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PEMERINTAH KABUPATEN MALANG

DINAS KESEHATAN
UPT PUSKESMAS BANTUR
Jl. Raya Bantur No. 2203 Telp. ( 0341 ) 841113

Email : puskesmasbantur@yahoo.com
MALANG 65179

NOTULEN KEGIATAN

Agenda : ………………………………………………………………………………………………………………………….

Hari / Tanggal : ………………………………………………………………………………………………………………………….

Waktu panggilan : ………………………………………………………………………………………………………………………….

Waktu pertemuan : ………………………………………………………………………………………………………………………….

Acara : ………………………………………………………………………………………………………………………….

PIMPINAN RAPAT :

Ketua : ………………………………………………………………………………………………………………………….

Sekretaris : ………………………………………………………………………………………………………………………….

Pencatat : ………………………………………………………………………………………………………………………….

Peserta rapat : ………………………………………………………………………………………………………………………….

Kegiatan rapat :

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KATA PEMBUKAAN :
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PEMBAHASAN :

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KESIMPULAN :

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SARAN :

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HARAPAN :

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Mengetahui,

Kepala UPT Puskesmas Bantur Notulis

drg. Imam Mashuda


NIP. 19790916 201001 1 009 ……………………………………………………………..
DOKUMENTASI KEGIATAN PRAMINLOK
PEMERINTAH KABUPATEN MALANG
DINAS KESEHATAN
UPT PUSKESMAS BANTUR
Jl. Raya Bantur No. 2203 Telp. ( 0341 ) 841113

Email : puskesmasbantur@yahoo.com
MALANG 65179

DAFTAR HADIR KEGIATAN RAPAT MUTU BULANAN


UPT PUSKESMAS BANTUR

NO NAMA JABATAN TTD

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Bantur,
Kepala UPT Puskesmas Bantur

drg. Imam Mashuda


NIP. 19790916 201001 1 009

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