Вы находитесь на странице: 1из 2

PEMERINTAH KABUPATEN SRAGEN

DINAS KESEHATAN KABUPATEN SRAGEN


UPTD PUSKESMAS MIRI
JalanKartini No 4 Miri, Telp. 08112957009
email: pusmiri@gmail.com, KodePos: 57276

NOTULEN

Judul Pertemuan :… …………………………………………………………….


Hari / Tanggal :……………………………………………………………….
Jam :……………………………………………………………….
Tempat :……………………………………………………………….
Pimpinan Rapat : ……………………………………………………………….
Jumlah peserta : ……………………………………………………………….
Susunan Acara : ……………………………………………………………….
……………………………………………………………….
……………………………………………………………….
……………………………………………………………….
……………………………………………………………….
……………………………………………………………….
Jalannya Pertemuan :
1. Pembukaan : ……………………………………………………………….

2. Pembahasan : …………………………………………………………..……
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................

3. Kesimpulan : ……………………………………………………………….
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................

4. Penutup : ……………………………………………………………….
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................
…………………………………………………………..……..................................

Mengetahui
Kepala UPTD Puskesmas Miri Notulis

dr. Enny Suramto


NIP. 19760616 200701 2 026

Вам также может понравиться