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- Bulon Apsl am3, FORM PENERIMAAN LAPORAN BULANAN, No | Nema Puskesmes| Jenis Laporan ace Nama pengirim | NamaPenerima| Di Tujukan Masalah Tindak Lanjut \}Pet CER | iyo. typad | 27/4 /o923 | tne sme, Deeora as at Rarmpu Viera | LEOA, duate ft, e I nd i hor an f ont ae a a [ML Adrevlaf spe < EFRR? (| 19 (a/a02® ) 4 iG LOO Ap Divi | | We wid > = ca Penescne | 2h | HE oy ‘Cematian =e ven | 24/4/23 J penit pe = at ] | PKL MID greeny Prt /4/n2s N) wikts vy x a Aveyod Lerspnit | ‘ } fez [Arr w o@ co am lL Prumuts | 4 7 Peusma 4 onl = nae U dree pimoak -tamyn wpadncem '/we | Coan & savy Pe supl £ | Yunyunsen| 2/5 /a022 fAhaad) (f. f) omy (say ke — FORM PENERIMAAN LAPORAN BULANAN. [ Nama Puskesmes | —Jenis Laporan beara Nama pengirim | NamaPenerima| Di Tujukan Masalah Tindak Lanjut © | Pee eemanggsod —ramungan | lees | munendac q me Womby fs fo 2 | Ree Yotrarady — Mamynpn Er lor a | : | L vrnungan ia] | 2/2 hrondo 4 { 2 “6 Son Qn a L evnyonqon 2 ene ey ase Hel eunyungan Ane Vole ry a J | WWL Potmemn|— 1570, digi, ] J po ie — a y LQvA, Drie eet L survertans Tuya tenyonal L wevettans KEemstimn - 16 few Uc brs, ist ata ] wy woth yun My FORM PENERIMAAN LAPORAN BULANAN Kesesuaian Tanggal| Tindak Lanjut No | Nama Puskesmas| — Jenis Laporan eee Nama pengirim | Nama Penerima | Di Tujukan Masalah 4 Pee Bimeast|— ramea n f AW *t = = eithalan u | Bee Thue ae ! I Sonty [Ano AB a s i Eee | | ort Ze a = Peruesmes U [Here uh Ge pe p [Per rot |- Te bev us - sh alt/mes Mam Il i Pay MW Bomb Ua |~ custa | Y sony —UB1 ! 7 Ss y [Mee Foe - Survettans 7 ile eo ms te h mero peer) oe” Slr hore, Amelie — Compa on Prone; -TR her | | unt fy oa a = Perr Dacsin: / +) v ven FORM PENERIMAAN LAPORAN BULANAN Kesesuaian Tanggal No | Nem Puskesmes| —Jenis Laporan Pacatianan Nama pengirim | Nama Penerima| Di Tujukan Masalah Tindak Lanjut eL cok = |- Yomoh if Kary ADP = = is cen] BETben sie) Ae ) | my : lan | |. a L_ Evmyungan Went ] bry pe - YTM Maczem ea is } —Ayend / [Bebo von i — ty PPKEERY | dunn [300/202 Quik Oh sete} Wf smn, Oi We Patmero.|— cunyyngan Poll Vn reney Be fui A I gonty WU onty — atl MBS, Perv, Cy Tmunisat , les} Pere, ttm, Lone, Priel 1 Moe, Hep, Siti llr } 07. 24 ym| 4/e(we > > sme nf Sortz| ae a 14 |e Awnpult | ~teunyumgen | aie /wex | ehoiron Hf cent — — es FORM PENERIMAAN LAPORAN BULANAN No | NamaPuskesmas | — Jenis Laporan a NamaPengirim | Nama Penerima Di Tujukan Masalah Tindak Lanjut te PKL shyvio Tf |- eunjungan 4ls(nr3 Yur < q omy M corny — iss i | WeL Plmeh H — conyungan | alc(wr3 4 Al sonty | If sonty — = Aucna om fa Put Slept IT |= eumyngon | 4/r/ooz3 | nonin hf Wosmty | ff sme, seilie a 18 | Rut Plmer|— Lunyngan frie /w2s | Fr etene W sent, | bmry _ a Yo Coben i if |p Pred fe eoryroyme | C/e(w ts rhe N amy I imey x — We Jakarta, 6 Mo 202% Mengetahui, Petagad Xa Sub Bagian Tata Usaha Dewi Susan ty Nip 10203419780330201501066 Oktovina Rante,S. Si/Apt Nip 196610171997032001

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