PEMERINTAH KABUPATEN NATUNA

DINAS KESEHATAN, PENGENDALIAN PENDUDUK

DAN KELUARGA BERENCANA
PUSKESMAS SERASAN
JalanArung Raja, Air Sekain, Kecamatan Serasan
Kode Pos : 29781 Email : pkmserasan@gmail.com
SERASAN

NOTULEN

Sidang/Rapat : ............................................................................
Hari/Tanggal : ............................................................................
WaktuPanggilan : ............................................................................
Waktusidang/rapat : ............................................................................
Acara : 1. ........................................................................
2. ........................................................................
3. ........................................................................
4. ........................................................................
5. ........................................................................
PimpinanSidang/Rapat
Ketua : ............................................................................
Sekretaris : ............................................................................
Pencatat : ............................................................................
Pesertasidang/rapat : ............................................................................
: ............................................................................
KegiatanSidang/Rapat : ............................................................................
: ............................................................................
: ............................................................................
Kata Pembukaan : …………………………………………………….
: ............................................................................
Pembahasan :
1. Pemaparan oleh Fasilitator
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2. Diskusi / Tanya Jawab
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3. Kesimpulan
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Mengetahui, Serasan, 05 September 2019

Plh. Camat Serasan Kepala Puskesmas Serasan

WENDRIADY,S.Sos SARIFAH ANISAH,SKM

NIP.19810910 200012 1 002 NIP. 19840824 201101 2 006
 Mengetahui, Serasan, 28 Februari2019
AN. Camat Serasan Plt. Kepala Puskesmas Serasan
Plt. SeketarisKecamatan

ERWANDI, S. Sos SARIFAH ANISAH, SKM

NIP. 19710324 200012 1 007 NIP. 19840824 201101 2 006
 PEMERINTAH KABUPATEN NATUNA
DINAS KESEHATAN, PENGENDALIAN PENDUDUK
DAN KELUARGA BERENCANA
UPT PUSKESMAS SERASAN
JalanArung Raja, Air Sekain, Kecamatan Serasan
Kode Pos : 29781 Email : pkmserasan@gmail.com
SERASAN

NOTULEN

Sidang/Rapat : ............................................................................
Hari/Tanggal : ............................................................................
WaktuPanggilan : ............................................................................
Waktusidang/rapat : ............................................................................
Acara : 1. ........................................................................
2. danseterusnya
3. Penutup.
PimpinanSidang/Rapat
Ketua : ............................................................................
Sekretaris : ............................................................................
Pencatat : ............................................................................
Pesertasidang/rapat : 1. ........................................................................
2. danseterusnya.
KegiatanSidang/Rapat : 1. ........................................................................
2. danseterusnya.
1. Kata Pembukaan : ………………………………………………………
2. Pembahasan : ………………………………………………………
3. Peraturan :……………………………………………………….
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PIMPINAN SIDANG/RAPAT
NAMA JABATAN

NAMA