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  • Upt PPK Blud Puskesmas Cicurug: Pemerintah Kabupaten Sukabumi

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    The document appears to be records from Puskesmas Cicurug, a community health center in Cicurug, Sukabumi, Indonesia. It includes documentation of patient treatments by Dr. Damayanti Pramasari and a request for 4 days of annual leave by midwife Dwi Susilowati from December 24-28, 2018 for a family matter. The records document treatments, personnel details like names and identification numbers, and administrative requests.

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    The document appears to be records from Puskesmas Cicurug, a community health center in Cicurug, Sukabumi, Indonesia. It includes documentation of patient treatments by Dr. Damayanti Pramasari and a request for 4 days of annual leave by midwife Dwi Susilowati from December 24-28, 2018 for a family matter. The records document treatments, personnel details like names and identification numbers, and administrative requests.

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    © All Rights Reserved
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    28 views4 pages

    Upt PPK Blud Puskesmas Cicurug: Pemerintah Kabupaten Sukabumi

    Uploaded by

    rini sulastri
    The document appears to be records from Puskesmas Cicurug, a community health center in Cicurug, Sukabumi, Indonesia. It includes documentation of patient treatments by Dr. Damayanti Pramasari and a request for 4 days of annual leave by midwife Dwi Susilowati from December 24-28, 2018 for a family matter. The records document treatments, personnel details like names and identification numbers, and administrative requests.

    Copyright:

    © All Rights Reserved
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    of 4

    PEMERINTAH KABUPATEN SUKABUMI

    UPT PPK BLUD


    PUSKESMAS CICURUG
    JL.Raya Siliwangi No 113 Cicurug-Sukabumi Telp (0266) 6725183
    Email : ppkblud.upt.puskesmascicurug@gmail.com/puskesmascicurug1@gmail.com

    Nama : Puskesmas : Cicurug


    Umur : Kabupaten : Sukabumi
    Alamat : Propinsi : Jawa barat
    Tanda tangan Tanda tangan
    Tanggal Obat yang diberikan petugas pasien
    PEMERINTAH KABUPATEN SUKABUMI
    UPT PPK BLUD
    PUSKESMAS CICURUG
    JL.Raya Siliwangi No 113 Cicurug-Sukabumi Telp (0266) 6725183
    Email : ppkblud.upt.puskesmascicurug@gmail.com/puskesmascicurug1@gmail.com

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012

    dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari dr.Hj.Damayanti Pramasari


    NIP.197212052006042012 NIP.197212052006042012 NIP.197212052006042012
    Perihal : Pengajuan Cuti Tahunan
    Kepada Yth : Kepala Puskesmas Cicurug
    Di
    PEMERINTAH KABUPATEN SUKABUMI
    UPT PPK BLUD
    PUSKESMAS CICURUG
    JL.Raya Siliwangi No 113 Cicurug-Sukabumi Telp (0266) 6725183
    Email : ppkblud.upt.puskesmascicurug@gmail.com/puskesmascicurug1@gmail.com

    Tempat

    Dengan Hormat,

    Yang bertanda tangan di bawah ini :

    Nama : Dwi Susilowati

    Nip : 198209222017042002

    Jabatan : Bidan

    Alamat : Perum Griya Benda Asri I Blok A.6 Bangkongreang RT 004/RW 007 Desa Benda

    Kecamatan Cicurug Kab Sukabumi

    Dengan ini mengajukan cuti tahunan selama 4 hari terhitung dari tanggal 24 s/d

    28 Desember 2018 di karenakan ada keperluan keluarga yang tidak bisa di

    tinggalkan.

    Demikian surat pengajuan cuti saya dan saya ucapkan terima kasih atas

    perhatiannya

    Cicurug, 16 November 2018

    Dwi Susilowati
    PEMERINTAH KABUPATEN SUKABUMI
    UPT PPK BLUD
    PUSKESMAS CICURUG
    JL.Raya Siliwangi No 113 Cicurug-Sukabumi Telp (0266) 6725183
    Email : ppkblud.upt.puskesmascicurug@gmail.com/puskesmascicurug1@gmail.com

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