RENCANA USULAN KEGIATAN ( RUK ) TAH

Program :
PUSKESMAS SUKASADA I

UPAYA
NO KEGIATAN TUJUAN SASARAN TARGET PJ Mitra Kerja
KESEHATAN

x
1
x
x

x
x

x
x

x
x

x
x

x
x
 x
x

Mengetahui
Kepala Puskesmas Sukasada I
LAN KEGIATAN ( RUK ) TAHUN 2019
Program :
SKESMAS SUKASADA I

KEBUTUHAN SUMBER DAYA INDIKATOR SUMBER

KEBERHASILAN BIAYA
DANA ALAT TENAGA
x = Rp0.00

x = Rp0.00
x = Rp0.00

x = Rp0.00
x = Rp0.00

x = Rp0.00

x = Rp0.00

x = Rp0.00

x = Rp0.00

x = Rp0.00

x 5sk x = Rp0.00

x 7sk x = Rp0.00
x x = Rp0.00
2ds

x 2ds x = Rp0.00
x 5sk x = Rp0.00

x 7sk x = Rp0.00
x 4ds x = Rp0.00

x 5ds x = Rp0.00
x 5sk x = Rp0.00
x 7sk x = Rp0.00
x 4ds x = Rp0.00

x 5ds x = Rp0.00

Singaraja,
Pemegang program Remaja
 Rencana Pelaksanaan Kegiatan (RPK)
Puskesmas Sukasada I
Tahun 2019
No. Upaya Kesehatan Kegiatan Sasaran Target PJ Mitra Kerja Volume Kegiatan
1 2 3 4 5 6 7 8
1
x x

x x

x x

x x

x x

x x

TOTAL

Mengetahui
Kepala Puskesmas Sukasada I
anaan Kegiatan (RPK)
s Sukasada I
hun 2019
Rincian Tenaga SUMBER
Volume Kegiatan Lokasi Pelaksanaan Jadwal Biaya BIAYA
Pelaksanaan Pelaksanaan
8 9 10 11 12 13 14

Rp0

Rp0

Rp0

Rp0

Rp0

Rp0

TOTAL Rp0

Singaraja,
Pemegang program Remaja