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CHECKLIST PETUGAS KEBERSIHAN

RUANG/ UNIT .......................................... PUSKESMAS DASUK


BULAN .............................. 2019

RUANGAN KAMAR MANDI Paraf Keterangan


Lantai Jam Lantai Jam Petugas Unit
TGL PETUGAS Bak Pemeriksaan
dan KACA MEBEL Pengambilan dan Kloset Pengambilan
Mandi Jentik
Dinding sampah Dinding sampah
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
Hamdi
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Hamdi
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Mengetahui
Kepala Puskesmas Dasuk

dr. Zulfa Ulin Nuha


NIP. 19710815 200212 2 006

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