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PEMERINTAH KOTA TASIKMALAYA

UPTD PUSKESMAS TAMANSARI


Jl. Tamansari Kel. Sukahurip Kec. Tamansari Telp. 08112114707
E-mail : puskesmasdtptamansari@gmail.com
TASIKMALAYA
Kode Pos 46196

KERANGKA ACUAN PROGRAM


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UPTD PUSKESMAS TAMANSARI

A. Pendahuluan
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B. Latar Belakang
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C. Tujuan Umum dan Tujuan Khusus


1. Tujuan Umum
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2. Tujuan Khusus
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D. Kegiatan Pokok dan Rincian Kegiatan


No. Kegiatan Pokok Rincian Kegiatan
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E. Cara Melaksanakan Kegiatan


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F. Sasaran
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G. Jadwal Pelaksanaan Kegiatan


Bulan
No Kegiatan
Jan Feb Mar Apr Mei Jun Jul Agu Sep Okt Nov Des

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H. Monitoring Evaluasi Pelaksanaan Kegiatan dan Pelaporan


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I. Pencatatan, Pelaporan dan Evaluasi Kegiatan


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Mengetahui, Tasikmalaya, ………………… 2023


Kepala UPTD Puskesmas Tamansari Koordinator ………………………..

H. Mohamad Ali Sya’ban, dr. …………………………………………


NIP 19711003 200212 1 003 NIP . ……………………………………..

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