Dupak Kesling Ahli
September 10, 2022 | Author: Anonymous | Category: N/A
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LAPORAN HARIAN KEGIA KEGIAT TAN JABATAN FUNGSIONAL SANITARIAN AHLI BULAN JANUARI 2013 NAMA NIP JABATAN GOLONGAN RUANG
No
: : : :
KAB / KOTA PROPINSI
BUTIR KEGIATAN 1 KEGIATAN KEGIAT AN PENYEHATAN LINGKUNGAN
A
UNIT ORGANISASI
M!"# M!"#!$%&' !$%&'#(') #(') P!*'( P!*'(%')' %')'') ') (!+&',') (!+&',') K!% K!%*&)+ *&)+ 1
Me!"#" $e%&& ' (&)"& &. Me! Me!"#" "#" TOR (*+ (*+&( &( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #* -. Me+o&) &(& &"( (*+&( $o*#* %. Me+ Me+&& &&*#*# *#*# &(& &(& #e #ee)& e)&& & . Me+ Me+&& &&*#*# *#*# &(& & &"( "( ((*+ *+&( &( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #* e. Me! Me!"#" "#" $&%&+& $&%&+& T*+ T*+&( &( P"#&( . Me! Me!&* &*& & $&%&+ $&%&+& & T T*+ *+&( &( P"#&( P"#&( +. Me!e"$&& Me!e"$&& $&%&+& (*+&( K&-./ Ko(& 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #*
2.
Me!" Me!"#" #" $e%& $e%&& & ((&)" &)"& & &. Me! Me!"#" "#" TOR TOR T* T*+& +&(( P$o*#* P$o*#* -. Me+ Me+o&) o&) &(& &(& See$)&& See$)&& (* (*+& +&(( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #* L&"( T*+&( P"#&( %. Me+&&*#& Me+&&*#& &(& #ee$)&& T*+ T*+&( &( P"#&( L&"( (*+&( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #* . Me! Me!"#" "#" $&%& $&%&+& +& (*+&( (*+&( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #* e. Me! Me!&* &*& & $&% $&%&+& &+& (* (*+& +&(( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #*
2
3
4
5
6
7
8
9
FORMULIR STR 1
: : KOTA BANDUNG : JAWA BARAT
JUMLAH PRESTASI KERJA HARIAN,TANGGAL : 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
JUMLAH
KET.
No
JUMLAH PRESTASI KERJA HARIAN,TANGGAL :
BUTIR KEGIATAN 1 . Me Me!e !e"$& "$&& & $&%&+& $&%&+& (*+ (*+&( &( 1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #* 3.
Me Me!" !"#" #" $$e e%& %&& & 3 -"&& -"&& (*+& (*+&(( &. K&-" K&-"&(e &(e /K Ko(& o(& -. P$o P$o* *#* #*
4.
Me Me!" !"#" #" $$e e%& %&& & -" -"& && & (* (*+ +&( &( &. K&-" K&-"&(e &(e /K Ko(& o(& -. P$o P$o* *#* #*
'.
Me Me!" !"#" #" $e $e%& %&& & o oe$& e$&#*o #*o& & (*+&( (*+&( &. K&-" K&-"&(e &(e /K Ko(& o(& -. P$o P$o* *#* #*
6.
Me Me!*& !*&& & e e!"#" !"#"& & e e(" ("" " (e*#/Pe (e*#/Pe(.Pe (.Pe&#& &#&&& && &. Me Me!&*& !&*& $&%&+& $&%&+& -. Me Me!e !e"$& "$&& & $&%& $&%&+& +&
5.
Me Me!"#" !"#" &(& / *(e *(e$&(" $&("$$ && $$&+ &+& & e e!"#" !"#" e$&( e$&("$& "$& &. Me Me!" !"#" #" $&%& $&%&+& +& -. Me Me!&*& !&*& $&%&+& $&%&+& %. Me Me!e !e"$& "$&& & $&%& $&%&+& +&
8.
Me!" e!"#" #" #( #(& && &$ $ &. Me Me!" !"#" #" $&%& $&%&+& +& -. Me Me!e !e"$& "$&& & $& $&%& %&+& +&
.
Me!" e!"#" #" Peo Peo & &. Me Me!" !"#" #" $&%& $&%&+& +& -. Me Me!&*& !&*& $&%&+& $&%&+& %. Me Me!e !e"$& "$&& & $&%& $&%&+& +&
10. Me& Me&#& #&&& && #( #("* "* e& e&!&& !&& &. Me Me!" !"#" #" TOR TOR -. Me Me!"#" !"#" e#&* e#&* #(" #("** %. U* %o%o-& & e e#&* #&* #( #(" "** . Me Me!"#" !"#" e#&* e#&* #(" #("** e. Me Me!"#" !"#" & &o$& o$& #( #("* "* B
M!*' M!*'(-(' (-(') ) P!)+'"' P!)+'"',') ,') (!%! (!%!.',' .',') ) L&)+(L&)+(-)+') )+') 1.
Pe$#*& Pe$#*&& & e e+" +" "& "& &(& &(& &. Me!"#" / ee( ee(&& && e(oe e(oe e+"" e+""& & &(& 1. P$* P$*e$ e$ 2. Se" Se"e e$ $ -. Me Me!"#" !"#" I#($" I#($"e e e e+" +"" " &(& 1. P$* P$*e$ e$
2.
2. Se" Se"e e$ $ Me Me& &"& "& &* &*& & & &(& (& #e%&$& #e%&$& &. 7*#$*(* 7*#$*(* #ee$) #ee$)&& && 9
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
JUMLAH
KET.
No
JUMLAH PRESTASI KERJA HARIAN,TANGGAL :
BUTIR KEGIATAN 1 -. A&*( A&*(* * & &"( "( 9 3.
Me& Me&"& "& Pe Pe!&*& !&*& & & e e!e!e-&$" &$"&#& &#& &(& &. Me Me!" !"#" #" &o$& &o$& -. Pe Pe! !& &*& *& %. Pe!ePe!e-&$ &$"&# "&#& &
M!*' M!*'(-(' (-(') ) P!)+'' P!)+''%') %') K!%!. K!%!.',') ',') L&)+(-) L&)+(-)+') +') 1
T*& &"( e+&&#& e#e)&(& *+"+& &. Mee(" Mee("& & *&+ *&+o#& o#& & ($e&(e *(e$;e#* o-e o-e eoo 1. L& L&"( "( &. Se See e$) $)& && & -. Ko Ko; ;e e#* #*o o& & %
18 & & 3. 1 > 28 28 & & 4. 2 > 38 38 & & '. 3 > 48 48 & & 6. 4 > '8 '8 & & 5. ' > 68 68 & & 8. 6 > 58 58 & & . Me Me*&* *&* #("* #("* && && e#e)&(& e#e)&(& *+ *+"+ "+& & #e%& #e%&$& $& e(&* e(&* 1. = 18 18 & & 2. 18 > 36 36 & & 3. 35 > '' '' & &
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
JUMLAH
KET.
JUMLAH PRESTASI KERJA HARIAN,TANGGAL : No
BUTIR KEGIATAN 1
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
4. '6 > 54 & & '. 54 > 3 & & 6. 4 > 112 112 & & +. Me*&* $e $e%&& %&& e+eo&& e+eo&& / e& e&(&"& (&"& * *+"+& +"+& 1. = & & 2. > 18 & & 3. 1 > 28 & & 4. 2 > 38 & & '. 3 > 48 & & 6. 4 > '8 & & 5. ' > 68 & & 8. 6 > 58 & & ). Me* Me*&* &* e!&*& e!&*& HA 28 & & 4. 2 > 38 & & '. 3 > 48 & & 6. 4 > '8 & & 5. ' > 68 & & 8. 6 > 58 & & *.
Me* Me*&* &* e e!&*& !&*& &&*#*# &&*#*# e#e e#e)&(& )&(& *+" *+"+& +& &* &*!& !& 1. = & & 2. > 18 & & 3. 1 > 28 & & 4. 2 > 38 & & '. 3 > 48 & & 6. 4 > '8 & & 5. ' > 68 & & 8. 6 > 58 & &
D M!"! M!"!$' $''(') '(') " "'%' '%'$'(' $'(',, '*'" " "!)&)+ !)&)+(',( (',(') ') (-'*&,'% (!%!.',') *& )+(-)+') 1
Pe$#*&& e+*&(& Mee("& $o+$& "(" *e(**&#* e$*&"
2
Me&"& e-e$&!&& e&"* e*& &##&
Me+e(&)"* KEPALA UPT PUSKESMAS ?????????.
B&"+ , Te&+& #&*(&$*& !&+ -e$#&+"(&
JUMLAH
KET.
LAPORAN HARIAN KEGIA KEGIAT TAN JABATAN FUNGSIONAL SANITARIAN AHLI BULAN PEBRUARI 2013 NAMA NIP JABATAN GOLONGAN RUANG No
: : : :
UNIT ORGANISASI
KAB / KOTA PROPINSI
FORMULIR STR 1
: : KOTA BANDUNG : JAWA BARAT
JUMLAH PRESTASI KERJA HARIAN,TANGGAL :
BUTIR KEGIATAN 1
2
3
4
'
6
5
8
JUMLAH
10 11 12 13 14 1' 16 17 18 1 20 21 22 23 24 2' 26 25 28
KEGIATAN KEGIAT AN P PENYEHATAN ENYEHATAN LINGKUNGAN A
M!"# M!"#!$%&' !$%&'#(') #(') P!*'(%')' P!*'(%')'') ') (!+& (!+&',') ',') K!%* K!%*&)+ &)+ 1 Me!"#" $e%&& ' (&)"& &. Me!"#" TOR (*+&(
0
1. K&-" K&-"&(e &(e / Ko(& Ko(& 2. P$o*#*
0
-. Me+o&) &(& &"( (*+&( "#&(
0
%. Me+&&*# Me+&&*#*# *# &(& &(& #e #ee)&& e)&& T*+ T*+&( &( P"#&( P"#&(
0
. Me+&& Me+&&*#*# *#*# &(& & &"( "( (*+ (*+&( &( 1. K&-" K&-"&(e &(e / Ko(& Ko(& 2. P$o*#*
0
e. Me!"#" $&%&+& T*+&( P"#&(
0
. Me!&*& $&%&+& T*+&( P"#&(
0
+. Me!e"$ Me!e"$&& && $&%&+& (*+&( K&-./ Ko Ko(& (& 1. K&-"&(e / Ko(&
0
2. P$o*#*
0
2. Me!"#" Me!"#" $e $e%& %&& & (&)" (&)"& & &. Me!"#" Me!"#" T TOR OR T T*+ *+&( &( P"#&( P"#&( -. Me+o&) &(& See$)&& (*+&( 1. K&-"&(e / Ko(& 2. P$o P$o* *#* #*
0 0
L&"( T*+&( P"#&( %. Me+&&*#& &(& #ee$)&& T*+&( P"#&( L&"( (*+&(
0 0
1. K&-" K&-"&(e &(e / Ko(& Ko(& 2. P$o*#* . Me!"#" Me!"#" $$&%& &%&+& +& (*+ (*+&( &( 1. K&-" K&-"&(e &(e / Ko(& Ko(&
0 0 0
2. P$o P$o* *#* #* e. Me!&* Me!&*& & $&% $&%&+& &+& (*+ (*+&( &( 1. K&-"&(e / Ko(&
0
2. P$o P$o* *#* #*
0
KET.
No
BUTIR KEGIATAN
JUMLAH PRESTASI KERJA HARIAN,TANGGAL : 1
. Me!e"$&& $&%&+& (*+&(
2
3
4
'
6
5
8
JUMLAH
10 11 12 13 14 1' 16 17 18 1 20 21 22 23 24 2' 26 25 28 0
1. K&-"&(e K&-"&(e / Ko(& 2. P$o P$o* *#* #*
0
3. Me!"#" $e%&& 3 -"&& (*+&(
0
&. K&-"&(e / Ko(&
0
-. P$o P$o* *#* #* 4. Me Me!"#" !"#" $e%&& -" -"&& && (*+ (*+&( &( &. K&-" K&-"&(e &(e / Ko(& Ko(& -. P$o*#*
1
1 0
'. Me!"#" $e%&& oe$&#*o& (*+&( &. K&-"&(e / Ko(&
0
-. P$o P$o* *#* #*
0
6. Me!*&& e!"#"& e!"#"& e(" e("" " (e*#/Pe(.Pe&#&&& (e*#/Pe(.Pe&#&&& &. Me Me!&*& !&*& $&%&+& $&%&+& -. Me!e"$&& $&%&+& 5. Me!"#" &(& / *(e$&("$ && $&+& e!"#" e$&("$&
0 0
&. Me!"#" $&%&+&
0
-. Me!&*& $&%&+&
0
%. Me Me!e !e"$& "$&& & $&%&+ $&%&+& & 8. Me!"#" #(&&$ &. Me!"#" $&%&+& -. Me Me!e !e"$& "$&& & $& $&%& %&+& +& . Me!"#" Peo& &. Me!"#" $&%&+&
0 0 0 0
-. Me Me!&*& !&*& $&%&+& $&%&+& %. Me!e"$&& $&%&+&
0
10 Me&#&&& #("* e&!&& &. Me Me! !"# "#" " T TOR OR
0
-. Me!"#" e#&* #("*
0
%. U* %o-& e#&* #("*
0
. Me Me!"#" !"#" e#& e#&* * #(" #("** e. Me!"#" &o$& #("* B
0
M!*' M!*'(-( (-(') ') P!) P!)+'"' +'"',') ,') (!%!. (!%!.',') ',') L&)+(-) L&)+(-)+') +') 1. Pe$#*&& Pe$#*&& e e+" +""& "& &(& &. Me!"#" / ee(&& e(oe e+""& &(& 1. P$*e$
0 0
2. Se" Se" e$ e$ -. Me!"#" I#($"e e+"" &(&
0
1. P$*e$
0
2. Se"e$
0
2. Me& Me&"& "& &*& &*& & &(& (& #e%& #e%&$& $&
KET.
No
BUTIR KEGIATAN
JUMLAH PRESTASI KERJA HARIAN,TANGGAL : 1
2
3
4
'
6
5
8
JUMLAH
10 11 12 13 14 1' 16 17 18 1 20 21 22 23 24 2' 26 25 28
&. 7*#$*(* #ee$)&& 9
0
-. A&*( A&*(* * & &"( "( 9 3. Me&"& Pe!&*& & e!e-&$"&#& e!e-&$"&#& &( &(& &
&. Me Me!" !"#" #" &o$& &o$&
0
-. Pe!&*&
0
%. Pe!e-&$"&#&
0
M!*' M!*'(-( (-(') ') P!) P!)+'' +''%') %') K!%! K!%!.',' .',') ) L&)+(-) L&)+(-)+') +') 1 T*& &"( e+&&#& e#e)&(& *+"+&
0
&. Mee(" Mee("& & *&+ *&+o#& o#& & & ($e& ($e&(e (e *(e$;e#* o-e o-e eoo
0
1. L&"(
0
&. Se See e$) $)& && & -. Ko;e#*o& %
1
1
18 & & 3. 1 > 28 &
0
4. 2 > 38 & '. 3 > 48 & &
0
6. 4 > '8 &
0
5. ' > 68 &
0
8. 6 > 58 &
0
D M!"!$' M!"!$''(') '(') "'%' "'%'$'(' $'(',, '*'" "! "!)&)+ )&)+(',( (',(') ') (-'*&,'% (!%!.',') *&)+(-)+') 1 Pe$#*&& e+*&(&
0
Mee("& $o+$& "(" *e(**&#* e$*&"
0
2 Me&"& e-e$&!&& e-e$&!&& e&"* e*& &##&
Me+e(&)"* KEPALA UPT7 PUSKESMAS KESUNEAN
18 & & 3. 1 > 28 & & 4. 2 > 38 & '. 3 > 48 &
0 0
6. 4 > '8 & & 5. ' > 68 &
0
8. 6 > 58 &
0
. Me*&* Me*&* #("* #("* && && e#e)& e#e)&(& (& *+ *+"+ "+& & #e%&$& #e%&$& e(&* e(&* 1. = 1 18 8 & & 2. 18 > 36 &
0
3. 35 > '' &
0
KET.
No
JUMLAH PRESTASI KERJA HARIAN,TANGGAL :
BUTIR KEGIATAN 1
2
3
4
'
6
5
8
JUMLAH
10 11 12 13 14 1' 16 17 18 1 20 21 22 23 24 2' 26 25 28 29 30 31
4. '6 > 54 &
0
'. 54 > 3 & & 6. 4 > 112 112 & & +. Me*&* $e%&& e+eo&& / e&(&"& *+"+&
0
1. = &
0
2. > 18 &
0
3. 1 > 28 & & 4. 2 > 38 & & '. 3 > 48 &
0
6. 4 > '8 &
0
5. ' > 68 & & 8. 6 > 58 &
0
). Me*&* e!&*& HA 28 & & 4. 2 > 38 & & '. 3 > 48 & & 6. 4 > '8 &
0
5. ' > 68 &
0
8. 6 > 58 & & *.
Me*&* e!&*& &&*#*# e#e)&(& *+"+& &*!&
0
1. = &
0
2. > 18 & & 3. 1 > 28 & & 4. 2 > 38 &
0
'. 3 > 48 &
0
6. 4 > '8 & & 5. ' > 68 &
0
8. 6 > 58 &
0
D M!"!$' M!"!$''(') '(') " "'%' '%'$'(' $'(',, '*'" "! "!)&)+ )&)+(',( (',(') ')
0
(-'*&,'% (!%!.',') *&)+(-)+') 1 Pe$#*&& e+*&(& Mee("& $o+$& "(" *e(**&#* e$*&"
0
2 Me&"& e-e$&!&& e&"* e*& &##&
Me+e(&)"* KEPALA UPT7 PUSKESMAS KESUNEAN
0
48 &
0
6. 4 > '8 '8 & & 5. ' > 68 &
0
8. 6 > 58 &
0
. Me Me*&* *&* #("* #("* && && e#e)&(& e#e)&(& *+ *+"+ "+& & #e%&$ #e%&$& & e(&* 1. = 1 18 8 & &
2. 18 > 36 &
0
3. 35 > '' &
0
4. '6 > 54 &
0
KET.
JUMLAH PRESTASI KERJA HARIAN,TANGGAL : No
BUTIR KEGIATAN
1
2
3
4
'
6
7
8
JUMLAH
10 11 12 13 14 1' 16 15 18 1 20 21 22 23 24 2' 26 25 2 2 30
'. 54 > 3 & & 6. 4 > 1 112 12 & & +. Me*&* $e%&& e+eo&& / e&(&"& *+"+&
0
1. = &
0
2. > 18 &
0
3. 1 > 28 & & 4. 2 > 38 & & '. 3 > 48 &
0
6. 4 > '8 &
0
5. ' > 68 & & 8. 6 > 58 &
0
). Me*&* e!&*& HA 28 & & 4. 2 > 38 & & '. 3 > 48 & & 6. 4 > '8 &
0
5. ' > 68 &
0
8. 6 > 58 & & *.
Me*&* e!&*& &&*#*# e#e)&(& *+"+& &*!&
0
1. = &
0
2. > 18 18 & & 3. 1 > 28 & & 4. 2 > 38 &
0
'. 3 > 48 &
0
6. 4 > '8 & & 5. ' > 68 & 8. 6 > 58 &
0 0
D M!" M!"!$' !$''(' '(') ) "'%' "'%'$'(' $'(',, '*'" "!) "!)&)+( &)+(',(' ',(') )
0
(-'*&,'% (!%!.',') * &)+(-)+') 1 Pe$#*&& e+*&(& Mee("& $o+$& "(" *e(**&#* e$*&"
0
2 Me&"& e-e$&!&& e&"* e*& &##&
Me+e(&)"* KEPALA UPT7 PUSKESMAS KESUNEAN
0
0
48 48 & &
0
6. 4 > '8 &
0
5. ' > 68 &
0
8. 6 > 58 58 & & . Me Me*&* *&* #("* #("* && && e#e)&(& e#e)&(& *+"+ *+"+& & #e%&$ #e%&$& & e(&*
1. = 18 &
0
2. 18 > 36 &
0
3. 35 > '' &
0
KET.
No
JUMLAH PRESTASI KERJA HARIAN,TANGGAL :
BUTIR KEGIATAN 1
2
3
4
5
6
5
8
JUMLAH
9 10 11 12 13 14 1' 16 15 18 19 20 21 22 23 24 25 26 25 28 2 30
4. '6 > 54 54 & & '. 54 > 3 3 & & 6. 4 > 112 &
0
+. Me*&* $e%&& e+eo&& / e&(&"& *+"+&
0
1. = &
0
2. > 18 & & 3. 1 > 28 28 & & 4. 2 > 38 &
0
'. 3 > 48 &
0
6. 4 > '8 '8 & & 5. ' > 68 &
0
8. 6 > 58 &
0
). Me* Me*&* &* e!& e!&*& *& HA 48 48 & & 6. 4 > '8 & 5. ' > 68 &
0 0
8. 6 > 58 &
0
D M!"!$' M!"!$''(') '(') "'%'$' "'%'$'(', (', '*'" '*'" "!) "!)&)+( &)+(',(' ',(') ) (-'*&,'% (!%!.',') *&)+(-)+') 1 Pe$#*&& e+*&(&
0
Mee("& $o+$& "(" *e(**&#* e$*&"
0
2 Me&"& e-e$&!&& e-e$&!&& e&"* e*& &##&
Me+e(&)"* KEPALA UPT7 PUSKESMAS KESUNEAN
48 &
0
6. 4 > ' '8 8 & & 5. ' > 68 &
0
8. 6 > 58 &
0
. Me*&* Me*&* #("* #("* && && e#e)& e#e)&(& (& *+ *+"+ "+& & #e%& #e%&$& $& e(&* e(&* 1. = 1 18 8 & &
2. 18 > 36 &
0
3. 35 > '' &
0
4. '6 > 54 &
0
KET.
No
JUMLAH PRESTASI KERJA HARIAN,TANGGAL :
BUTIR KEGIATAN 1
2
3
4
'
6
5
8
9
JUMLAH
10 11 12 13 14 1' 16 15 18 1 20 21 22 23 24 2' 26 25 28 2 30
'. 54 > 3 &
0
6. 4 > 112 112 & & +. Me*&* $e%&& e+eo&& e+eo&& / e&(&"& e&(&"& *+"+& *+"+& 1. = &
0
2. > 18 &
0
3. 1 > 28 &
0
4. 2 > 38 &
0
'. 3 > 48 &
0
6. 4 > '8 &
0
5. ' > 68 &
0
8. 6 > 58 &
0
). Me* Me*&* &* e!&*& e!&*& HA 28 & 4. 2 > 38 &
0 0
'. 3 > 48 &
0
6. 4 > '8 &
0
5. ' > 68 &
0
8. 6 > 58 &
0
Me* Me*&* &* e e!&*& !&*& &&* &&*#*# #*# e#e)&(& e#e)&(& *+" *+"+& +& &*!& &*!& 1. = &
0
2. > 18 &
0
3. 1 > 28 &
0
4. 2 > 38 &
0
'. 3 > 48 &
0
6. 4 > '8 &
0
5. ' > 68 & 8. 6 > 58 &
0 0
D M!"!$' M!"!$''(' '(') ) "'% "'%'$'( '$'(', ', '*' '*'" " "!)&) "!)&)+(', +(',(') (')
0
(-'*&,'% (!%!.',') * &)+(-)+') 1 Pe$#*&& e+*&(& Mee("& $o+$& "(" *e(**&#* e$*&"
0
2 Me&"& e-e$&!&& e&"* e*& &##&
Me+e(&)"* KEPALA UPT7 PUSKESMAS KESUNEAN
0
38 &
0
0
0
0
0
0
0
'. 3 > 48 &
0
0
0
0
0
0
0
5. ' > 68 &
0
0
0
0
0
0
0
8. 6 > 58 &
0
0
0
0
0
0
0
2. 18 > 36 &
0
0
0
0
0
0
0
3. 35 > '' &
0
0
0
0
0
0
0
4. '6 > 54 &
0
0
0
0
0
0
0
1. = &
0
0
0
0
0
0
0
2. > 18 &
0
0
0
0
0
0
0
3. 1 > 28 &
0
0
0
0
0
0
0
4. 2 > 38 &
0
0
0
0
0
0
0
'. 3 > 48 &
0
0
0
0
0
0
0
6. 4 > '8 &
0
0
0
0
0
0
0
5. ' > 68 &
0
0
0
0
0
0
0
8. 6 > 58 &
0
0
0
0
0
0
0
1. = &
0
0
0
0
0
0
0
2. > 18 & 3. 1 > 28 &
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4. 2 > 38 &
0
0
0
0
0
0
0
'. 3 > 48 &
0
0
0
0
0
0
0
6. 4 > '8 &
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
4. 2 > 38 &
0
0
0
0
0
0
0
'. 3 > 48 &
0
0
0
0
0
0
0
6. 4 > '8 &
0
0
0
0
0
0
0
5. ' > 68 &
0
0
0
0
0
0
0
8. 6 > 58 &
0
0
0
0
0
0
0
KETERANGAN
JUMLAH PRESTASI KERJA HARIAN,TANGGAL : No
BUTIR KEGIATAN
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0
0
0
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0
0
0
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0
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0
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0
6790
38 &
0
0
6. 4 > '8 &
0
0
5. ' > 68 &
0
0
1. = 18 & 2. 18 > 36 &
0 0
0 0
3. 35 > '' &
0
0
0
0
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8. 6 > 58 58 & & . Me* Me*&* &* #(" #("** && && e#e)&(& e#e)&(& *+ *+"+ "+& & #e%& #e%&$& $& e(& e(&**
4. '6 > 54 54 & & '. 54 > 3 3 & & 6. 4 > 112 & +. Me*&* $e%&& e+eo&& / e&(&"& *+"+&
0
0
0
0
4. 2 > 38 &
0
0
'. 3 > 48 &
0
0
5. ' > 68 &
0
0
8. 6 > 58 &
0
0
0 0
0 0
1. = & 2. > 18 & & 3. 1 > 28 28 & &
6. 4 > '8 '8 & &
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0
0
8. 6 > 58 &
0
0
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0
0
3. 1 > 28 &
0
0
4. 2 > 38 & '. 3 > 48 &
0
0
6. 4 > '8 &
0
0
5. ' > 68 &
0
0
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0
0
2 Me&"& e-e$&!&& e&"* e*& &##&
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0
6.50
6.50
JUMLAH II A %
II D
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0
0
0
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0 0
2. K&$!& ("*# -e$"& (*& (*&"& "& &(&" "&#& "&#& **&) e+& +&+&#& +&+&#& #e*$* #e*$*
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0
&. B""
0
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0
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0 0 0
&& -*&+ e#e)&(& !&+ *"-*&#*& && -e(" &. B""
0
-. M&&&)
0
0
0
0
0
0 0
4. T" T "*#& **&) o"e$ * -*&+ e#e)&(& *+"+& !&+ *#e-&$"&#& e&"* e*& &#& '. Me!& Me!&&*& &*& $&#&$& $&#&$& -e$"& (*&"&, (*&"&, +&+&#& &(&" "&#& **&) -*&+ -*&+ e#e)&(& *+"+& && e$(e"& **&) B. Me(e$e&)&/ Me(e$e&)&/e!&"$ e!&"$ -"" & & -&) -&)& & &*!& * -*&+ -*&+ Ke#*+
0
1. Te$e&)& e$e&)&/#&"$& /#&"$& * -*&+ e#e)&(& *+"+& *+"+& !&+
0
*"-*&#*& *"-*&# *& && -e(" 0
0
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0
0
2. Te$e&)& e$e&)&/#&"$& /#&"$& * -*&+ e#e)&(& *+"+& *+"+& !&+ (*&
0
&. B"" !&+ *(e$-*(& &(&" *e&$& #e%&$& &#*o&
JUMLAH
ANGKA KRE7IT KRE7IT M MENURUT ENURUT No
UNSUR,SUB UNSUR,BUTIR KEGIATAN
INSTANSI PENGUSUL LAMA
BARU
TIM PENILAI JUMLAH
LAMA
BARU
*"-*&#*& *"-*&# *& && -e(" &. B"" -. M&& M&&& &) ) 3. Me-"& Me-"&(( &-#($& ("*#& ("*#& **&) !&+ *"&( *"&( & ee$-*(& ee$-*(& ee$-*(&
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