Absensi Kegiatan PTM

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DAFTAR HADIR KEGIATAN PTM

UPTD PUSKESMAS CIPEUNDEUY

DESA :
BULAN :
TAHUN :

NO. NAMA JABATAN TANDA TANGAN

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Mengetahui,

Kepala UPTD Puskesmas Cipeundeuy Pengelola Program PTM


M. Arifudin, S.Sos, M.Kes Nurhayati Nufus
NIP. 19670919 198803 1 007

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