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PEMERINTAH KABUPATEN CIREBON

DINAS KESEHATAN
U P T D PU SK E SM AS SI N D AN GL AU T
Jl. Letjen MT. Haryono No.2 Lemahabang Telp.635386

NOTULEN

HARI DAN TANGGAL :


WAKTU :
TEMPAT :
PIMPINAN RAPAT :
PENCATAT :
ACARA :
1. PEMBUKAAN
2. DINAMIKA KELOMPOK
3. PENYAMPAIAN HASIL KEGIATAN
4. ANALISA HASIL KEGIATAN
5. PERENCANAAN KEGIATAN
6. RENCANA TINDAK LANJUT
7. KESEPAKATAN

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Mengetahui
Kepala Puskesmas Sindanglaut

dr. H. Sutara
NIP . 19700915 200604 1 004

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