Scribd Logo
Upload

Welcome to Scribd!

  • PMK No 39 TTG Pis PK

    Uploaded by

    Gusye Latuwael
    13 views2 pages
    Pmk No 39 Ttg Pis Pk

    Original Title

    Pmk No 39 Ttg Pis Pk

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Pmk No 39 Ttg Pis Pk

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views2 pages

    PMK No 39 TTG Pis PK

    Uploaded by

    Gusye Latuwael
    Pmk No 39 Ttg Pis Pk

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Daftar Puskesmas dan nama-nama calon pengelola KS

    Nama Puskesmas :
    Kecamatan :
    Kode Puskesmas :

    Jumlah
    Desa/Kelurahan No. Desa/Kelurahan Jumlah KK (jika ada)
    (Cakupan Wilayah
    Binaan) Puskesmas

    :
    1
    2
    3
    4
    5
    6
    7
    8
    dst

    No. Nama NIK

    Daftar nama calon


    pengeloala KS :
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    Keterangan/ sebagai apa dalam KS
    email No. HP Jabatan (admin PKM, Kepala PKM,
    Supervisor, Surveyor)

    Administrator Puskesmas
    Kepala Puskesmas
    Supervisor
    Surveyor
    Surveyor
    Surveyor
    Surveyor
    Surveyor
    Surveyor
    Surveyor
    Surveyor
    Surveyor
    Surveyor

    You might also like