Kredit Poin Baru Juli Des 15

8/18/2019 Kredit Poin Baru Juli Des 15

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LAPORAN BULANAN KEGIATAN PELAYANAN KEPERAWATAN

PERIODE JULI S/D DESEMBER 2015

NAMA : Silvia Dasil! A"#$K%& UNIT ORGANISASI : PUSKESMAS IB

NIP : 1())0(2* 201001 2 001 DAERA' TK II : KOTA PAYAKU

PANGKAT / GOLONGAN : P%+,a-. T$I / II$# DAERA' TK I : SUMATERA B

NO BUTIR KEGIATANBULAN

JULI AGUS SEP OKT

A ASU'AN KEPERWATAN

1 M%la.a+ &%+,aia+ %&%aa-a+ I+#ivi#. 0$1) 0$3 0$1) 0$1)

2 M%la.a+ &%+,aia+ %&%aa-a+ %l.a,a

M%la.a+ &%+,aia+ %&%aa-a+ %l4"&4

M%la.a+ .&a6a &4"4-i7 "%+,aaa+ &%ila. 8i#.& 0$15 0$15

9%si8 #a+ s%8a-

5 M%lasa+aa+ I".+isasi &a#a i+#ivi#. 0$1 0$2 0$1 0$2

3 M%"7asili-asi "%+,,.+aa+ ala- &%+,a"a+ .+-.

"%+%,a8 %#%a

* M%"a+-a.a+ &%%"9a+,a+ &asi%+ s%s.ai 4+#isi+6a 0$15 0$ 0$15 0$) P%"%+.8a+ %9.-.8a+ Osi,%+ s%#%8a+a

( M%"9%ia+ 9a+-.a+ 8i#.& #asa

10 P%"%+.8a+ %9.-.8a+ N.-isi ;&a%+-%al<

11 Ma+a%"%+ ".al ".+-a8

12 M%"a+-a. ;"%+,8i-.+,< %s%i"9a+,a+ aia+ #a+

%l%-4li-

1 M%la.a+ "49ilisasi &4sisi &asi%+ 0$1 0$1 0$23 0$1

1 M%"7asili-asi li+,.+,a+ 6a+, "%+#..+, is-ia8a-

15 M%"7asili-asi %9iasaa+ -i#. &asi%+

13 M%la.a+ &%"%li8aaa+ #ii &asi%+1* "%"a+#ia+ &asi%+

1) M%la.a+ %,ia-a+ 4"&%s 8a+,a- #i+,i+

1( M%"9%ia+ &%-4l4+,a+ %s%8a-a+ #ala" si-.asi 0$15 0$15 0$15 0$15

,aa- #a.a-

20 M%la.a+ "asa,% &a#a .li- -%-%a+

21 M%la.a+ 4".+iasi -%a&%.-i #ala" &%"9%ia+ As%&

22 M%"7asili-asi %l.a,a .+-. "%+,%s&iasia+ &%asaa+

2 Ma+a%"%+ +6%i &a#a s%-ia& 4+#isi

2 P%aa-a+ l.a 0$2 0$2 0$2 0$2

25 M%la.a+ #4."%+-asi &%+,aia+ %&%aa-a+ 0$1 0$2 0$1 0$1

JUMLA'

M%+,%-a8.i

K%&ala P.s%s"as I9.8 P%-.,as Ya+, B%

dr. Ade Juselina Silvia Dasril, A

Nip. 19740902 200604 2 015 Nip. 19880927 20


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MBU'

RAT

JUMLA'NO= DES

0$1) 0$1) 1$23

0$

0$2 0$1 0$(

0$15 0$15 1$2

0$1 0$1 0$(1

0$15 0$15 0$(

0$2 0$2 1$

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3/4

LAMPIRAN KEPUTUSAN

DAN KEPALAA

N4

N4"4 :

Ta+,,al

SURAT PERNYATAAN

MELAKUKAN KEGIATAN PELAYANAN KEPERAWATAN

Ya+, 9%-a+#a -a+,a+ #i 9aa8 i+i :Na"a : #$ A#% J.s%li+a

Ni& : 1(*0(02 20030

Pa+,a-/,4l4+,a+ .a+,/TMT : P%+a-a T$I/ III$#

Ja9a-a+ : K%&ala P.s%s"a

U+i- %a : P.s%s"as I9.8

M%+6a-aa+ 9a8a :

Na"a : Silvia Dasil! A"#

Ni& : 1())0(2* 20100

Pa+,a-/,4l4+,a+ .a+,/TMT : P%+,a-. T$I/ II$#

Ja9a-a+ : P%aa- T%a"&il

U+i- %a : P.s%s"as I9.8

T%la8 "%la.a+ %,ia-a+ &%la6a+a+ %&%aa-a+ s%9a,ai 9%i.-

Pa#a 9.la+ J.li s/# #%s%"9% 2015

NO Uaia+ K%,ia-a+ &%la6a+a+ %&%aa-a+ Ta+,,al Sa-.a+

'asil

A ASU'AN KEPERWATAN

1 M%la.a+ &%+,aia+ %&%aa-a+ I+#ivi#. 0$1)

2 M%la.a+ &%+,aia+ %&%aa-a+ %l.a,a

M%la.a+ &%+,aia+ %&%aa-a+ %l4"&4

M%la.a+ .&a6a &4"4-i7 "%+,aaa+ &%ila. 8i#.& 0$15

9%si8 #a+ s%8a-

5 M%lasa+aa+ I".+isasi &a#a i+#ivi#. 0$1

3 M%"7asili-asi "%+,,.+aa+ ala- &%+,a"a+ .+-.

"%+%,a8 %#%a

* M%"a+-a.a+ &%%"9a+,a+ &asi%+ s%s.ai 4+#isi+6a 0$15

) P%"%+.8a+ %9.-.8a+ Osi,%+ s%#%8a+a

( M%"9%ia+ 9a+-.a+ 8i#.& #asa

10 P%"%+.8a+ %9.-.8a+ N.-isi ;&a%+-%al<

11 Ma+a%"%+ ".al ".+-a8

12 M%"a+-a. ;"%+,8i-.+,< %s%i"9a+,a+ aia+ #a+

%l%-4li-

1 M%la.a+ "49ilisasi &4sisi &asi%+ 0$1

1 M%"7asili-asi li+,.+,a+ 6a+, "%+#..+, is-ia8a-

15 M%"7asili-asi %9iasaa+ -i#. &asi%+

13 M%la.a+ &%"%li8aaa+ #ii &asi%+

1* "%"a+#ia+ &asi%+

1) M%la.a+ %,ia-a+ 4"&%s 8a+,a- #i+,i+

1( M%"9%ia+ &%-4l4+,a+ %s%8a-a+ #ala" si-.asi 0$15

,aa- #a.a-

20 M%la.a+ "asa,% &a#a .li- -%-%a+

21 M%la.a+ 4".+iasi -%a&%.-i #ala" &%"9%ia+ As%&

22 M%"7asili-asi %l.a,a .+-. "%+,%s&iasia+ &%asaa+

2 Ma+a%"%+ +6%i &a#a s%-ia& 4+#isi

2 P%aa-a+ l.a 0$225 M%la.a+ #4."%+-asi &%+,aia+ %&%aa-a+ 0$1

JUMLA'

D%"iia+la8 &%+6a-aa+ i+i #i9.a- .+-. #a&a- #i&%,.+aa+ s%9a,ai"a+a "%s-i+6a

Pa6a."9.8! 2 Ja+

dr. Ade JusNip. 19740902 2


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BERSAMA MENTERI KESE'ATAN

BADAN KEPEGAWAIAN NEGARA

4 : */MENKES/SKB/=II/2002

10 TA'UN 2002

: 1 J.+i 2002

2 015

s I9.8

$K%&

1 2 001

J"l =4l J"l K%-/

K%,ia-a+ K%#i- B.-i >si

* 1$23

2 0$

( 0$(

) 1$2

* 0$(1

3 0$(

3 1$* 0$*

*$31

.ai 2013

lina 0604 2 015

Kredit Poin Baru Juli Des 15

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