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Tanda Terima Bukti Pencatatan Da Pelaporan Kusta

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PEMERINTAH KABUPATEN BONDOWOSO

DINAS KESEHATAN
UPTD PUSKESMAS TLOGOSARI
Jl. Raya Pakisan Kecamatan Tlogosari, Kab. Bondowoso
email: pkmtlogosaribondowoso@gmail.com

Kode Pos : 68272

TANDA TERIMA LAPORAN PROGRAM KUSTA

TAHUN 2023

TANDA TANGAN
BULAN TANGGAL KEPALA
PJ KUSTA DINAS KESEHATAN
PUSKESMAS

Januari 31 Januari 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Februari 28 Februari 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Maret 31 Maret 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

April 30 April 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Mei 31 Mei 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Juni 30 Juni 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001
Juli 31 Juli 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Agustus 31 Agustus 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

September 30 September 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Oktober 31 Oktober 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

November 30 November 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

Desember 31 Desember 2023

Rita Sasmita, Amd. Keb dr. Ita Afriyanti Dewi Goek Fitri Purwandari, S.KM,M.MKes
NIP. 19910911 202012 2 012 NIP. 19800817 201001 2 016 NIP.19711120 199703 2 001

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