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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$2 1$
0$1 0$1 0$*
*$31
sa+,.-a+
d.Kep
001 2 001
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LAMPIRAN KEPUTUSAN
DAN KEPALAA
N4
N4"4 :
Ta+,,al
SURAT PERNYATAAN
MELAKUKAN KEGIATAN PELAYANAN KEPERAWATAN
Ya+, 9%-a+#a -a+,a+ #i 9aa8 i+i :Na"a : #$ 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
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