Daftar Hadir :

Hari :
Tanggal :
Tempat : Puskesmas Gedangan
NO. NAMA NIK/NIP JABATAN TANDA TANGAN
1 1
2 2
3 3
4 4

5 5
6 6
7 7

Sidoarjo,

Mengetahui, Pelaksana,
Kepala Puskesmas Gedangan

dr. B. IRAWATYRATNA K., MM

NIP. 197004192001041001 ………………………………
Daftar Hadir : Lokakarya Mini Puskesmas
Hari : Rabu
Tanggal : 15 Februari 2023
Tempat : Puskesmas Gedangan

NO NAMA NIP / NIK ALAMAT TANDA TANGAN

.
1 Pkm Ged 1
2 Pkm Ged 2
3 dr. Agustiningsih Pkm Ged 3
4 drg. Ilun Mufassilah Pkm Ged 4
5 dr. Hidayahtyama P. Pkm Ged 5
6 dr. Yenni Martina D.W. Pkm Ged 6
7 drg. Hanifah ayu pramitasari Pkm Ged 7
8 dr. Henny Widiastuty Pkm Ged 8
9 Sulastri Pkm Ged 9
10 Rina As,yuniati Pkm Ged 10
11 Maisaroh, SE Pkm Ged 11
12 Eny Mutrofin Pkm Ged 12
13 Tri Sulastiyo Pkm Ged 13
14 Ghonimah Mardiana Pkm Ged 14
15 Only Rahmatinni'mah Pkm Ged 15
16 Ning Haryuni Pkm Ged 16
17 Masfufah Pkm Ged 17
18 Suparni Pkm Ged 18
19 Khusnul Khowatim Pkm Ged 19
20 Wahyu Dwi Feriastin Pkm Ged 20
21 Rima Hendika Dana K Pkm Ged 21
22 Iswatien Aisiyah A.S Pkm Ged 22
23 Sabar Sampurno Pkm Ged 23
24 Endah Palupi Pkm Ged 24
25 M. Rofiq Q Pkm Ged 25
26 Wahyu Elis Destriana Pkm Ged 26
27 Dinda Rahma Haris Pkm Ged 27
28 Elvy Widyastuti Pkm Ged 28
29 Linda Kurniawati Pkm Ged 29
30 Pudjiati Adi Purnami Pkm Ged 30
31 Siti Aminah Pkm Ged 31
32 Maya Dewi Wulandari Pkm Ged 32
33 Novi Dianita Sukowati Pkm Ged 33
34 Yuli Ernawati Pkm Ged 34
35 Pratama Bahagia R. Pkm Ged 35
36 Windra Yulianto Pkm Ged 36
37 Nurrita Dwi S Pkm Ged 37
38 Wahyu Rahmawati Pkm Ged 38
39 Nancy Natalia Pkm Ged 39
40 Shinta Bela Pratiwi Pkm Ged 40
41 Yulia Mufarrihah Pkm Ged 41
42 Amini Pkm Ged 42
43 drg. Intan Andiyani Pkm Ged 43
44 Dwi Purnamasari Pkm Ged 44
45 Arifah Mubaroh Pkm Ged 45
46 Ifa Sulistin Pkm Ged 46
47 Siti Nur Cholifah Pkm Ged 47
48 Mahardika Rafi Maulana Pkm Ged 48
49 Setya Budi Rahayu Pkm Ged 49
50 Inggrid Siswi Putri Arinda Pkm Ged 50
 51 Nizar Arfandhi Pkm Ged 51
52 Mai Rizki Fauziah Pkm Ged 52
53 Nira Rinanda Soeprayogie Pkm Ged 53
54 Made Dyah Ayu S Pkm Ged 54
55 Marsa Linda Pkm Ged 55

Mengetahui, Sidoarjo,
Kepala Puskesmas Gedangan Pelaksana

dr. B. IRAWATYRATNA K., MM Maisaroh, SE

NIP. 197004192001041001 NIP. 19680112 198903 2 010