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DINAS KESEHATAN KOTA TANGERANG
PUSKESMAS CILEDUG
JALAN : Raden Fatah No. 125 KECAMATANCILEDUG
SURAT KEPUTUSAN KEPALA PUSKESMAS CILEDUG
NOMOR : NO 800. …../ SK /Subag-TU/2016
TENTANG
PENANGGUNG A!A" PELA#ANAN O"AT
M$%&'ba%g : a. ba()a Pu*+$*'a* C&,$ug Ta%g$a%g
*$baga& &%*&u*& $,aa%a%
+$*$(aa% (au* 'a'u '$%&%g+a+a% $,aa%a% a%g ,$b&(
b$'uu
u%u+ '$)uu+a% $aa +$*$(aa% 'a*aa+a
*$&%g&-&%gg&%a3
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&$a+a%5
b. ba()a a,a' a%g+a '$)uu+a% 4&*& a%
'&*& Pu*+$*'a* C&,$ug
*$baga& u*+$*'a* a%g b$'uu a% $a%g+au bag& *$,uu(
'a*aa+a a&u '$'&,&+& u%& +$a a%g 'a'u
'$%u*u% a%
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,&%a*
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+$g&aa%
$,aa%a% & A&+5
. ba()a u%u+ '$)uu+a% uua% & aa* $,u &$a+a% a,a'
*uau
Sua K$uu*a% K$a,a u*+$*'a* C&,$ug 5
M$%g&%ga : 1. U%a%g-U%a%g R$ub,&+ I%%$*&a N' 96 a(u%
200
$%a%g K$*$(aa%5
2. P$aua% $'$&%a( R$ub,&+ I%%$*&a N ;1 Ta(u% 200
T$%a%g $+$aa% +$7a'a*&a%5
1. P$aua% M$%$& K$*$(aa% N'
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DINAS KESEHATAN KOTA TANGERANG
PUSKESMAS CILEDUG
JALAN : Raden Fatah No. 125 KECAMATANCILEDUG
ba.*$baga&'a%a $,a'& aa +$uu*a% &%&.
K$ua : Sua +$uu*a% &%& b$,a+u 'u,a& a%gga, 2
a%ua& *a'a& $%ga%
a%gga, ………………… aau aab&,a &aa+a% $uba(a% a% aau
&abu +$'ba,&.
D&$a+a% & : Ta%g$a%g
Paa Ta%gga, : 2 a%ua&
2016----------------------------------------
K$a,a u*+$*'a* C&,$ug
g Iaa%& #u&a%&%gu' M+$* NIP. 16;0=010=1=
092002
