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DINAS KESEHATAN KABUPATEN CIANJUR
PUSKESMAS GEKBRONG
Alamat: Jl. Raya CianjurSu!a"umi KM. #$ K%&. G%!"r'n( Ka". Cianjur Tl). *+,-- ,-+//+
SURAT PERINTAH PERJALANAN DINASNomor : 094 / / IV / 2016
1 Pejabat bere!a!" #a!" member$ %er$!ta& 'e%a(a P)*+e*ma* ,e+bro!"
2 a Nama Pe"aa$ #a!" -$%er$!ta&+a! a .$-a .$-$#a!$!"*$& Am'eb
b NIP b 1961010201001201
a Pa!"+at ,o(o!"a! a Pengatur II/cb Jabata! b Bidan Pelaksana
4 a+*)- Perja(a!a! e!"$+)t$ Pe(*t$&a! IUD -a! Im%a(! ba"$ 3$-a!
-$ .$*ma 3o"or Perma$ J( Sao Jajar No 'ota 3o"or
a Tem%at 3era!"+at a Puskesmas Gekbrong
b Tem%at T)j)a! b Kota Bogor
6 a Lama!a#a Perja(a!a! a 56 (Lima) Hari
b Ta!""a( 3era!"+at b 4 Aril !"#6
5 Ta!""a( &ar)* +emba($ 5 $ Aril !"#6
A(at a!"+)ta! #a!" -$%er")!a+a! D$!a*/Um)m
Pe!"$+)t Nama Um)r H)b)!"a! 'e()ar"a
1 1
2 2
9 Pembeba!a! A!""ara! :
a I!*ta!*$ : a
b ata A!""ara! : b
10 'etera!"a! La$!7(a$!
D$+e()ar+a! -$ : 8IANJUR
Pa-a Ta!""a( : "# Aril !"#6
'e%a(a P)*+e*ma* ,e+bro!"'e5amata! ,e+bro!"
'e%a(a S)b 3a"$a! Tata U*a&a
-r 8E8EP .ILL 3UDIAN
NIP 191091 200604101
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3era!"+at -ar$ :
Tem%at 'e-)-)+a!; : P)*+e*ma* ,e+bro!"
Pa-a Ta!""a( : "4 A ril !"#6'e : Kota Bogor
'e%a(a/P$m%ro 'e%a(a P)*+e*ma* ,e+bro!"
'e5amata! ,e+bro!"
'e%a(a S)b 3a"$a! Tata U*a&a
-r 8E8EP .ILL 3UDIAN
NIP 191091200604101
T$ba -$ : Kota Bogor 3era!"+at -ar$ : Kota BogorI Pa-a T"( : 04 A%r$( 2016 'e : P)*+e*ma* ,e+bro!"
'e%a(a : Pa-a T"( : 0 A%r$( 2016
'e%a(a
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A!'e%a(a D$!a* 'e*e&ata! 'ab=8$a
'a(a 3$-a!" Promo*$ -a! Pember-a
'e*e&ata! a*#ara+at
Dr* H>LIS A3DUL ,ANI=S$
NIP 19022 19906 1001
3era!"+at : %-r )*ma! ?a$
NIP 192012200
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j)r
a!
$*a(
011012
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LAPIRAN SURAT TU,AS PERTEUAN L>'A 'ARA PR>'ES
SE'A3UPATEN 8IANJUR PADA TAN,,AL09 A")*t)* 2010
DI DINAS 'ESEHATAN 'A3UPATEN 8IANJUR
N> NAA NIP PAN,'AT PUS'ESAS
1 2 4
1 A&'P &*A+A #,66"5"- #,$6". # ""! Penata uda 0k1I III/b Petugas Promkes Puskesmas &ukalu2u
2 +'0I K3&IA0I&K #,-,"$!$ !"#""# ! "#! Penata uda III/a Petugas Promkes Puskesmas &indangbarang
H1IKH&A *AKAIA #,-6"4!" !""-"# # ""- Penata uda III/a Petugas Promkes Puskesmas ikadu
4 A7I *A+AKLAA #,6."-", #,,#". # ""- Penata uda III/a Petugas Promkes Puskesmas ikalongkulon
UHAD ALPIANS' #,$5",#! !""!#! # ""! Penata uda III/a Petugas Promkes Puskesmas aringgul
6 7'7' 3A7A #,64"-!6 #,$-". # ""5 Penata uda 0k1I III/b Petugas Promkes Puskesmas uka
'I 3KII #,-#"!!6 #,,-"! ! ""# Penata uda III/a Petugas Promkes Puskesmas iran8ang
I79A K3IA #,-,",!! !""$"# # "". Penata uda III/a Petugas Promkes Puskesmas amakamul2a
9 AHA7 I:AIA1Ke Petugas Promkes Puskesmas idaun
10 A&0I &3LI&0IA9A0I&K #,-6"!#, !""6"4 ! "#! Penata uda III/a Petugas Promkes Puskesmas Gekbrong
11 &I AHA+3A1Ke #,-""$#, #,,-". ! ""- Penata uda III/a Petugas Promkes Puskesmas ieu2eum
12 HA7I &3PIA0A &K #,$4",!. !"#""# # ""- Penata uda III/a Petugas Promkes Puskesmas Kaduandak
1 RUSLAN A3DUL,ANI=S' #,-$"6#! !""!#! # ""4 Penata uda III/a Petugas Promkes Puskesmas ugenang
14 7'9I A0IH K #,6-#!#, #,,"". ! ""! Penata uda 0k1I III/b Petugas Promkes Puskesmas ianas
1 &A;7I '0A APA7I #,56!#"- #,$!#" # "". Penata uda III/a Petugas Promkes Puskesmas Kademangan16 &3PIA7I PA*I &K #,6#"4"##,$5#!"#""! Penata uda 0k1I III/b Petugas Promkes Puskesmas agrak
1 3&LI A+A7I&K #,-4"6#, !""6"4 # "", Penata uda III/a Petugas Promkes Puskesmas 0anggeung
1 :A erang
4 +3LIA &3LI&0IA9A0I&K #,$.",#5 !""$#! # ""6 Penata uda III/a Petugas Promkes Puskesmas 0akokak
ian8ur ", Agustus !"#"
An1 Keala 7inas Kese>atan
Kabuaten ian8ur
Keala Bidang Promosi dan Pemberda2aan
Kese>atan as2arakat Kabuaten ian8ur
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NIS.AN PUR.ENTI=SE
!$%19014 19101 2 0002
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IA A7IAI #,6,"$## #,,#".! ""4
*2 A&'P &*A+A #,66"5"- #,$6". # ""!
*1 +'0I K3&IA0I&K #,-,"$!$ !"#""# ! "#!
D H1IKH&A *AKAIA #,-6"4!" !""-"# # ""-
SA A7I *A+AKLAA #,6."-", #,,#". # ""-
UHAD ALPIANS' UHAD ALPIANS' #,$5",#! !""!#! # ""!
7'7' 3A7A #,64"-!6 #,$-". # ""5
'I 3KII #,-#"!!6 #,,-"! ! ""#
I79A K3IA #,-,",!! !""$"# # "".0 AHA7 I:AIA1Ke
A&0I &3LI&0IA9A0I&K #,-6"!#, !""6"4 ! "#!
&I AHA+3A1Ke #,-""$#, #,,-". ! ""-
HA7I &3PIA0A &K #,$4",!. !"#""# # ""-
RUSLAN A3DUL,ANI RUSLAN A3DUL,ANI=S' #,-$"6#! !""!#! # ""4
7'9I A0IH K #,6-#!#, #,,"". ! ""!
&A;7I '0A APA7I #,56!#"- #,$!#" # "".
&3PIA7I PA*I &K #,6#"4"##,$5#!"#""!
3&LI A+A7I&K #,-4"6#, !""6"4 # "",
:A
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A7AG H'0A7I
A7' 3L+AA
A7IA&+AH
''G 3&0IA9A
33 BAH3
71 HI7A+A0
7rs1A1HI7A+A0
'1&3A7I
IA& A&IAH
I+3& +3&3PLILI K'LI
LIA H'LIA
1 '0I &
AAG
3HA+A0I
AHA0 3L+A7I
AI AA7AI
3LI
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Penata uda III/a Petugas Promkes Puskesmas Pagelaran Puskesmas Pagelaran
Penata uda 0k1I III/b Petugas Promkes Puskesmas &ukalu2u Puskesmas &ukalu2u
Penata uda III/a Petugas Promkes Puskesmas &indangbarang Puskesmas &indangbarang
Penata uda III/a Petugas Promkes Puskesmas ikadu Puskesmas ikadu
Penata uda III/a Petugas Promkes Puskesmas ikalongkulon Puskesmas ikalongkulon
Penata uda III/a Petugas Promkes Puskesmas aringgul Puskesmas aringgul
Penata uda 0k1I III/b Petugas Promkes Puskesmas uka Puskesmas uka
Penata uda III/a Petugas Promkes Puskesmas iran8ang Puskesmas iran8ang
Penata uda III/a Petugas Promkes Puskesmas amakamul2a Puskesmas amakamul2aPetugas Promkes Puskesmas idaun Puskesmas idaun
Penata uda III/a Petugas Promkes Puskesmas Gekbrong Puskesmas Gekbrong
Penata uda III/a Petugas Promkes Puskesmas ieu2eum Puskesmas ieu2eum
Penata uda III/a Petugas Promkes Puskesmas Kaduandak Puskesmas Kaduandak
Penata uda III/a Petugas Promkes Puskesmas ugenang Puskesmas ugenang
Penata uda 0k1I III/b Petugas Promkes Puskesmas ianas Puskesmas ianas
Penata uda III/a Petugas Promkes Puskesmas Kademangan Puskesmas Kademangan
Penata uda 0k1I III/b Petugas Promkes Puskesmas agrak Puskesmas agrak
Penata uda III/a Petugas Promkes Puskesmas 0anggeung Puskesmas 0anggeung
Penata uda 0k1I III/b Petugas Promkes Puskesmas ienda=a Puskesmas ienda=aPenata uda III/a Petugas Promkes Puskesmas &ukaresmi Puskesmas &ukaresmi
Penata uda 0k1I III/b Petugas Promkes Puskesmas ande Puskesmas ande
Penata uda III/a Petugas Promkes Puskesmas ikondang Puskesmas ikondang
Penata uda III/a Petugas Promkes Puskesmas &ukanagara Puskesmas &ukanagara
Penata uda III/a Petugas Promkes Puskesmas Pagelaran Puskesmas Pagelaran
Penata uda 0k1I III/b Petugas Promkes Puskesmas i8edil Puskesmas i8edil
Penata uda 0k1I III/b Petugas Promkes Puskesmas Karangtenga> Puskesmas Karangtenga>
Penata uda III/a Petugas Promkes Puskesmas &ukasari Puskesmas &ukasari
Penata uda III/a Petugas Promkes Puskesmas Pusakasari Puskesmas Pusakasari
Penata uda III/a Petugas Promkes Puskesmas amaka Puskesmas amakaPenata uda III/a Petugas Promkes Puskesmas Bo8onglarang Puskesmas Bo8onglarang
Penata uda III/a Petugas Promkes Puskesmas i8ati Puskesmas i8ati
Penata uda 0k1I III/b Petugas Promkes Puskesmas ibinong Puskesmas ibinong
Penata uda III/a Petugas Promkes Puskesmas &ukanagali> Puskesmas &ukanagali>
Penata uda III/a Petugas Promkes Puskesmas ibaregbeg Puskesmas ibaregbeg
Penata uda III/a Petugas Promkes Puskesmas Giri8a2a Puskesmas Giri8a2a
Penata uda III/a Petugas Promkes Puskesmas Bo8ongicung Puskesmas Bo8ongicung
Penata uda III/a Petugas Promkes Puskesmas 9arungkondang Puskesmas 9arungkondang
Penata uda 0k1I III/b Petugas Promkes Puskesmas ian8ur Kota Puskesmas ian8ur Kota
Penata uda 0k1I III/b Petugas Promkes Puskesmas &inadangkerta Puskesmas &inadangkerta
Penata uda III/a Petugas Promkes Puskesmas Gunungbitung Puskesmas Gunungbitung
Penata uda III/a Petugas Promkes Puskesmas &ukama>i Puskesmas &ukama>i
Penata uda III/a Petugas Promkes Puskesmas i8agang Puskesmas i8agang
Penata uda 0k1I III/b Petugas Promkes Puskesmas ibeber Puskesmas ibeber
Penata uda 0k1I III/b Petugas Promkes Puskesmas Agrabinta Puskesmas Agrabinta
Penata uda III/a Petugas Promkes Puskesmas i>erang Puskesmas i>erang
Penata uda III/a Petugas Promkes Puskesmas 0akokak Puskesmas 0akokak
Puskesmas &ukalu2u Puskesmas &ukalu2u
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Puskesmas &indangbarang Puskesmas &indangbarang
Puskesmas ikadu Puskesmas ikadu
Puskesmas ikalongkulon Puskesmas ikalongkulon
Puskesmas aringgul Puskesmas aringgul
Puskesmas uka Puskesmas uka
Puskesmas iran8ang Puskesmas iran8ang
Puskesmas amakamul2a Puskesmas amakamul2a
Puskesmas idaun Puskesmas idaun
Puskesmas Gekbrong Puskesmas Gekbrong
Puskesmas ieu2eum Puskesmas ieu2eumPuskesmas Kaduandak Puskesmas Kaduandak
Puskesmas ugenang Puskesmas ugenang
Puskesmas ianas Puskesmas ianas
Puskesmas Kademangan Puskesmas Kademangan
Puskesmas agrak Puskesmas agrak
Puskesmas 0anggeung Puskesmas 0anggeung
Puskesmas ienda=a Puskesmas ienda=a
Puskesmas &ukaresmi Puskesmas &ukaresmi
Puskesmas ande Puskesmas ande
Puskesmas ikondang Puskesmas ikondangPuskesmas &ukanagara Puskesmas &ukanagara
Puskesmas Pagelaran Puskesmas Pagelaran
Puskesmas i8edil Puskesmas i8edil
Puskesmas Karangtenga> Puskesmas Karangtenga>
Puskesmas &ukasari Puskesmas &ukasari
Puskesmas Pusakasari Puskesmas Pusakasari
Puskesmas amaka Puskesmas amaka
Puskesmas Bo8onglarang Puskesmas Bo8onglarang
Puskesmas i8ati Puskesmas i8ati
Puskesmas ibinong Puskesmas ibinongPuskesmas &ukanagali> Puskesmas &ukanagali>
Puskesmas ibaregbeg Puskesmas ibaregbeg
Puskesmas Giri8a2a Puskesmas Giri8a2a
Puskesmas Bo8ongicung Puskesmas Bo8ongicung
Puskesmas 9arungkondang Puskesmas 9arungkondang
Puskesmas ian8ur Kota Puskesmas ian8ur Kota
Puskesmas &inadangkerta Puskesmas &inadangkerta
Puskesmas Gunungbitung Puskesmas Gunungbitung
Puskesmas &ukama>i Puskesmas &ukama>i
Puskesmas i8agang Puskesmas i8agangPuskesmas ibeber Puskesmas ibeber
Puskesmas Agrabinta Puskesmas Agrabinta
Puskesmas i>erang Puskesmas i>erang
Puskesmas 0akokak Puskesmas 0akokak
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AB3 &1&IP
AB3 &1&IP
A7AG H'0A7I
ADE ULANA
A7IA&+AH
8E8EN, RUSTIA.AN
8U8U 3AHRUN
71 HI7A+A0
7rs1A1HI7A+A0'1&3A7I
IAS ASRIAH
IUS USUP
LILI '>RNELI
LIA H'LIA
N ETIN S
AAG
NURHAATI
AHA0 3L+A7I
RANI RAADANI3LI
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8E8EN, RUSTIA.AN
LU'AAN
@AENAL ARI?IN
ARIES SIS'A
ADI UHRT>>
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-r" DIAN NUS.ANTARI= ='e* 1969060219902000 Pe!ata T+I III/-
Ke Puskesmas Karangtenga>
ke Puskesmas i>erang
ke Puskesmas ieu2eum
ke Puskesmas i8edil
&I&9A0 &IP #,6$"4#" #,,!". #""$ Pe!ata )-a III/a
ke Puskesmas &ukaresmi
ke Puskesmas &ukama>i
ke Puskesmas ande
ke Puskesmas Kademangan
ke Puskesmas &ukanagali>
2
AG3& &'0IAB37I &K 1Kes #,6-"$!4 #,$$"4 # ""# Pe!ata III/5
Ke Puskesmas Karangtenga>
ke Puskesmas i>erang
ke Puskesmas ieu2eum
ke Puskesmas i8edil
ke Puskesmas ugenang
37I 9IB9&K 1Kes 196111 190 1 00 Pe!ata I II/5
ke Puskesmas Bo8ongicung
ke Puskesmas ikondang
+e P)*+e*ma* S)+a()#)
+e P)*+e*ma* 8$%a!a*
+e P)*+e*ma* 8$%e!-aa
H'37I 3*AA #,65"$"5 #,,#". # "#! Pe!ata )-a III/a
ke Puskesmas amaka
ke Puskesmas amaka ul2a
ke Puskesmas &ukanagarake Puskesmas 0anggeung
ke Puskesmas &indangkerta
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DEDI SUPRIADI 19600 19920 1 002 Pe!"at)r -a T+I II/b
ASRI LISTIANI= Am-A+ 1921011 201001 2 016 Pe!"at)r II/5
AAT RAHATULLAH 19660402 19920 1 00 Pe!"at)r )-a T+I II/b
PARDI 19020 19402 1 001 Pe!"at)r II/5HAID 196400 199601 1 002 Pe!"at)r T+I II/-
S>PAN 1960411 1900 1 00 Pe!"at)r )-a II/a
NIA ANDRIANI USTA?IDAH 1911210 20001 2 011 Pe!"at)r T+I II/-
INDRA RADHANI 194101 201001 1 001 Pe!"at)r )-a II/a
UHAADSARI?UDIN 19002 20001 1 00 Pe!"at)r )-a II/a
RI'A JU.ITA >8TAVIANI=A- 1991012 200902 2 002 Pe!"at)r II/5
PANJI >HAAD PRAPAN8A=AD A+ 1940426 201001 1 014 Pe!"at)r II/5
-rHJRATU TRI ULIA HERA.ATI='
AJAT SUDRAJAT= ESo*S$
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'a*$ Data -a! I!orma*$ D$!a* 'e*e&ata! 'ab8$a!j)r
Te!a"a Pe!#)()& Prom+e* D$!a* 'e*e&ata! 'ab)%ate! 8$a!j)r
'e%a(a Se+*$ Promo*$ 'e*e&ata!
'e%a(a Se+*$ Pember-a#aa! 'e*e&ata! a*#ara+at
Sta Se+*$ Promo*$ 'e*e&ata!
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Sta Se+*$ Pe!"o(a&a! Data 'e*e&ata!
'a*$
e&a'a Se$() P*++() e(e-atan 8$bare"be"
Sta Se+*$ Pe!"o(a&a! Data 'e*e&ata! .ar)!"+o!-a!"
Sta Se+*$ Pe!"o(a&a! Data 'e*e&ata! 8$%e)#e)m
'a*$ 'e*e&ata! L$!"+)!"a! D$!a* 'e*e&ata! 'ab 8$a!j)r S)+a*ar$
Sta Se+*$ Pe!5e"a&a! Pe!"e!-a($a! Pe!#a+$t e!)(ar 8)"e!a!"
Sta Se+*$ ,$B$ a*#ara+at
e&a'a Se$() Pe%e*#aaan e(e-atan Ma(a*a$at 3ojo!"%$5)!"
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at 8$+o!-a!"Sta Se+*$ Promo*$ 'e*e&ata! S)+a()#)
'a*$ S)rCe$(a! E%$-em$o(o"$ D$!a* 'e*e&ata! 'ab 8$a!j)r 8$%a!a*
Sta Se+*$ S)rCe$(a! E%$-em$o(o"$ D$!a* 'e*e&ata! 'ab8$a!j)r S)+ama&$
Sta Se+*$ ,$B$ S)+are*m$
8$%e!-aa
8$+a(o!"+)(o!
a!-e
'a-ema!"a!
S)+a!a"a($&
A"rab$!ta
P)*a+a*ar$
a() ata #an In+*a() )na( e(e-atan a%"&aten )an2"* 8$b$!o!"
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at
'a*$ Pe!5e"a&a! -a! Pe!"e!-a($a! Pe!#a+$t e!)(ar
Sta Se+*$ 'e*e&ata! L$!"+)!"a!
Sta Se+*$ 'IA
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at 8am%a+a
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at S)+a!a"ara
Sta Se+*$ Pe!5e"a&a! -a! Pe!"e!-a($a! %e!#a+$t e!)(ar Ta!""e)!"
Sta Se+*$ Pe!5e"a&a! -a! Pe!"e!-a($a! %e!#a+$t e!)(ar S$!-a!"+ertaSta Se+*$ ,$B$ Pa"e(ara!
Sta Se+*$ ,$B$
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at
Se+*$ I!t$t)*$ Pemb$!aa! Pe(a#a!a! 'e*e&ata! Da*ar -a! R)j)+a!
Sta S)b ba" 'e)a!"a! -a! Per(e!"+a%a!
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Sta S)b 3a" Um)m -a! 'e%e"aa$a!
Sta Se+*$ 'IA
Sta Se+*$ Pember-a#aa! 'e*e&ata! ma*#ara+at
Sta ?arma*$ -a! Pe!"aa*a! a+a!a! $!)ma!Sta S)b 3a" Um)m -a! 'e%e"aa$a!
Sta S)b 3a" Um)m -a! 'e%e"aa$a!
Sta UPTD Lab 'ESDA
Sta Se+*$ Promo*$ 'e*e&ata!
Sta ?arma*$ -a! Pe!"aa*a! a+a!a! $!)ma!
Sta S)b 3a" Um)m -a! 'e%e"aa$a!
Sta Se+*$ Pe!#)*)!a! Pro"ram
'e%a(a D$!a* 'e*e&ata! 'ab 8$a!j)r
Se+retar$* D$!a* 'e*e&ata! 'ab 8$a!j)r
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'e 3a!-)!" Ta!""a( 10 aret 2010 10 aret 2010
+e P)*+e*ma* 8$%a!a* Ta!""a( 2 J)($ 2010 22 J)($ 2010
+e P)*+e*ma* S)+a()#) Ta!""a( 22 J)($ 2010 21 J)($ 2010
+e P)*+e*ma* 8$%a!a* Ta!""a( 2 J)($ 2010 227J)(710
+e P)*+e*ma* 8$%e!-aa Ta!""a( 24 J)($ 2010 2 J)($ 2010
ke Puskesmas ugenang Ta!""a( 24 J)($ 2010 2 J)($ 2010
Ta
ke Puskesmas ande Ta!""a( 20 J)($ 2010 19 J)($ 2010
ke Puskesmas Kademangan Ta!""a( 21 J)($ 2010 20 J)($ 2010
ke Puskesmas &ukanagali> Ta!""a( 22 J)($ 2010 21 J)($ 2010
ke Puskesmas &ukama>i Ta!""a( 2 J)($ 2010 22 J)($ 2010
ke Puskesmas &ukaresmi Ta!""a( 24 J)($ 2010 2 J)($ 2010
Ke Puskesmas Karangtenga> Ta!""a( 20 J)($ 2010 19 J)($ 2010
ke Puskesmas i>erang Ta!""a( 21 J)($ 2010 20 J)($ 2010
ke Puskesmas ieu2eum Ta!""a( 22 J)($ 2010 21 J)($ 2010
ke Puskesmas i8edil Ta!""a( 2 J)($ 2010 22 J)($ 2010
ke Puskesmas ugenang Ta!""a( 24 J)($ 2010 2 J)($ 2010
ke Puskesmas Bo8ongicung Ta!""a( 20 J)($ 2010 19 J)($ 2010
ke Puskesmas ikondang Ta!""a( 21 J)($ 2010 20 J)($ 2010
+e P)*+e*ma* S)+a()#) Ta!""a( 22 J)($ 2010 21 J)($ 2010
+e P)*+e*ma* 8$%a!a* Ta!""a( 2 J)($ 2010 22 J)($ 2010
+e P)*+e*ma* 8$%e!-aa Ta!""a( 24 J)($ 2010 2 J)($ 2010
ke Puskesmas amaka Ta!""a( 20 J)($ 2010 19 J)($ 2010
ke Puskesmas amaka ul2a Ta!""a( 21 J)($ 2010 20 J)($ 2010
ke Puskesmas &ukanagara Ta!""a( 22 J)($ 2010 21 J)($ 2010ke Puskesmas 0anggeung Ta!""a( 2 J)($ 2010 22 J)($ 2010
ke Puskesmas &indangkerta Ta!""a( 24 J)($ 2010 2 J)($ 2010
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ke Puskesmas ikadu Ta!""a( 06 A")*t)* 2010 0 A")*t)* 2010
ke Puskesmas idaun Ta!""a( 0 A")*t)* 2010 0 A")*t)* 2010
ke Puskesmas aringgul Ta!""a( 09 A")*t)* 2010 0 A")*t)* 2010
7esa Babakansari kecamatan &ukalu2u De*a Rama*ar$ 'e5amata! Ha)ra!"$
Ta!""a(0 e$ 2010 Se+retar$* Ta!""a(02 Se%tember 2010
Sem)a 3$-a!" Ta!""a(06 Se%tember 2010
Ta!""a(12 e$ 2010 3$-a!" Prom+e*/P' Ta!""a(20 Se%tember 2010
3$-a!" 'e*"a Ta!""a(22 Se%tember 2010
Ta!""a(19 e$ 2010 3$-a!" P27PL Ta!""a(2 Se%tember 2010
3$-a!" a!+e* Ta!""a(2 Se%tember 2010
Ta!""a(26 e$ 2010 Se+retar$* Ta!""a(0 Se%tember 2010
Sem)a 3$-a!"
Ta!""a(02 J)!$ 2010 3$-a!" Prom+e*/P' Ta!""a( 0 >+tober 20103$-a!" 'e*"a Ta!""a( 06 >+tober 2010
Ta!""a(09 J)!$ 2010 3$-a!" P27PL Ta!""a( 0 >+tober 2010
3$-a!" a!+e* Ta!""a( 11 >+tober 2010
Ta!""a( 16 J)!$ 2010 Se+retar$* Ta!""a( 12 >+tober 2010
Sem)a 3$-a!"
Ta!""a( 2 J)!$ 2010 3$-a!" Prom+e*/P'
3$-a!" 'e*"a
Ta!""a( 0 J)!$ 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 0 J)($ 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 14 J)($ 2010 3$-a!" Prom+e*/P'3$-a!" 'e*"a
Ta!""a( 21 J)($ 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 2 J)($ 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 04 A")*t)* 2010 3$-a!" Prom+e*/P'
3$-a!" 'e*"a
Ta!""a( 11 A")*t)* 2010 3$-a!" P27PL
3$-a!" 'e*"a
Ta!""a( 1 A")*t)* 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 2 A")*t)* 2010 3$-a!" Prom+e*/P'3$-a!" 'e*"a
Ta!""a( 01 Se%tember 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 0 Se%tember 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 1 Se%tember 2010 3$-a!" Prom+e*/P'
3$-a!" 'e*"a
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Ta!""a( 22 Se%tember 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 2 Se%tember 2010 3$-a!" Prom+e*/P'
3$-a!" 'e*"a
Ta!""a( 26 Se%tember 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 04 >+tober 2010 3$-a!" Prom+e*/P'3$-a!" 'e*"a
Ta!""a( 06 >+tober 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 0 >+tober 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 11 >+tober 2010 3$-a!" Prom+e*/P'
3$-a!" 'e*"a
Ta!""a( 1 >+tober 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 20 >+tober 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 2 >+tober 2010 3$-a!" Prom+e*/P'3$-a!" 'e*"a
Ta!""a( 0 No%ember 2010 3$-a!" P27PL
3$-a!" a!+e*
Ta!""a( 10 No%ember 2010 Se+retar$*
Sem)a 3$-a!"
Ta!""a( 24 No%ember 2010 3$-a!" Prom+e*/P'
3$-a!" 'e*"a
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P)*+e*ma* 8$%e!-aa
P)*+e*ma* 8$%a!a*
P)*+e*ma* S)+a()#)
P)*+e*ma* 8$%a!a*
P)*+e*ma* 8$%e!-aa
Puskesmas ande
Puskesmas Kademangan
Puskesmas &ukanagali>
Puskesmas &ukama>i
Puskesmas &ukaresmi
Puskesmas Karangtenga>
Puskesmas i>erang
Puskesmas ieu2eum
Puskesmas i8edil
Puskesmas ugenang
Puskesmas Bo8ongicung
Puskesmas ikondang
P)*+e*ma* S)+a()#)
P)*+e*ma* 8$%a!a*
P)*+e*ma* 8$%e!-aa
Puskesmas amaka
Puskesmas amaka ul2a
Puskesmas &ukanagaraPuskesmas 0anggeung
Puskesmas &indangkerta
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Puskesmas ikadu
Puskesmas idaun
Puskesmas aringgul
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18 Wida Widiyaningsih Am.Keb 198610102010012018 Pengatur II/c Bidan Pelasana
N> NAA NIP PAN,'AT abata!T 3ERA
1 dr! "ece# Willy Budiman 19$1091%20060&101$ Penata '. I. III/d KA Pusesmas
2 (is)ant*! (.IP. 19680&1019920+1008 Penata ,uda '. I. III/b Ke#ala (ub Bagian '
+ ahayu Pur)aningrum 19610$081982112002 Penata '. I. III/d (anitarian Penyelia
& (iti ,ardiah 196$080619890+2008 Penata '. I. III/d Pera)at Penyelia
% Iden (*lehudin! (. Ke#. 19$0062819910+100+ Penata '. I. III/d Pera)at Penyelia
6 'ety Puiati (inaga! Amd.Ke#. 196+081&19860+2012 Penata '. I. III/d Pera)at Penyelia
$ -ci (anusi! Amd.Ke#. 19$112+0199&0+100$ Penata III/c Pera)at Penyelia
8 Ani ahmiati! Amd.Keb. 19$20201199+022002 Penata III/c Bidan Penyelia9 "incin uryanti Am.Keb 19$+012&199+0+2002 Penata III/c Bidan Penyelia
10 ahmat (utardi 19$+0+09199&0+1006 Penata ,uda '. I. III/b Pera)at igi Pelas
11 Iyus 3usu#! (K, 19$20129199%0+1002 Penata ,uda '. I. III/b Pera)at Penyelia
12 eneng 4ermayati Am. Keb 19$0101219910+2006 Penata ,uda III/a Bidan Pelasana an
1+ Asti (ulistia)ati! A, 198+020&20060&201+ Penata ,uda III/a utrisi*nis Pelasan
1& 5lang 4erdiyana Amd.Ke# 19$90%0&20060&1001 Pengatur '. I. II/d Pera)at Pelasana
1% Pur)ant* (elamet! A,.Ke#. 19$910062008011006 Pengatur '. I. II/d Pera)at Pelasana
16 ia usliana! A,K 198+080&200902200& Penata ,uda III/a Pera)at Pelasana
1$ 4eri atnia Am. Ke# 19800%+02008011010 Pengatur II/c Pera)at Pelasana
18 Wida Widiyaningsih Am.Keb 198610102010012018 Pengatur II/c Bidan Pelasana
19 (usila)ati ,uslihat! Am.Keb. 19$6012020060&201& Pengatur II/c Bidan Pelasana
20 Penti (u7entina *sidah! Am.Keb 19$80&2%20060&2000 Pengatur II/c Bidan Pelasana
21 Arti 3ulistiani! Amd.Keb. 19$6021920060&2012 Pengatur II/c Bidan Pelasana
22 'ati ,ulyati! Am.Keb. 19$60212200$01200$ Pengatur II/c Bidan Pelasana
2+ aial Ai! Amd.Ke#. 198+12+02011011001 Pengatur II/c Pera)at Pelasana
2& 3ani 4erayani! Amd.Keb. 19$90+10200$012010 Pengatur II/c Bidan Pelasana
2% Imas Kurnia)ati! Amd.Ke#. 19810&2+2012122002 Pengatur II/c Pera)at Pelasana
26 aden inny Ismayati! Amd.Ke#. 198+0%2+2012122000 Pengatur II/c Pera)at Pelasana
2$ 3anti (u#riatin! AmKeb. 10&02%9&$ 3$-a! De*a
28 Irma 3uliyanti 4idayat! Am.Keb. 10&0&$1216& 3$-a! De*a
29 eni Patma)ati!Am.Keb 10&0&8&2&+ 3$-a! De*a
+0 3uni urmalasari!Am.Keb 10&0+0222 3$-a! De*a
+1 Asri irmalasari! Am.Keb. 10&0++02+$ 3$-a! De*a
+2 5tri -smayati! Amd.Keb 10&0+02+9 3$-a! De*a
++ 3ayu 3uliya)ati! Am.Keb. 10&0+0192 3$-a! De*a+& Ani ,arsina)ati!A.md.Keb 3$-a! De*a
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+% 5a :ta7iani!(.Amd.Keb. 201+010102+ 3$-a! De*a
+6 isma!A.,d.Keb 20121001009 3$-a! De*a
isma ustini! Amd.arm 2014400 A*$*te! A%ote+er
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TUJUAN PERJALA 3ERAN, T,L 'E3ALI
ta -saha
na anutan
utan
anutan
anutan
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TT
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PEMERINTAH AUPATEN IAN4UR
INAS ESEHATAN 4'n. P*+. M+c-. Ya)n N+. 8 Te'&. 0!63 !618! a. !6889 )an2"* 3!1
SURAT TU:AS Nomor
'e%a(a D$!a* 'e*e&ata! 'ab)%ate! 8$a!j)r -e!"a! $!$ me!)"a*+a! +e%a-a :
N a m a : RINA ANDRIANI
N I P : 1969011 199102 004
Pa!"+at= ,o(/ R)a!" : Pe!ata )-a III/a
Jabata! Pet)"a* Prom+e* P)*+e*ma* Pa"e(ara!
I*$ T)"a* : D$t)"a*+a! )!t)+ e!"$+)t$ Lo+a+ar#a Pro"ram Prom+e*
-$ D$!a* +e*e&ata! 'ab)%ate! 8$a!j)r
%a-a ta!""a( 09 A")*t)* 2010
Dem$+$a! *)rat $!$ -$ber$+a! a"ar -$(a+*a!a+a! *eba"a$ma!a me*t$!#a -a! ata*%er&at$a!!#a +am$ )5a%+a! ter$ma +a*$&
8$a!j)r 06 A")*t)* 2010
'e%a(a D$!a* 'e*e&ata!
'ab)%ate! 8$a!j)r
'e%a(a 3$-a!" Prom+e* -a!
Pember-a#aa! 'e*e&ata! a*#ara+at
NIS.AN PUR.ENTI= SE
NIP 19014 19101 2 002
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'e%a(a D$!a* 'e*e&ata!
'ab)%ate! 8$a!j)r
-r Hj RATU TRI ULIA HERA.ATI ''e*
NIP 1961116 190 2 002
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DA?TAR PASIEN AN, DIRUJU' >LEH PETU,AS PUS'ESAS
TRI.ULAN I TAHUN 201
N> NAA UUR TAN,,AL DIRUJU' ALAAT
1 A5e% 3)&or$ 2 ta&)! 27Ja!71 aja(a#a
2 N# >!a& 0 ta&)! 17Ja!71 aja(a#a
A$*a& 4 ta&)! 97?eb71 Se(a"ombo!"
4 ?a&m$ ta&)! 217?eb71 8$!aa(a De*a Pa-aja#a
U*)% 66 ta&)! 117ar71 '% Para*) D* 8$ja"a!"
6 NaBr$( 207ar71 aja(a#a
A$ra N)r&a($Ba = ta&)! 27ar71 8$ja"a!"