Tanggal Hari PEMERINTAH KABUPATEN EMPAT LAWANG DINAS KESEHATAN UPTD PUSKESMAS NANJUNGAN Jalan Bambang Utoyo, Desa Nanjungan, Pasemah Air Keruh Kode Pos 31595 Email: i parrar apie Mi, Lokar ARNA PUSKESMAS NANJUNGAN KEC. PASEMAH AIR KERUH No NAMA/NIP Jabatan Paraf fev porn [Ig7z021alase 03 200! SETI Oran MARISSA 1830904 201212260 3 STAR AoA PrOMirA epg a\W2203 2B Tevet Owra rorya \o51109 209265 puea. ve |ctTap. pavselca 960110 2029077201 \esuve Viova paula - Peas (9970381209705 9014 keruve levee Uris Warenst (098 oboraox032015 ely = Barat tavioso \ggst0 208022031000) elu HI 4 ANGE “We SiN Loo) lewsune, Pipi ewan, 'g§oTtoz012 12.2002 POLL \easmara \aeeli202cI 051000 vw bei. Androsn\ Gd apt het{ana Ysera oni Nama Jabatan Paraf ou te Lastent oi dot, wm x Ay anders deeilvoe = Ol ae | Wisnu Poet -5 UGao (ie 7 | Dahir Ugg Aenes zen Reid re "faust | eco Y | wage les fn Lx 7 Mead tS ons re Za 1] Deo “tyatan! hea Mol 2 | Arisa a Dewanti fn Ap % | May Aopee Sei UGo a * | Vere Aoustine (uns at % | Loerna (Waubicad Me Qean [Mom eclua Pr Lonnesa, Wang | Perlite Delian | Radarheren — | fb 7 | Aeviyant peodttharon l# : 29 | evi moninlea jetenicwe : 4 LTH pre’ we “qe 31 | gan Yastine ky ZL 2 Sister Purr’ Lahey | lmvntsag, Sad 33 [mE merting (qusvoszcveo4ea 11 | ehWna A- * lteta swnite Pendaq eran fo 35 a ud9% 36 Pome 37 38 39 40 a a2 43 45 46 47 48 49 s1 52 54 55 56 37 58Kepala UPTD Puskesmas Nanjungan Siti Hodijah, SKep., MAP NIP, 198505112009042001