL

1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 16 Februari 2023 a/n Magdalena Tambunan, AM .Keb
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 16 Februari 2023 a/n Bertina Sirait, AMK

a Nama : Magdalena Tambunan, AM .Keb
NIP : NIP.19780324 200604 2006
Pangkat / Gol : Penata Tk.I/ III c
b Nama : Bertina Sirait, AMK
NIP : NIP.19880929 201101 2016
Pangkat / Gol : Penata Muda / III b
Jabatan : Perawat Pelaksana Lanjutan, Mahir/ Puskesmas Parsoburan
di Posyandu F1/06 )
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Magdalena Tambunan, AM .Keb 1______

NIP.19680520 200212 1 004 NIP.19780324 200604 2006
Bertina Sirait, AMK 2______
NIP.19880929 201101 2016
ambunan, AM .Keb

1______
2______

NIP : NIP.19700225 199303 2003
NIP : NIP.19731122 199703 2002
di Posyandu F1/07 )
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19700225 199303 2003
NIP.19731122 199703 2002
aan, S.Kep. Ners

1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 14 Februari 2023 a/n Belly Hari S Rumahorbo, Amd.Keb

a Nama : Belly Hari S Rumahorbo, Amd.Keb
NIP : NIP.19870614 201001 2004
Jabatan : Bidan Pelaksana Lanjutan/ Puskesmas Parsoburan
b Nama : Shartisa O Simanjuntak, Am.Keb
NIP : NIP.19831023 201705 2001
di Posyandu F1/08 )
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Belly Hari S Rumahorbo, Amd.Keb 1______

NIP.19680520 200212 1 004 NIP.19870614 201001 2004
Shartisa O Simanjuntak, Am.Keb 2______
NIP.19831023 201705 2001
umahorbo, Amd.Keb
manjuntak, Am.Keb

1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 20 Februari 2023 a/n Murniati, S.Kep. Ners
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 20 Februari 2023 a/n Roma Pardosi

a Nama : Murniati, S.Kep. Ners
NIP : NIP. 19720506 199203 2003
b Nama : Roma Pardosi
NIP : NIP.19780511 201410 2 001
Pangkat / Gol : Pengatur Muda / II a
Jabatan : Perawat Pemula / Puskesmas Parsoburan
di Posyandu F1/09 )
:
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
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dr. Terang Ukur H Kembaren,M.Kes Murniati, S.Kep. Ners 1______

NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
Roma Pardosi 2______
NIP.19780511 201410 2 001
1______
2______

NIP : NIP. 19690120 199403 2002
NIP : NIP. 19820831 200804 2 001
3. Tujuan
bagi Posyandu Prima, Praktik Mandiri dan Sweeping Pemberian obat cacing di Posyandu F1/01 )
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
NIP. 19820831 200804 2 001
1/01 )
1______
2______

a Nama : Herlina R. Manurung, Amd.Kes
NIP : NIP.19970925 202012 2 004
b Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
3. Tujuan : Kunjungan lapangan Pelayanan Kesehatan Ibu dan Anak (Kunjungan Pembinaan Pelayanan ANC, Persalinan, PNC
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Herlina R. Manurung, Amd.Kes 1______

NIP.19680520 200212 1 004 NIP.19970925 202012 2 004
NIP.19800823 200903 2006
nurung, Amd.Kes

1/02 )
1______
2______

NIP : NIP.19781101 200604 2008
NIP : NIP. 19870329 201705 2 001
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781101 200604 2008
NIP. 19870329 201705 2 001
rian, S.Kep.Ners
ni Asrita, Am.Keb

1/03 )
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 27 Februari 2023 a/n Christina H. Sihombing

NIP : NIP.19791104 201101 2005
b Nama : Christina H. Sihombing
NIP : NIP.19890406 202012 2 004
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19791104 201101 2005
Christina H. Sihombing 2______
NIP.19890406 202012 2 004
1/04 )
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 28 Februari 2023 a/n Miradonatha Tarigan , AMKL
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 28 Februari 2023 a/n Farida Analisa Simatupang, AM.Keb

NIP : NIP. 19820518 201101 2003
NIP : NIP.19840407 201001 2027
3. Tujuan bagi Posyandu Prima, Praktik Mandiri, dan Posyandu /Sweeping Pemantauan kesehatan bayi/balita yang tidak
datang ke Posyandu Balita F1/05 )
:
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP.19840407 201001 2027
Tarigan , AMKL

ayi/balita yang tidak
1______
2______

NIP : NIP.19780324 200604 2006
b Nama : Bertina Sirait, AMK
NIP : NIP.19880929 201101 2016
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
NIP.19880929 201101 2016
ambunan, AM .Keb

1/06 )
1______
2______

NIP : NIP.19700225 199303 2003
NIP : NIP.19731122 199703 2002
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19700225 199303 2003
NIP.19731122 199703 2002
aan, S.Kep. Ners

1/07 )
1______
2______

NIP : NIP.19870614 201001 2004
NIP : NIP.19831023 201705 2001
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
NIP.19831023 201705 2001
umahorbo, Amd.Keb
manjuntak, Am.Keb

1/08 )
1______
2______

NIP : NIP. 19720506 199203 2003
NIP : NIP.19780511 201410 2 001
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
NIP.19780511 201410 2 001
1/09 )
1______
2______

NIP : NIP. 19690120 199403 2002
NIP : NIP. 19870329 201705 2 001
Kunjungan lapangan Pelayanan Kesehatan Ibu dan Anak (Kunjungan lapangan bumil Kurang Energi Kronik,
3. Tujuan Anemia, Bumil risti, bayi Berat Lahir rendah, dan Bayi Balita dengan masalah Gizi/ Pemantauan status gikur ,
stunting di Kelurahan Suka Maju)
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
NIP. 19870329 201705 2 001
ni Asrita, Am.Keb
g Energi Kronik,
auan status gikur ,
1______
2______

NIP : NIP. 19690120 199403 2002
b Nama : Murniati, S.Kep. Ners
NIP : NIP. 19720506 199203 2003
Kunjungan lapangan Pelayanan Kesehatan Ibu dan Anak (Kunjungan lapangan bumil Kurang Energi Kronik,
3. Tujuan Anemia, Bumil risti, bayi Berat Lahir rendah, dan Bayi Balita dengan masalah Gizi/ Pemantauan status gikur ,
stunting di Kelurahan Suka Makmur)
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
Murniati, S.Kep. Ners 2______
NIP. 19720506 199203 2003
g Energi Kronik,
auan status gikur ,
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 16 Februari 2023 a/n Rimmita Siburian, S.Kep.Ners
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 16 Februari 2023 a/n Herlina R. Manurung, Amd.Kes

NIP : NIP.19781101 200604 2008
NIP : NIP.19970925 202012 2 004
Pelayanan Kesehatan Pada Anak Usia Sekolah dan Remaja (Pelaksanaan skrining Kesehatan (termasuk jiwa) pada
3. Tujuan
: Anak usia sekolah dan Remaja / Penjaringan murid baru ) di SMP MTS
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781101 200604 2008
NIP.19970925 202012 2 004
rian, S.Kep.Ners
nurung, Amd.Kes
n (termasuk jiwa) pada
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 17 Februari 2023 a/n Magdalena Tambunan, AM .Keb
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 17 Februari 2023 a/n Yetty Dameria, S.Kep .Ners

NIP : NIP.19780324 200604 2006
b Nama : Yetty Dameria, S.Kep .Ners
NIP : NIP.19791104 201101 2005
3. Tujuan
: Anak usia sekolah dan Remaja / Penjaringan murid baru ) DDTKB di PAUD Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
Yetty Dameria, S.Kep .Ners 2______
NIP.19791104 201101 2005
ambunan, AM .Keb
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 20 Februari 2023 a/n Hotmauli Simanjuntak,Ssi.Apt

NIP : NIP.19780324 200604 2006
NIP : NIP. 19771004 200502 2005
3. Tujuan
: Anak usia sekolah dan Remaja / Penjaringan murid baru ) DDTKB di PAUD Diakonia
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
NIP. 19771004 200502 2005
ambunan, AM .Keb
anjuntak,Ssi.Apt
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 21 Februari 2023 a/n Christina M.N Sihombing,Amd.Far

NIP : NIP.19780324 200604 2006
b Nama : Christina M.N Sihombing,Amd.Far
NIP : NIP.19890406 202012 2 004
3. Tujuan
: Anak usia sekolah dan Remaja / Penjaringan murid baru ) DDTKB di PAUD Letare
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
Christina M.N Sihombing,Amd.Far 2______
NIP.19890406 202012 2 004
ambunan, AM .Keb
N Sihombing,Amd.Far
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 22 Februari 2023 a/n Christina M.N Sihombing,Amd.Far

NIP : NIP.19780324 200604 2006
NIP : NIP.19890406 202012 2 004
3. Tujuan
: Anak usia sekolah dan Remaja / Penjaringan murid baru ) DDTKB di PAUD Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
NIP.19890406 202012 2 004
ambunan, AM .Keb
N Sihombing,Amd.Far
1______
2______

a Nama : dr. Mailani
NIP : NIP.19670526 200012 2 002
NIP : NIP. 19671207 199312 2001
c Nama : Rimmita Siburian, S.Kep.Ners
NIP : NIP.19781101 200604 2008
d Nama : Shartisa O Simanjuntak, Am.Keb
NIP : NIP.19831023 201705 2001
e Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
3. Tujuan : Anak usia sekolah dan Remaja ( Pelaksanaan Skrining kesehatan lanjutan / Penjaringan berkala dan pemeriksaan
Hb pada rematri di sekolah SMAN 1
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes dr. Mailani 1______
NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
NIP. 19671207 199312 2001
Rimmita Siburian, S.Kep.Ners 3______
NIP.19781101 200604 2008
NIP.19831023 201705 2001
NIP.19800823 200903 2006
Eva Simarmata
rian, S.Kep.Ners
manjuntak, Am.Keb

rkala dan pemeriksaan
1______
2______
3______
4______
5______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 16 Februari 2023 a/n dr. Terang Ukur H Kembaren,M.Kes

a Nama : dr. Terang Ukur H Kembaren,M.Kes
NIP : NIP. 19680520 200212 1 004
Pangkat / Gol : Pembina Tk-I, IV/b
Jabatan : Kepala Puskesmas Parsoburan
NIP : NIP. 19671207 199312 2001
c Nama : Shartisa O Simanjuntak, Am.Keb
NIP : NIP.19831023 201705 2001
d Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
e Nama : Hotmauli Simanjuntak,Ssi.Apt
NIP : NIP. 19771004 200502 2005
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes dr. Terang Ukur H Kembaren,M.Kes 1______
NIP.19680520 200212 1 004 NIP. 19680520 200212 1 004
NIP. 19671207 199312 2001
NIP.19831023 201705 2001
NIP.19800823 200903 2006
NIP. 19771004 200502 2005
ur H Kembaren,M.Kes
Eva Simarmata
manjuntak, Am.Keb
anjuntak,Ssi.Apt

1______
2______
3______
4______
5______

NIP : NIP.19670526 200012 2 002
NIP : NIP. 19671207 199312 2001
NIP : NIP.19781101 200604 2008
NIP : NIP.19831023 201705 2001
e Nama : Roma Pardosi
NIP : NIP.19780511 201410 2 001
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
NIP. 19671207 199312 2001
NIP.19781101 200604 2008
NIP.19831023 201705 2001
NIP.19780511 201410 2 001
Eva Simarmata
rian, S.Kep.Ners
manjuntak, Am.Keb

1______
2______
3______
4______
5______

NIP : NIP.19670526 200012 2 002
NIP : NIP. 19671207 199312 2001
NIP : NIP.19781101 200604 2008
NIP : NIP.19831023 201705 2001
NIP : NIP.19800823 200903 2006
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
NIP. 19671207 199312 2001
NIP.19781101 200604 2008
NIP.19831023 201705 2001
NIP.19800823 200903 2006
Eva Simarmata
rian, S.Kep.Ners
manjuntak, Am.Keb

1______
2______
3______
4______
5______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 22 Februari 2023 a/n dr.Lilys Hutapea

a Nama : dr.Lilys Hutapea
NIP : NIP.19730803 200604 2007
Pangkat / Gol : Pembina TK.I /IV b
Jabatan : Dokter Madya/ Puskesmas Parsoburan
NIP : NIP. 19671207 199312 2001
NIP : NIP.19781101 200604 2008
NIP : NIP.19831023 201705 2001
NIP : NIP.19800823 200903 2006
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes dr.Lilys Hutapea 1______
NIP.19680520 200212 1 004 NIP.19730803 200604 2007
NIP. 19671207 199312 2001
NIP.19781101 200604 2008
NIP.19831023 201705 2001
NIP.19800823 200903 2006
Eva Simarmata
rian, S.Kep.Ners
manjuntak, Am.Keb

1______
2______
3______
4______
5______

NIP : NIP.19670526 200012 2 002
b Nama : Rimmita Siburian, S.Kep.Ners
NIP : NIP.19781101 200604 2008
c Nama : Shartisa O Simanjuntak, Am.Keb
NIP : NIP.19831023 201705 2001
d Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
e Nama : Herlina R. Manurung, Amd.Kes
NIP : NIP.19970925 202012 2 004
Hb pada rematri di sekolah SMP MTS
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
NIP.19781101 200604 2008
NIP.19831023 201705 2001
NIP.19800823 200903 2006
NIP.19970925 202012 2 004
rian, S.Kep.Ners
manjuntak, Am.Keb
nurung, Amd.Kes

1______
2______
3______
4______
5______

NIP : NIP.19781101 200604 2008
NIP : NIP.19831023 201705 2001
c Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
3. Tujuan
Anak usia sekolah dan Remaja / Penjaringan Berkala )Penyuluhan kespro pada rematri di SMP MTS
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781101 200604 2008
NIP.19831023 201705 2001
NIP.19800823 200903 2006
rian, S.Kep.Ners
manjuntak, Am.Keb

MP MTS
1______
2______
3______

NIP : NIP.19780324 200604 2006
3. Tujuan : Pelayanan Kesehatan Pada Anak Usia Sekolah dan Remaja (Pelaksanaan skrining Kesehatan (termasuk jiwa) pada
Anak usia sekolah dan Remaja / Penjaringan Berkala )Pemberian vitamin A pada anak TK/Paud Diakonia
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
ambunan, AM .Keb

aud Diakonia
1______

NIP : NIP.19780324 200604 2006
Anak usia sekolah dan Remaja / Penjaringan Berkala )Pemberian vitamin A pada anak TK/Paud Letare
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
ambunan, AM .Keb

aud Letare
1______

NIP : NIP.19780324 200604 2006
Anak usia sekolah dan Remaja / Penjaringan Berkala )Pemberian vitamin A pada anak TK/Paud Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
ambunan, AM .Keb

aud Suka Maju
1______

NIP : NIP.19780324 200604 2006
Anak usia sekolah dan Remaja / Penjaringan Berkala )Pemberian vitamin A pada anak TK/Paud Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780324 200604 2006
ambunan, AM .Keb

aud Suka Makmur
1______

NIP : NIP.19840407 201001 2027
NIP : NIP. 19671207 199312 2001
Pelayanan Kesehatan Reproduksi Bagi Calon Pengantin, Pasangan Usia Subur (Pelaksanaan penyuluhan dan
3. Tujuan pelayanan KB, praktik P2GP dan kesehatan reproduksi, pencegahan kekerasan pada perempuan dan anak dan
: kesehatan penyandang disabilitas) Sweeping PUS yang tidak berKB di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19840407 201001 2027
NIP. 19671207 199312 2001
Eva Simarmata
n penyuluhan dan
mpuan dan anak dan
u
1______
2______

NIP : NIP.19840407 201001 2027
NIP : NIP.19970925 202012 2 004
Pelayanan Kesehatan Reproduksi Bagi Calon Pengantin, Pasangan Usia Subur (Pelaksanaan penyuluhan dan
3. Tujuan pelayanan KB, praktik P2GP dan kesehatan reproduksi, pencegahan kekerasan pada perempuan dan anak dan
: kesehatan penyandang disabilitas) Sweeping PUS yang tidak berKB di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19840407 201001 2027
NIP.19970925 202012 2 004
nurung, Amd.Kes
n penyuluhan dan
mpuan dan anak dan
mur
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 8 Februari 2023 a/n Tetty Enita Siahaan, S.Kep. Ners

a Nama : Tetty Enita Siahaan, S.Kep. Ners
NIP : NIP.19700819 199103 2005
NIP : NIP.19670526 200012 2 002
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Edukasi lansia dan lansia risiko tinggi oleh Tenaga
3. Tujuan
Kesehatan Puskesmas ( Pemantauan Lansia Risti ) di Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Tetty Enita Siahaan, S.Kep. Ners 1______
NIP.19680520 200212 1 004 NIP.19700819 199103 2005
dr. Mailani 2______
NIP.19670526 200012 2 002
ahaan, S.Kep. Ners
risiko tinggi oleh Tenaga
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 6 Februari 2023 a/n Yuhyun Novalia Damanik, AMK

NIP : NIP.19700819 199103 2005
b Nama : Yuhyun Novalia Damanik, AMK
NIP : NIP.19781104 201101 2005
Jabatan : Perawat Pelaksana Lanjutan / Puskesmas Parsoburan
3. Tujuan
Kesehatan Puskesmas ( Pemantauan Lansia Risti ) di Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

NIP.19680520 200212 1 004 NIP.19700819 199103 2005
Yuhyun Novalia Damanik, AMK 2______
NIP.19781104 201101 2005
ahaan, S.Kep. Ners
lia Damanik, AMK
1______
2______

NIP : NIP.19700819 199103 2005
NIP : NIP.19731122 199703 2002
3. Tujuan
Kesehatan Puskesmas ( Pemantauan Lansia Risti ) di Kelurahan Suka Makmur
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

NIP.19680520 200212 1 004 NIP.19700819 199103 2005
NIP.19731122 199703 2002
ahaan, S.Kep. Ners
aan, S.Kep. Ners
1______
2______

NIP : NIP. 19680520 200212 1 004
b Nama : Tetty Enita Siahaan, S.Kep. Ners
NIP : NIP.19700819 199103 2005
c Nama : Hotmauli Simanjuntak,Ssi.Apt
NIP : NIP. 19771004 200502 2005
3. Tujuan
Kesehatan Puskesmas ( Penyuluhan Kesehatan Lansia ) di Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19680520 200212 1 004
Tetty Enita Siahaan, S.Kep. Ners 2______
NIP.19700819 199103 2005
NIP. 19771004 200502 2005
ur H Kembaren,M.Kes
ahaan, S.Kep. Ners
anjuntak,Ssi.Apt
1______
2______
3______

NIP : NIP.19730803 200604 2007
NIP : NIP.19700819 199103 2005
c Nama : Panioan Siahaan, S.Kep. Ners
NIP : NIP.19731122 199703 2002
3. Tujuan
Kesehatan Puskesmas ( Penyuluhan Kesehatan Lansia ) di Kelurahan Suka Makmur
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19730803 200604 2007
NIP.19700819 199103 2005
NIP.19731122 199703 2002
ahaan, S.Kep. Ners
aan, S.Kep. Ners
1______
2______
3______

a Nama : Roma Pardosi
NIP : NIP.19780511 201410 2 001
NIP : NIP.19670526 200012 2 002
3. Tujuan : Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Kunjungan rumah edukasi keluarga untuk
perawatan dan berobat teratur pada orang dengan gangguan jiwa (ODGJ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Roma Pardosi 1______

NIP.19680520 200212 1 004 NIP.19780511 201410 2 001
dr. Mailani 2______
NIP.19670526 200012 2 002
si keluarga untuk
ka Maju
1______
2______

NIP : NIP.19780511 201410 2 001
NIP : NIP. 19671207 199312 2001
3. Tujuan : Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Kunjungan rumah edukasi keluarga untuk
perawatan dan berobat teratur pada orang dengan gangguan jiwa (ODGJ) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780511 201410 2 001
NIP. 19671207 199312 2001
Eva Simarmata
si keluarga untuk
ka Makmur
1______
2______

NIP : NIP. 19720506 199203 2003
NIP : NIP. 19771004 200502 2005
3. Tujuan : Penemuan kasus aktif TBC (Penemuan kasus aktif TBC, investigasi kontak TBC, pelacakan kasus mangkir TBC) di
Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
NIP. 19771004 200502 2005
anjuntak,Ssi.Apt
asus mangkir TBC) di
1______
2______

NIP : NIP. 19720506 199203 2003
b Nama : dr.Lilys Hutapea
NIP : NIP.19730803 200604 2007
Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
dr.Lilys Hutapea 2______
NIP.19730803 200604 2007
1______
2______

NIP : NIP. 19720506 199203 2003
NIP : NIP.19730803 200604 2007
Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
NIP.19730803 200604 2007
1______
2______

NIP : NIP. 19720506 199203 2003
b Nama : dr. Terang Ukur H Kembaren,M.Kes
NIP : NIP. 19680520 200212 1 004
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
dr. Terang Ukur H Kembaren,M.Kes 2______
NIP. 19680520 200212 1 004
ur H Kembaren,M.Kes
1______
2______

a Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
NIP : NIP.19730803 200604 2007
c Nama : Risma Siregar Amd.Keb
NIP : NIP.19700225 199303 2003
d Nama : Hotmauli Simanjuntak,Ssi.Apt
NIP : NIP. 19771004 200502 2005
e Nama : Murniati, S.Kep. Ners
NIP : NIP. 19720506 199203 2003
Penemuan kasus aktif dan pemantauan pengobatan penyakit menular, serta Program Pemberian Obat
3. Tujuan : Pencegahan Masal (Penemuan aktif kasus PD3I, kasus HIV, AID''s, dan penyakit menular lainnya/ Mobile deteksi
dini kasus HIV) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Bintang Siahaan, A.MAK 1______
NIP.19680520 200212 1 004 NIP.19800823 200903 2006
NIP.19730803 200604 2007
NIP. 19771004 200502 2005
Murniati, S.Kep. Ners 4______
NIP. 19720506 199203 2003
Risma Siregar Amd.Keb 5______
NIP.19700225 199303 2003
anjuntak,Ssi.Apt
mberian Obat
innya/ Mobile deteksi
1______
2______
3______
4______
5______

NIP : NIP. 19690120 199403 2002
3. Tujuan : Surveilans Kesehatan Gizi dan KIA (rapat validasi dan evaluasi data Gikia) Pemantauan Status Gizi di Posyandu
F1/05 Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
us Gizi di Posyandu
1______

NIP : NIP. 19690120 199403 2002
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
us Gizi di Posyandu
1______

NIP : NIP. 19690120 199403 2002
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
us Gizi di Posyandu
1______

NIP : NIP.19781101 200604 2008
b Nama : Risma Siregar Amd.Keb
NIP : NIP.19700225 199303 2003
c Nama : Lasmaria Nenni Asrita, Am.Keb
NIP : NIP. 19870329 201705 2 001
d Nama : dr.Lilys Hutapea
NIP : NIP.19730803 200604 2007
Pemantauan Tumbuh Kembang Balita (Lokakarya pembuatan SOP tatalaksana balita dengan masalah gizi dan
3. Tujuan : tumbuh kembang: weight faltering, gizi kurang, gizi buruk, stunting termasuk rujukan ( Refresing kader posyandu
balita ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….
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NIP.19680520 200212 1 004 NIP.19781101 200604 2008
Risma Siregar Amd.Keb 2______
NIP.19700225 199303 2003
NIP. 19870329 201705 2 001
NIP.19730803 200604 2007
rian, S.Kep.Ners
ni Asrita, Am.Keb
an masalah gizi dan

resing kader posyandu
1______
2______
3______
4______

NIP : NIP. 19690120 199403 2002
NIP : NIP.19731122 199703 2002
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pelaksanaan Gerakan Cegah Stunting, Aksi
3. Tujuan : Bergizi, Bumil Sehat, Aktifkan Posyandu, Jambore Kader, Vaksinasi bersama Mitra/Kelompok Masyarakat
( Pemberian TTD Pada Rematri ) di Sekolah SMAN 1
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
NIP.19731122 199703 2002
aan, S.Kep. Ners
gah Stunting, Aksi

ok Masyarakat
1______
2______

NIP : NIP. 19690120 199403 2002
NIP : NIP. 19870329 201705 2 001
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pelaksanaan Gerakan Cegah Stunting, Aksi
3. Tujuan : Bergizi, Bumil Sehat, Aktifkan Posyandu, Jambore Kader, Vaksinasi bersama Mitra/Kelompok Masyarakat
( Pemberian TTD Pada Rematri ) di MTS Khoirotul Islaamiyah
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19690120 199403 2002
NIP. 19870329 201705 2 001
ni Asrita, Am.Keb
gah Stunting, Aksi

ok Masyarakat
1______
2______

NIP : NIP.19670526 200012 2 002
b Nama : Lisna Siahaan, S.Gz
NIP : NIP. 19690120 199403 2002
NIP : NIP.19731122 199703 2002
Pelayanan Kesehatan Reproduksi Bagi Calon Pengantin, Pasangan Usia Subur (Rapat Koordinasi/sosialisasi
3. Tujuan Program bagi kantor urusan agama (KUA)/Lembaga/organisasi Agama/tokoh Agama di Kecamatan) Penyuluhan
: Gizi pada rematri di SMAN 1
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
Lisna Siahaan, S.Gz 2______
NIP. 19690120 199403 2002
NIP.19731122 199703 2002
aan, S.Kep. Ners
inasi/sosialisasi
camatan) Penyuluhan
1______
2______
3______

a Nama : Yuhyun Novalia Damanik, AMK
NIP : NIP.19781104 201101 2005
NIP : NIP.19730803 200604 2007
3. Tujuan : Pelaksanaan GERMAS di tingkat kecamatan/Wilayah Puskesmas (Pendampingan keluarga yang memiliki masalah
weight faltering, Penyakit Kronik, Bumil Risti ( DM ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Yuhyun Novalia Damanik, AMK 1______

NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19730803 200604 2007
lia Damanik, AMK
yang memiliki masalah
1______
2______

NIP : NIP.19781104 201101 2005
NIP : NIP.19731122 199703 2002
3. Tujuan : Pelaksanaan GERMAS di tingkat kecamatan/Wilayah Puskesmas (Pendampingan keluarga yang memiliki masalah
weight faltering, Penyakit Kronik, Bumil Risti ( DM ) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19731122 199703 2002
lia Damanik, AMK
aan, S.Kep. Ners
1______
2______

NIP : NIP.19781104 201101 2005
b Nama : dr. Terang Ukur H Kembaren,M.Kes
NIP : NIP. 19680520 200212 1 004
3. Tujuan : Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pendampingan keluarga yang memiliki masalah
weight faltering, Penyakit Kronik, Bumil Risti ( HT ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
dr. Terang Ukur H Kembaren,M.Kes 2______
NIP. 19680520 200212 1 004
lia Damanik, AMK
ur H Kembaren,M.Kes
1______
2______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 8 Februari 2023 a/n Christina M.N Sihombing,Amd.Far

NIP : NIP.19781104 201101 2005
NIP : NIP.19890406 202012 2 004
weight faltering, Penyakit Kronik, Bumil Risti ( HT ) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19890406 202012 2 004
lia Damanik, AMK
N Sihombing,Amd.Far
1______
2______

NIP : NIP. 19720506 199203 2003
NIP : NIP.19730803 200604 2007
weight faltering, Penyakit Kronik, Bumil Risti ( PHN ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
NIP.19730803 200604 2007
1______
2______

NIP : NIP. 19720506 199203 2003
NIP : NIP.19731122 199703 2002
weight faltering, Penyakit Kronik, Bumil Risti ( PHN ) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19720506 199203 2003
NIP.19731122 199703 2002
aan, S.Kep. Ners
1______
2______

a Nama : Lasmaria Nenni Asrita, Am.Keb
NIP : NIP. 19870329 201705 2 001
NIP : NIP.19780511 201410 2 001
c Nama : Miradonatha Tarigan , AMKL
NIP : NIP. 19820518 201101 2003
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pelaksanaan Gerakan Pengendalian Penyakit

3. Tujuan
Prioritas (Kardiovaskuler, OM, TB serta kebugaran Jasmani)Pendataan pekerja Informal di Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Lasmaria Nenni Asrita, Am.Keb 1______

NIP.19680520 200212 1 004 NIP. 19870329 201705 2 001
NIP.19780511 201410 2 001
Miradonatha Tarigan , AMKL 3______
NIP. 19820518 201101 2003
ni Asrita, Am.Keb
Tarigan , AMKL
ngendalian Penyakit
Kelurahan Suka Maju
1______
2______
3______

NIP : NIP. 19870329 201705 2 001
b Nama : Miradonatha Tarigan , AMKL
NIP : NIP. 19820518 201101 2003
c Nama : Herlina R. Manurung, Amd.Kes
NIP : NIP.19970925 202012 2 004
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pelaksanaan Gerakan Pengendalian Penyakit

3. Tujuan
Prioritas (Kardiovaskuler, OM, TB serta kebugaran Jasmani)Pendataan pekerja Informal di Kelurahan Suka Makmur
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19870329 201705 2 001
NIP. 19820518 201101 2003
NIP.19970925 202012 2 004
ni Asrita, Am.Keb
Tarigan , AMKL
nurung, Amd.Kes
ngendalian Penyakit
1______
2______
3______

NIP : NIP. 19870329 201705 2 001
b Nama : Yuhyun Novalia Damanik, AMK
NIP : NIP.19781104 201101 2005
c Nama : Bintang Siahaan, A.MAK
NIP : NIP.19800823 200903 2006
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pelaksanaan gerakan Kesehatan Kerja dan
3. Tujuan
: pembinaan GP2SP bersama Institusi/perusahaan) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19870329 201705 2 001
Yuhyun Novalia Damanik, AMK 2______
NIP.19781104 201101 2005
NIP.19800823 200903 2006
ni Asrita, Am.Keb
lia Damanik, AMK
ehatan Kerja dan
1______
2______
3______

NIP : NIP. 19680520 200212 1 004
NIP : NIP. 19761114 200604 2 017
c Nama : Bertina Sirait, AMK
NIP : NIP.19880929 201101 2016
3. Tujuan Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Musrembang di Kecamatan Siantar Marihat)
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19680520 200212 1 004
NIP. 19761114 200604 2 017
NIP.19880929 201101 2016
ur H Kembaren,M.Kes
an Siantar Marihat)
1______
2______
3______

NIP : NIP. 19820518 201101 2003
NIP : NIP. 19761114 200604 2 017
3. Tujuan : Inpeksi kesehatan lingkungan di TPP (Tempat Pengelolaan Pangan), TFU (Tempat Fasilitas Umum), sarana air
minum, dan Fasyankes/ Inspeksi Depot Air Minum) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP. 19761114 200604 2 017
Tarigan , AMKL
Umum), sarana air
1______
2______

NIP : NIP. 19820518 201101 2003
NIP : NIP. 19761114 200604 2 017
minum, dan Fasyankes/ Inspeksi Depot Air Minum) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP. 19761114 200604 2 017
Tarigan , AMKL
Umum), sarana air
1______
2______

NIP : NIP. 19820518 201101 2003
NIP : NIP. 19761114 200604 2 017
minum, dan Fasyankes/ Inspeksi Depot Air Minum) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP. 19761114 200604 2 017
Tarigan , AMKL
Umum), sarana air
1______
2______

NIP : NIP. 19820518 201101 2003
NIP : NIP. 19761114 200604 2 017
minum, dan Fasyankes/ Inspeksi Depot Air Minum) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP. 19761114 200604 2 017
Tarigan , AMKL
Umum), sarana air
1______
2______

a Nama : Bertina Sirait, AMK
NIP : NIP.19880929 201101 2016
NIP : NIP.19890406 202012 2 004
Penyelidikan dan respon kasus atau Kejadian Luar Biasa (Verifikasi Sinyal/ Penyelidikan Epidemiologi / Pelacakan
3. Tujuan : Kontak Penyakit Berpotensi KLB/Wabah dan Penyakit lnfeksi Emerging, PD3I, dan penyakit menular lainnya)
Kunjungan Rumah pasien Kena gigit anjing ( HPR ) Hewan Penular Rabiesdi Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Bertina Sirait, AMK 1______

NIP.19680520 200212 1 004 NIP.19880929 201101 2016
NIP.19890406 202012 2 004
N Sihombing,Amd.Far
demiologi / Pelacakan
menular lainnya)
Maju
1______
2______

NIP : NIP. 19680520 200212 1 004
3. Tujuan Kontak Penyakit Berpotensi KLB/Wabah dan Penyakit lnfeksi Emerging, PD3I, dan penyakit menular lainnya)
Monitoring UKBM Ke Posyandu F1/06 Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19680520 200212 1 004
ur H Kembaren,M.Kes
menular lainnya)
1______

NIP : NIP.19730803 200604 2007
Monitoring UKBM Ke Posyandu F1/07 Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19730803 200604 2007
menular lainnya)
1______

NIP : NIP.19670526 200012 2 002
Monitoring UKBM Ke Posyandu F1/08 Kelurahan Suka Makmur
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
menular lainnya)
1______
SPPD No.: 400/ /SPPD/BOK/PP/II/2023 Tanggal 15 Februari 2023 a/n

a Nama : drg. Ani Arita Eva Simarmata
NIP : NIP. 19671207 199312 2001
3. Tujuan Penyuluhan kesehatan gigi dan mulut Posyandu F1/09 Kelurahan Suka Makmur
:
4. Waktu / Lamanya Perjalanan Dinas : 11 Juli 2023 /1 hari
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
Diketahui Pematang Siantar,

dr. Terang Ukur H Kembaren,M.Kes drg. Ani Arita Eva Simarmata

NIP.19680520 200212 1 004 NIP. 19671207 199312 2001
drg. Ani Arita Eva Simarmata
han Suka Makmur
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
……………………….
11 Juli 2023
Melaksanakan Perjalanan Dinas
ni Arita Eva Simarmata 1______

9671207 199312 2001

NIP : NIP.19780511 201410 2 001
NIP : NIP. 19771004 200502 2005
NIP : NIP.19970925 202012 2 004
Pelaksanaan GERMAS di tingkat Kecamatan/Wilayah Puskesmas (Pelaksanaan Skrining Masalah Kesehatan Jiwa di
3. Tujuan
: UKBM/ Lembaga ( Lapas, Panti, Pesantren, sekolah) di SMAN 1
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19780511 201410 2 001
NIP. 19771004 200502 2005
NIP.19970925 202012 2 004
anjuntak,Ssi.Apt
nurung, Amd.Kes
salah Kesehatan Jiwa di
1______
2______
3______

NIP : NIP.19780511 201410 2 001
NIP : NIP. 19771004 200502 2005
c Nama : Christina M.N Sihombing,Amd.Far
NIP : NIP.19890406 202012 2 004
3. Tujuan
: UKBM/ Lembaga ( Lapas, Panti, Pesantren, sekolah) di SMK Hotma Guna
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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NIP.19680520 200212 1 004 NIP.19780511 201410 2 001
NIP. 19771004 200502 2005
NIP.19890406 202012 2 004
anjuntak,Ssi.Apt
N Sihombing,Amd.Far
1______
2______
3______

NIP : NIP.19670526 200012 2 002
NIP : NIP.19780511 201410 2 001
NIP : NIP.19890406 202012 2 004
3. Tujuan UKBM/ Lembaga ( Lapas, Panti, Pesantren, sekolah) penyuluhan tentang kesehatan jiwa pada anak sekolah di SMA
: Seminari
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
NIP.19780511 201410 2 001
NIP.19890406 202012 2 004
N Sihombing,Amd.Far

ada anak sekolah di SMA
1______
2______
3______

NIP : NIP.19730803 200604 2007
NIP : NIP.19780511 201410 2 001
NIP : NIP.19970925 202012 2 004
3. Tujuan UKBM/ Lembaga ( Lapas, Panti, Pesantren, sekolah) penyuluhan tentang kesehatan jiwa pada anak sekolah di SMP
: MTS
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19730803 200604 2007
NIP.19780511 201410 2 001
NIP.19970925 202012 2 004
nurung, Amd.Kes

ada anak sekolah di SMP
1______
2______
3______

NIP : NIP.19870614 201001 2004
3. Tujuan : Pelayanan Imunisasi ( Pendataan balita usia 0-59 bulan ) di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
umahorbo, Amd.Keb
1______

NIP : NIP.19840407 201001 2027
3. Tujuan : Pelayanan Imunisasi ( Pendataan balita usia 0-59 bulan ) di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19840407 201001 2027
1______

NIP : NIP.19870614 201001 2004
Pelayanan Imunisasi (Pelayanan Imunisasi (imunisasi rutin, antigen baru, BIAS, sweeping, DOFU, Catch up, ORI,
3. Tujuan BLF, dll) di Posyandu/ Sekolah/ Pos Imunisasi Lainnya) dan Pemberian Sub Pin Polio Pada usia 0-59 Bulan di
Posyandu F1/01 Kelurahan Suka Maju
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
umahorbo, Amd.Keb
DOFU, Catch up, ORI,

sia 0-59 Bulan di
1______

a Nama : Nintaida Gultom, Am.Keb
NIP : NIP. 19820831 200804 2 001
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Nintaida Gultom, Am.Keb 1______

NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
sia 0-59 Bulan di
1______

NIP : NIP. 19820831 200804 2 001
: Posyandu F1/03 Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
sia 0-59 Bulan di
1______

NIP : NIP.19870614 201001 2004
: Posyandu F1/04 Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
umahorbo, Amd.Keb

sia 0-59 Bulan di
1______
SPPD No.: 400/ /SPPD/BOK/PP/I/2023 Tanggal 16 Februari 2023 a/n Belly Hari S Rumahorbo, Amd.Keb

NIP : NIP.19870614 201001 2004
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
umahorbo, Amd.Keb

sia 0-59 Bulan di
1______

NIP : NIP. 19820831 200804 2 001
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
sia 0-59 Bulan di
1______

NIP : NIP.19870614 201001 2004
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
umahorbo, Amd.Keb

sia 0-59 Bulan di
1______

NIP : NIP. 19820831 200804 2 001
: Posyandu F1/08 Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
sia 0-59 Bulan di
1______

NIP : NIP. 19820831 200804 2 001
: Posyandu F1/09 Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
sia 0-59 Bulan di
1______

NIP : NIP. 19820831 200804 2 001
b Nama : Belly Hari S Rumahorbo, Amd.Keb
NIP : NIP.19870614 201001 2004
3. Tujuan : Pelayanan Imunisasi (Sweeping Imunisasi DO) Sub Pin Polio di Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
Belly Hari S Rumahorbo, Amd.Keb 2______
NIP.19870614 201001 2004
umahorbo, Amd.Keb
1______
2______

NIP : NIP. 19820831 200804 2 001
b Nama : Belly Hari S Rumahorbo, Amd.Keb
NIP : NIP.19870614 201001 2004
3. Tujuan : Pelayanan Imunisasi (Sweeping Imunisasi DO) Sub Pin Polio di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19820831 200804 2 001
Belly Hari S Rumahorbo, Amd.Keb 2______
NIP.19870614 201001 2004
umahorbo, Amd.Keb
1______
2______

NIP : NIP.19870614 201001 2004
NIP : NIP. 19820831 200804 2 001
3. Tujuan : Pelayanan Imunisasi (Sweeping Imunisasi DO) Sub Pin Polio di Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19870614 201001 2004
NIP. 19820831 200804 2 001
umahorbo, Amd.Keb
1______
2______

NIP : NIP. 19680520 200212 1 004
3. Tujuan
BLF, dll) di Posyandu/ Sekolah/ Pos Imunisasi Lainnya /Monitoring )/ Supervisi Sub PIN Polio di TK/Paud
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19680520 200212 1 004
ur H Kembaren,M.Kes

o di TK/Paud
1______

NIP : NIP. 19680520 200212 1 004
3. Tujuan BLF, dll) di Posyandu/ Sekolah/ Pos Imunisasi Lainnya /Monitoring )/ Supervisi Sub PIN Polio di Posyandu F1/01
dan F1/08
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP. 19680520 200212 1 004
ur H Kembaren,M.Kes

o di Posyandu F1/01
1______

NIP : NIP.19670526 200012 2 002
3. Tujuan BLF, dll) di Posyandu/ Sekolah/ Pos Imunisasi Lainnya /Monitoring )/ Supervisi Sub PIN Polio di Posyandu F1/03,
F1/04 dan F1/09
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19670526 200012 2 002
o di Posyandu F1/03,
1______

a Nama : Lisbeth S Manurung,SKM
NIP : NIP. 19761114 200604 2 017
dan F1/06
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Lisbeth S Manurung,SKM 1______

NIP.19680520 200212 1 004 NIP. 19761114 200604 2 017
o di Posyandu F1/05
1______

a Nama : Lisbeth S Manurung,SKM
NIP : NIP. 19761114 200604 2 017
dan F1/07
:
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….

dr. Terang Ukur H Kembaren,M.Kes Lisbeth S Manurung,SKM 1______

NIP.19680520 200212 1 004 NIP. 19761114 200604 2 017
o di Posyandu F1/02
1______

NIP : NIP.19781104 201101 2005
NIP : NIP.19700819 199103 2005
NIP : NIP.19890406 202012 2 004
3. Tujuan : Deteksi dini faktor risiko dan penyakit tidak menular di masyarakat (Deteksi dini/skrining faktor risiko & PTM
Prioritas di masyarakat dan institusi)POSBINDU 1 Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19700819 199103 2005
NIP.19890406 202012 2 004
lia Damanik, AMK
ahaan, S.Kep. Ners
N Sihombing,Amd.Far
aktor risiko & PTM
1______
2______
3______

NIP : NIP.19781104 201101 2005
NIP : NIP.19700819 199103 2005
c Nama : Lasmaria Nenni Asrita, Am.Keb
NIP : NIP. 19870329 201705 2 001
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19700819 199103 2005
NIP. 19870329 201705 2 001
lia Damanik, AMK
ahaan, S.Kep. Ners
ni Asrita, Am.Keb
aktor risiko & PTM
1______
2______
3______

NIP : NIP.19781104 201101 2005
NIP : NIP.19700819 199103 2005
c Nama : Yetty Dameria, S.Kep .Ners
NIP : NIP.19791104 201101 2005
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19700819 199103 2005
Yetty Dameria, S.Kep .Ners 3______
NIP.19791104 201101 2005
lia Damanik, AMK
ahaan, S.Kep. Ners
aktor risiko & PTM
1______
2______
3______

NIP : NIP.19781104 201101 2005
NIP : NIP.19700819 199103 2005
NIP : NIP.19731122 199703 2002
Prioritas di masyarakat dan institusi)POSBINDU 4 Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19781104 201101 2005
NIP.19700819 199103 2005
NIP.19731122 199703 2002
lia Damanik, AMK
ahaan, S.Kep. Ners
aan, S.Kep. Ners
aktor risiko & PTM
1______
2______
3______

NIP : NIP.19880929 201101 2016
Prioritas di masyarakat dan institusi)Monitoring UKBM ke Posbindu 1 Kelurahan Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19880929 201101 2016
aktor risiko & PTM
u
1______

NIP : NIP.19880929 201101 2016
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19880929 201101 2016
aktor risiko & PTM
u
1______

NIP : NIP.19880929 201101 2016
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19880929 201101 2016
aktor risiko & PTM
u
1______

NIP : NIP.19880929 201101 2016
Prioritas di masyarakat dan institusi)Monitoring UKBM ke Posbindu 4 Kelurahan Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19880929 201101 2016
aktor risiko & PTM
mur
1______

NIP : NIP.19791104 201101 2005
NIP : NIP. 19870329 201705 2 001
3. Tujuan : Pencegahan Masal (Filarasis/cacingan/schistosomiasis/frambusia dan pemantauan minum oralit dan zinc bagi
diare balita di masyarakat) Pemberian Obat Cacing di Paud Letare
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
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………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19791104 201101 2005
NIP. 19870329 201705 2 001
ni Asrita, Am.Keb
mberian Obat
oralit dan zinc bagi
1______
2______

NIP : NIP.19791104 201101 2005
NIP : NIP. 19771004 200502 2005
diare balita di masyarakat) Pemberian Obat Cacing di Paud Diakonia
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19791104 201101 2005
NIP. 19771004 200502 2005
anjuntak,Ssi.Apt
mberian Obat
1______
2______

NIP : NIP.19791104 201101 2005
NIP : NIP.19700819 199103 2005
diare balita di masyarakat) Pemberian Obat Cacing di Paud Suka Maju
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19791104 201101 2005
NIP.19700819 199103 2005
ahaan, S.Kep. Ners
mberian Obat
1______
2______

NIP : NIP.19791104 201101 2005
NIP : NIP.19840407 201001 2027
diare balita di masyarakat) Pemberian Obat Cacing di Paud Suka Makmur
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19791104 201101 2005
NIP.19840407 201001 2027
mberian Obat
1______
2______

NIP : NIP.19791104 201101 2005
b Nama : Miradonatha Tarigan , AMKL
NIP : NIP. 19820518 201101 2003
3. Tujuan : Survei dan pengendalian vektor penyakit menular di masyarakat (Pelaksanaan Pemberantasan Sarang Nyamuk
(PSN) / Pelepasan liaran nyamuk Wolbachia/ pemeriksaan jentik berkala di SD YHKBP
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
6. Penutup :
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………….


NIP.19680520 200212 1 004 NIP.19791104 201101 2005
NIP. 19820518 201101 2003
Tarigan , AMKL
asan Sarang Nyamuk
1______
2______

NIP : NIP.19791104 201101 2005
NIP : NIP.19890406 202012 2 004
(PSN) / Pelepasan liaran nyamuk Wolbachia/ pemeriksaan jentik berkala di SMP MTS
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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NIP.19680520 200212 1 004 NIP.19791104 201101 2005
NIP.19890406 202012 2 004
N Sihombing,Amd.Far
asan Sarang Nyamuk
1______
2______

NIP : NIP. 19820518 201101 2003
NIP : NIP. 19761114 200604 2 017
(PSN) / Pelepasan liaran nyamuk Wolbachia/ pemeriksaan jentik berkala di SDN 125543
………………………………………………………………………………………………………………………………………………………………………….
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6. Penutup :
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NIP.19680520 200212 1 004 NIP. 19820518 201101 2003
NIP. 19761114 200604 2 017
Tarigan , AMKL
asan Sarang Nyamuk
1______
2______
dr. Terang Ukur H Kembaren,M.Kes
NIP. 19680520 200212 1 004
Pembina Tk-I, IV/b
Kepala Puskesmas Parsoburan
Lisbeth S Manurung,SKM
NIP. 19761114 200604 2 017
Penata Tk-I/ III d
Ka.Sub Bag Tata Usaha/ Puskesmas Parsoburan
dr. Mailani
NIP.19670526 200012 2 002
Pembina Utama Muda/ IV c
Dokter Ahli Madya/ Puskesmas Parsoburan
drg. Ani Arita Eva Simarmata

NIP. 19671207 199312 2001
Pembina Utama Muda/ IV c
Dokter Gigi Madya/ Puskesmas Parsoburan
Tetty Enita Siahaan, S.Kep. Ners

NIP.19700819 199103 2005
Pembina / IV a
Perawat Madya/ Puskesmas Parsoburan
Murniati, S.Kep. Ners

NIP. 19720506 199203 2003
Pembina / IV a
Panioan Siahaan, S.Kep. Ners

NIP.19731122 199703 2002
Pembina / IV a
dr.Lilys Hutapea
NIP.19730803 200604 2007
Pembina TK.I /IV b
Dokter Madya/ Puskesmas Parsoburan
Hotmauli Simanjuntak,Ssi.Apt
NIP. 19771004 200502 2005
Pembina Tk .I/ IV b
Apoteker Ahli Madya/ Puskesmas Parsoburan
Risma Siregar Amd.Keb

NIP.19700225 199303 2003
Penata Tk.I/ III d
Bidan Penyelia/ Puskesmas Parsoburan
Belly Hari S Rumahorbo, Amd.Keb

NIP.19870614 201001 2004
Penata Muda Tk.I / III b
Bidan Pelaksana Lanjutan/ Puskesmas Parsoburan
Lisna Siahaan, S.Gz

NIP. 19690120 199403 2002
Penata Tk.I/ III d
Nutrisionist Penyelia/ Puskesmas Parsoburan
Rimmita Siburian, S.Kep.Ners

NIP.19781101 200604 2008
Penata Tk.I/ III d
Perawat Ahli Muda / Puskesmas Parsoburan
Nintaida Gultom, Am.Keb

NIP. 19820831 200804 2 001
Penata/ III c
Bidan Penyelia / Puskesmas Parsoburan
Dorys Dey Harianja, S.Kep.Ners

NIP. 19800513 200502 2005
Penata/ III c
Perawat Ahli Muda / Puskesmas Parsoburan
Bintang Siahaan, A.MAK

NIP.19800823 200903 2006
Penata/ III c
Pranata Lab Kes Penyelia / Puskesmas Parsoburan
Magdalena Tambunan, AM .Keb

NIP.19780324 200604 2006
Penata Tk.I/ III c
Yetty Dameria, S.Kep .Ners

NIP.19791104 201101 2005
Penata Muda Tk.I/ III b
Perawat Pertama / Puskesmas Parsoburan
Yuhyun Novalia Damanik, AMK

NIP.19781104 201101 2005
Penata Muda Tk.I/ III b
Perawat Pelaksana Lanjutan / Puskesmas Parsoburan
Farida Analisa Simatupang, AM.Keb

NIP.19840407 201001 2027
Penata Muda Tk.I/ III c
Miradonatha Tarigan , AMKL

NIP. 19820518 201101 2003
Penata Muda Tk.I / III b
Sanitarian Pelaksana Lanj,Mahir / Puskesmas Parsoburan
Bertina Sirait, AMK

NIP.19880929 201101 2016
Penata Muda / III b
Perawat Pelaksana Lanjutan, Mahir/ Puskesmas Parsoburan
Shartisa O Simanjuntak, Am.Keb

NIP.19831023 201705 2001
Pengatur TK.I / II d
Bidan Terampil / Puskesmas Parsoburan
Lasmaria Nenni Asrita, Am.Keb
NIP. 19870329 201705 2 001
Pengatur TK.I / II d
Bidan Terampil / Puskesmas Parsoburan
Roma Pardosi
NIP.19780511 201410 2 001
Pengatur Muda / II a
Perawat Pemula / Puskesmas Parsoburan
Christina M.N Sihombing,Amd.Far

NIP.19890406 202012 2 004
Pengatur/ II c
Assisten Apoteker / Puskesmas Parsoburan
Herlina R. Manurung, Amd.Kes

NIP.19970925 202012 2 004
Pengatur/ II c
Perawat Gigi Terampil / Puskesmas Parsoburan

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LAPORAN PERJALANAN DINAS

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 8 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 8 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Risma Siregar Amd.Keb 1______

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 9 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 9 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Risma Siregar Amd.Keb 1______

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 21 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 21 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Risma Siregar Amd.Keb 1______

n ANC, Persalinan, PNC

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 21 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 21 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Shartisa O Simanjuntak, Am.Keb 1______

n ANC, Persalinan, PNC

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 22 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 22 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Risma Siregar Amd.Keb 1______

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 22 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 22 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Farida Analisa Simatupang, AM.Keb 1______

n ANC, Persalinan, PNC

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 13 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 13 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Farida Analisa Simatupang, AM.Keb 1______

n ANC, Persalinan, PNC

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 14 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 14 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Farida Analisa Simatupang, AM.Keb 1______

n ANC, Persalinan, PNC

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 24 Februari 2023 /1 hari

5. Hasil Perjalanan Dinas :

Diketahui Pematang Siantar, 24 Februari 2023

dr. Terang Ukur H Kembaren,M.Kes Risma Siregar Amd.Keb 1______

n ANC, Persalinan, PNC

Kepada Yth : Kepala UPTD Puskesmas Parsoburan Kota Pematang Siantar

2. Yang Melaksanakan Perjalanan Dinas

4. Waktu / Lamanya Perjalanan Dinas : 23 Februari 2023 /1 hari