LAPORAN KUNJUNGAN

1. Dasar : Surat Tugas nomor : 090/ -BOK/PKMGTR/ /2023

2. Tujuan Kunjungan : Penyelidikan Epidemiologi Demam Berdarah Dengue (DBD)
3. Tempat Tujuan : Blok Rt Rw Desa
4. Hasil Kunjungan :
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5. Kesimpulan Saran Perbaikan :
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Indramayu, ............................2023

Sasaran, Pelaksana,

_______________ 1.
NIP.
 LAPORAN KUNJUNGAN

1. Dasar : Surat Tugas nomor : 090/ -BOK/PKMGTR/ /2023

2. Tujuan Kunjungan : Pemberian Obat Pencegahan Masal (POPM) Kecacingan
3. Tempat Tujuan : Posyandu Blok Desa
4. Hasil Kunjungan :
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5. Kesimpulan Saran Perbaikan :
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Indramayu, ............................2023

Sasaran, Pelaksana,

_______________ ..........................................
NIP . ...................................